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De la mesure de la qualité à son usage dans la régulation des systèmes de santé

Author

Listed:
  • Lise Rochaix

    (Hospinomics - PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement)

  • Catherine Grenier

    (HAS - Haute Autorité de Santé [Saint-Denis La Plaine])

  • Laetitia May-Michelangeli

    (HAS - Haute Autorité de Santé [Saint-Denis La Plaine])

Abstract

In all developed countries, taking quality into account in the regulation of health systems is at the heart of the concerns of public authorities. The quest for efficiency, as necessary as it may be, should not lead to downward adjustments in the quality of care. The prospect of using quality indicators in the remuneration of producers is making headway today, especially since the progress made in measuring quality makes it possible to have a wide range of indicators. In terms of measurement, the significant developments abroad are the combination of process and outcome indicators on the one hand, and on the other hand, the fast adoption of the patient perspective, both for assessing health outcomes and collecting information on patients' experience of care quality. As for the explicit inclusion of quality in remuneration schemes, it is now effective, with more or less success, in several countries abroad. The purpose of this article is to take stock of recent developments abroad and in France, concerning the measurement of the quality of care and the prospects opened up by its use in terms of remuneration of care producers.

Suggested Citation

  • Lise Rochaix & Catherine Grenier & Laetitia May-Michelangeli, 2020. "De la mesure de la qualité à son usage dans la régulation des systèmes de santé," PSE-Ecole d'économie de Paris (Postprint) halshs-03238825, HAL.
    • Handle: RePEc:hal:pseptp:halshs-03238825
    DOI: 10.3917/jges.204.0221
    as

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