Tarifs des séjours hospitaliers : rapport sectoriel et évolution dans le temps (2009-2022) (notice n° 2065877)
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| fixed length control field | 03183cam a2200313 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260405003248.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Milcent, Carine |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Tarifs des séjours hospitaliers : rapport sectoriel et évolution dans le temps (2009-2022) |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2026.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 95 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Cette étude analyse le rapport tarifaire entre les secteurs hospitaliers public et privé en France, ainsi que son évolution entre 2009 et 2022. Dans un contexte de régulation où les séjours sont entièrement forfaitisés dans le public, mais rémunérés de façon mixte dans le privé (forfait + paiement à l’acte via la CCAM), elle interroge la manière dont les autorités arbitrent entre ces deux modes de financement. L’analyse des données de tarification met en évidence une remarquable stabilité du rapport sectoriel : les forfaits du secteur privé représentent en moyenne 50 % de ceux du secteur public. Cette stabilité se vérifie pour l’ensemble des types de prise en charge (médicale, chirurgicale, obstétrique, ambulatoire). En tenant compte de la composition de l’activité hospitalière et du degré de spécialisation des établissements, le rapport tarifaire varie toutefois, même si légèrement : plus la différenciation sectorielle est faible, plus la stabilité est marquée. Ces résultats invitent à considérer cette différence comme un équilibre institutionnalisé du financement hospitalier. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | This study analyzes the tariff ratio between the public and private hospital sectors in France and its evolution from 2009 to 2022. Within a regulatory framework in which hospital stays are fully bundled in the public sector but remunerated through a mixed system in the private sector (bundled payment plus fee-for-service via the CCAM), the study examines how public authorities arbitrate between these two financing models. An analysis of tariff data reveals remarkable stability in the sectoral ratio, with private-sector bundled payments accounting for an average of 50% of those in the public sector. This stability holds across all types of care (medical, surgical, obstetric, and outpatient). When considering the composition of hospital activity and the degree of specialization of institutions, the tariff ratio does vary, albeit slightly: the lower the level of sectoral differentiation, the more pronounced the stability. These findings suggest that this difference should be viewed as an institutionalized equilibrium in hospital financing. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Convergence |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Hôpital |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Secteurs Public et Privé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Stabilité du rapport sectoriel |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | T2A |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Tarification à l’activité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Tarifs |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Activity-Based Payment (T2A) |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Hospital Financing |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Public-Private Hospitals |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Sectoral Convergence |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Tariff Setting |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Revue d'économie politique | 136 | 1 | 2026-03-04 | p. 1-28 | 0373-2630 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-revue-deconomie-politique-2026-1-page-1?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-revue-deconomie-politique-2026-1-page-1?lang=fr&redirect-ssocas=7080</a> |
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