IDEAS home Printed from https://ideas.repec.org/p/hal/journl/hal-01937612.html
   My bibliography  Save this paper

The Agency, the Contract, the Incentive. Regional Health Agencies Administrative Health Policy Spearhead
[L’agence, le contrat, l’incitation. Les Agences régionales de santé fer-de-lance administratif de la politique de santé]

Author

Listed:
  • Victor Duchesne

    (CEPN - Centre d'Economie de l'Université Paris Nord - UP13 - Université Paris 13 - USPC - Université Sorbonne Paris Cité - CNRS - Centre National de la Recherche Scientifique)

Abstract

This text shows that the establishment of Regional Health Agencies is a new form of state control of the health system. This new state control marks the transition from the logic of the plan to that of incentive by going beyond the historical oppositions that have animated the health sector (the State against the Social Security, the local regulation against the central regulation and the hospital against the liberal medicine). The incentive for the organization of the health system is based on an original organizational structure (the agency) and a coordination tool (the contract) their unprecedented by its success, its scale and its specificities. However, the couple ARS-contract does not escape the paradoxes of an administration under New Public Management: reform under budgetary constraint and contractually negotiate under supervision. The RHAs themselves are subject to the incentive scheme that they implement.

Suggested Citation

  • Victor Duchesne, 2018. "The Agency, the Contract, the Incentive. Regional Health Agencies Administrative Health Policy Spearhead [L’agence, le contrat, l’incitation. Les Agences régionales de santé fer-de-lance administra," Post-Print hal-01937612, HAL.
    • Handle: RePEc:hal:journl:hal-01937612
    DOI: 10.3917/jgem.184.0159
    Note: View the original document on HAL open archive server: https://hal.science/hal-01937612
    as

    Download full text from publisher

    File URL: https://hal.science/hal-01937612/document
    Download Restriction: no
    File URL: https://libkey.io/10.3917/jgem.184.0159?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Philippe Batifoulier, 2014. "Capital santé. Quand le patient devient client," Post-Print hal-01335674, HAL.
    2. Bernard Friot, 2012. "Puissances du salariat," Post-Print halshs-00766371, HAL.
    3. Gérard de Pouvourville & Joseph Tedesco, 2003. "La contractualisation interne dans les établissements hospitaliers publics," Revue française de gestion, Lavoisier, vol. 146(5), pages 205-218.
    4. Victor Duchesne, 2016. "La contractualisation de l'action publique - Le cas des Agences régionales de santé," Post-Print hal-01335602, HAL.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Philippe Batifoulier & Nicolas da Silva & Mehrdad Vahabi, 2020. "La Sociale contre l'Etat providence. Prédation et protection sociale," CEPN Working Papers hal-02487791, HAL.
    2. Nicolas da Silva, 2018. "La médecine libérale entre Sécurité sociale et capitalisme sanitaire : vers une prolétarisation du travail médical ?," Post-Print hal-02306254, HAL.
    3. Morel, Sylvie, 2019. "Inequality and discrimination in access to urgent care in France Ethnographies of three healthcare structures and their audiences," Social Science & Medicine, Elsevier, vol. 232(C), pages 25-32.
    4. Jérôme Lartigau & Thierry Nobre, 2011. "Une nouvelle grille d'analyse pour le contrôle de gestion hospitalier : le contrôle intégré de Simons," Post-Print hal-00650543, HAL.
    5. Philippe Batifoulier & Rainer Diaz-Bone, 2022. "Perspectives on the economics and sociology of health. Contributions from the institutionalist approach of economics of convention -an introduction," CEPN Working Papers hal-03584852, HAL.
    6. Philippe Batifoulier & Nicolas da Silva & Victor Duchesne, 2019. "The dynamics of conventions: the case of the French Social Security System," Post-Print hal-01994383, HAL.
    7. Christine André & Philippe Batifoulier & Mariana Jansen-Ferreira, 2016. "Privatisation de la santé en Europe. Un outil de classification des réformes," CEPN Working Papers hal-01256505, HAL.
    8. Batifoulier, Philippe & Domin, Jean-Paul, 2015. "Économie politique de la santé. Un exemple exemplaire," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    9. Philippe Batifoulier & Denis Abecassis & Nicolas da Silva & Victor Duchesne & Léonard Moulin, 2016. "L’utilité sociale de la dépense publique," Working Papers hal-01421197, HAL.
    10. Mehrdad Vahabi & Philippe Batifoulier & Nicolas Silva, 2020. "A theory of predatory welfare state and citizen welfare: the French case," Public Choice, Springer, vol. 182(3), pages 243-271, March.
    11. André, Christine, 2015. "Les systèmes de santé européens en longue période," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    12. Chtouki Zakaria & Deriouch Kaoutar, 2022. "Reducing Socio-Economic Inequality Policies: Exploring the Possibilities of Simulation Using CGE Modelling [Politiques de réductions des inégalités socioéconomiques : Analyse des possibilités de la," Post-Print hal-03740975, HAL.
    13. Olivier Baly & Frédéric Kletz & Jean-Claude Sardas, 2016. "Collective Sensemaking: The Cave within the Cage," Post-Print hal-01305315, HAL.
    14. Emilie Bérard, 2011. "L'appropriation du dispositif de contractualisation interne à l'hôpital de V. : évolution conjointe de la stratégie et du contrôle de gestion," Post-Print hal-00646726, HAL.
    15. Nicolas da Silva, 2017. "Le mythe du « trou de la Sécu » à l'aune des débats parlementaires de 1949," Post-Print hal-02306253, HAL.
    16. Richard Sobel, 2019. "Critique du capitalisme et différend salarial : Lyotard lecteur kantien de Marx [Criticism of Capitalism and Wage-Capital Conflict :, Lyotard As a Kantian Reader of Marx]," Post-Print halshs-02430026, HAL.
    17. Batifoulier, Philippe, 2015. "Aux origines de la privatisation du financement du soin : quand la théorie de l’aléa moral rencontre le capitalisme sanitaire," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    18. Nicolas da Silva, 2018. "« L'industrialisation de la médecine libérale : une approche par l'économie des conventions »," Post-Print hal-02306255, HAL.
    19. Philippe Batifoulier & Louise Braddock & Victor Duchesne & Ariane Ghirardello & John Latsis, 2021. "Das Targeting von „Lifestyle“-Bedingungen. Welche Rechtfertigungen für die Behandlung? [“Targeting Lifestyle" Conditions: What Justifications for Treatment?]," Post-Print hal-03345323, HAL.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hal:journl:hal-01937612. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.