De la fondation pour l’évaluation des techniques et pratiques médicales à la Haute Autorité de santé : l’évolution institutionnelle de l’évaluation des actes et des produits de santé

Abstract

If the evaluation of the quality of health procedures and products as well as the measurement of the relevance of reimbursement by health insurance are constituent dimensions of the health system, they have only been acquired at the end of an evolution which has seen the gradual erasure of medical power and the parallel affirmation of expertise other than clinical, particularly medico-economic. Since 1986, several institutions responsible for evaluation have succeeded one another, with different statuses and increasingly broad missions, from the evaluation of professional acts or the formulation of clinical practices guidelines to the certification of health establishments, social and medico social. It is currently the High Health Authority which assumes this central role through which it contributes in this area of evaluation and standardization, to “the regulation of the health system through quality and efficiency”.