IDEAS home Printed from https://ideas.repec.org/p/hal/journl/hal-05616691.html

La maîtrise des dépenses dans les établissements du secteur « santé - médico-social » : pratiques internationales et perspectives néo-calédoniennes

Author

Listed:
  • Gulliver Lux

    (CREM - Centre de recherche en économie et management - UNICAEN - Université de Caen Normandie - NU - Normandie Université - UR - Université de Rennes - CNRS - Centre National de la Recherche Scientifique, LARJE - Laboratoire de Recherches Juridique et Economique - UNC - Université de la Nouvelle-Calédonie, UNC - Université de la Nouvelle-Calédonie)

Abstract

This document analyzes the financial crisis affecting New Caledonia's healthcare system, characterized by a growing deficit in the health insurance scheme. The author examines three reform levers derived from international practices: the transition to activity-based funding, the merger of facilities to achieve economies of scale, and the adoption of Lean Management. The study highlights that while these measures are theoretically effective, they present significant risks to the quality of care and staff working conditions. In conclusion, the work advocates for a cautious approach tailored to local specificities, emphasizing the need for reliable data before any major structural transformation. Institutional simplification is also suggested to better coordinate the management and control of public health expenditures.

Suggested Citation

  • Gulliver Lux, 2019. "La maîtrise des dépenses dans les établissements du secteur « santé - médico-social » : pratiques internationales et perspectives néo-calédoniennes," Post-Print hal-05616691, HAL.
    • Handle: RePEc:hal:journl:hal-05616691
    Note: View the original document on HAL open archive server: https://hal.science/hal-05616691v1
    as

    Download full text from publisher

    File URL: https://hal.science/hal-05616691v1/document
    Download Restriction: no
    ---><---

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    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-05616691. 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.

    We have no bibliographic references for this item. You can help adding them by using 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.