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French Idiosyncratic Health-Care Reforms, Performance Management and Its Political Repercussions.

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France

Keywords:
Francehealth care reformhealth policymanagement department

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Area of Science:

  • Health Policy
  • Public Health Management

Background:

  • France implemented significant social policy changes impacting its healthcare sector.
  • The study reviews the application and limitations of New Public Management (NPM) in the French health system.

Purpose of the Study:

  • Investigate NPM health reforms in France, focusing on cost containment.
  • Analyze administrative restructuring, reform idiosyncrasies, and limitations.
  • Identify remaining critical public health emergencies.

Main Methods:

  • Examined the political and economic context of health-care reforms.
  • Analyzed the rise of the regulatory state and diagnostic-related group (DRG) scales.
  • Critically assessed health policy recentralization and its impact, with an international perspective.

Main Results:

  • Reforms prioritized performance metrics, regulation, and competition, eschewing Anglo-Saxon public-private partnerships.
  • Central health authorities reasserted control, diminishing decentralization.
  • Weakened decentralization and service delivery restrictions led to public discontent.

Conclusions:

  • NPM reforms in France led to centralization and public dissatisfaction.
  • The study highlights the political repercussions of health policy changes, exemplified by the Yellow Vest movement.