Comment stimuler la productivité des services publics ? Les enseignements tirés de la mise en œuvre à l'hôpital de la tarification à l'activité (notice n° 849059)
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control field | 20250123144754.0 |
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Language code of text/sound track or separate title | fre |
042 ## - AUTHENTICATION CODE | |
Authentication code | dc |
100 10 - MAIN ENTRY--PERSONAL NAME | |
Personal name | Holcman, Robert |
Relator term | author |
245 00 - TITLE STATEMENT | |
Title | Comment stimuler la productivité des services publics ? Les enseignements tirés de la mise en œuvre à l'hôpital de la tarification à l'activité |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Date of publication, distribution, etc. | 2014.<br/> |
500 ## - GENERAL NOTE | |
General note | 51 |
520 ## - SUMMARY, ETC. | |
Summary, etc. | RésuméLa question de la productivité des services publics est un débat récurrent. L’une des pistes suggérée – autonomiser leur gestion en établissant un lien direct entre activité réelle et financement – doit être interrogée. L’hôpital public, où l’activité est désormais monétarisée grâce à l’entrée en vigueur de la tarification à l’activité, montre en effet qu’il y a une contradiction entre encouragements à la productivité au niveau local et contrôle des dépenses au niveau national, qu’une concurrence émerge – entre établissements et au sein de ces derniers – plutôt que des coopérations et des fusions, et que le principal gisement de productivité – la masse salariale – est inactivé parce que la quasi totalité du personnel est composée de fonctionnaires. |
520 ## - SUMMARY, ETC. | |
Summary, etc. | — How to Stimulate Public Services’ Productivity? Lessons Learned from the Implementation of the Price per Activity System at a Hospital — The productivity of public services is a recurring topic of debate. One of the solutions suggested – empowering their management capacities by creating a direct link between real activity and financing – needs to be re examined. The activities carried out in public hospitals are now financed by the entry into force of the price per activity system. This in turn has established that there is a contradiction between encouraging productivity at the local level and managing expenditure at the national level. Furthermore, this system incites competition – between establishments and within them – rather than cooperation and amalgamation. Lastly, it has evidenced that the main potential for gains in regards to productivity – payroll – has been exhausted because almost all employees are civil servants. |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | service public santé |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | limites |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | concurrence |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | Productivité |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | financement |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | competition |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | limitations |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | Productivity |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | public service health |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | financing |
786 0# - DATA SOURCE ENTRY | |
Note | Revue française d'administration publique | 148 | 4 | 2014-03-18 | p. 1043-1060 | 0152-7401 |
856 41 - ELECTRONIC LOCATION AND ACCESS | |
Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-francaise-d-administration-publique-2013-4-page-1043?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-francaise-d-administration-publique-2013-4-page-1043?lang=fr&redirect-ssocas=7080</a> |
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