000 01567cam a2200241 4500500
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041 _afre
042 _adc
100 1 0 _aPierru, Frédéric
_eauthor
700 1 0 _a Rolland, Christine
_eauthor
245 0 0 _aBringing the Healthcare State Back in
260 _c2016.
500 _a59
520 _aTalking about a healthcare “system” to describe an historically fragmented and compartmentalized French health sector, in which state bureaucracies and sickness insurance funds struggled to regulate professional and political strategies, has long been a misnomer. As a counterpoint to the international literature on the introduction of competition and privatization rationales into healthcare systems, and based on the case of the regional health agencies, this article argues that the “disorganization” of the French healthcare sector is prey not to market fragmentation but rather to a multifaceted integration process, which creates ever-larger actors linked by dense networks of relations. This integration process is however under strong institutional constraints which limit its scope and determine its content.
690 _amerger
690 _anew public management
690 _aFrench healthcare system
690 _aHealth Regional Agencies
690 _aNIH
690 _aintegration
786 0 _nRevue française de science politique | 66 | 3 | 2016-08-29 | p. 483-506
856 4 1 _uhttps://shs.cairn.info/journal-revue-francaise-de-science-politique-2016-3-page-483?lang=en&redirect-ssocas=7080
999 _c560751
_d560751