医疗保健改革,权力集中,公民参与度下降
1Department of Management, Strategy & Entrepreneurship, American University of Sharjah, Sharjah, United Arab Emirates.
Risk management and healthcare policy
|August 2, 2023
概括
在新公共管理 (NPM) 的指导下,法国医疗改革面临挑战. 整合努力导致冲突,结果不足,减少了医生的自主权和患者权利.
科学领域:
- 卫生政策 卫生政策
- 公共管理 公共管理
- 医疗保健管理的管理
背景情况:
- 在新公共管理 (NPM) 框架内分析法国医疗保健改革.
- 检查影响这些改革的经济,行政和社会驱动因素.
研究的目的:
- 评估受NPM原则影响的法国医疗改革的有效性和成果.
- 调查整合策略,如横向和垂直重组对医疗保健系统的影响.
主要方法:
- 法国医疗改革的定性分析.
- 审查组织变化,包括区域卫生组织和垂直指挥结构中的权力集中.
- 评估行政精英和医疗专业人员之间的冲突.
主要成果:
- 改革在多个领域显示出低于预期的结果.
- 预期的公共组织的碎片化,NPM的特点,没有完全实现在法国的医疗保健系统.
- 观察到与医疗行业的接触有限,导致医生自主权和患者权利的下降.
结论:
- 法国医疗改革尽管采用了NPM原则,但在实施和实现预期结果方面遇到了重大挑战.
- 重组努力导致了意想不到的后果,包括精英之间的冲突和专业和患者代理人的减少.
- 需要进一步的研究,以了解这些改革的长期影响,并探索改善医疗保健系统的替代策略.
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