法国的新公共管理、紧缩政策和医疗行业的异化。

IF 3.4 Q1 HEALTH POLICY & SERVICES

Journal of Healthcare Leadership Pub Date : 2024-08-24 eCollection Date: 2024-01-01 DOI:10.2147/JHL.S463904

Daniel Simonet

{"title":"法国的新公共管理、紧缩政策和医疗行业的异化。","authors":"Daniel Simonet","doi":"10.2147/JHL.S463904","DOIUrl":null,"url":null,"abstract":"In the last twenty years, France has gone through health policy changes that are perceived as paradigm shifts. After briefly describing the reforms driven by the new public management and the subsequent re-centralization of the French health system for budgetary purposes, it appears that those reforms had outcomes below expectations. The regrouping of policy decisions within the Regional Health Agencies and the rise of a French Welfare elite weakened the medical profession. Blame-shifting strategy, political dilution, and spatial inequality linger. The COVID-19 epidemic highlights those limitations. The negative societal and political impact of failed public reforms is increasingly evident.","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"16 ","pages":"329-339"},"PeriodicalIF":3.4000,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358241/pdf/","citationCount":"0","resultStr":"{\"title\":\"New Public Management, Austerity, and the Alienation of the Medical Profession in France.\",\"authors\":\"Daniel Simonet\",\"doi\":\"10.2147/JHL.S463904\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"In the last twenty years, France has gone through health policy changes that are perceived as paradigm shifts. After briefly describing the reforms driven by the new public management and the subsequent re-centralization of the French health system for budgetary purposes, it appears that those reforms had outcomes below expectations. The regrouping of policy decisions within the Regional Health Agencies and the rise of a French Welfare elite weakened the medical profession. Blame-shifting strategy, political dilution, and spatial inequality linger. The COVID-19 epidemic highlights those limitations. The negative societal and political impact of failed public reforms is increasingly evident.\",\"PeriodicalId\":44346,\"journal\":{\"name\":\"Journal of Healthcare Leadership\",\"volume\":\"16 \",\"pages\":\"329-339\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-08-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11358241/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Healthcare Leadership\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/JHL.S463904\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Healthcare Leadership","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/JHL.S463904","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}

引用次数: 0

摘要

在过去二十年里，法国经历了被视为范式转变的卫生政策变革。在简要介绍了新公共管理推动的改革以及随后出于预算目的对法国卫生系统的重新集中之后，这些改革的结果似乎低于预期。大区卫生机构内部决策的重新组合以及法国福利精英的崛起削弱了医疗行业。推卸责任的策略、政治淡化和空间不平等依然存在。COVID-19 疫情凸显了这些局限性。失败的公共改革对社会和政治的负面影响日益明显。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

New Public Management, Austerity, and the Alienation of the Medical Profession in France.

In the last twenty years, France has gone through health policy changes that are perceived as paradigm shifts. After briefly describing the reforms driven by the new public management and the subsequent re-centralization of the French health system for budgetary purposes, it appears that those reforms had outcomes below expectations. The regrouping of policy decisions within the Regional Health Agencies and the rise of a French Welfare elite weakened the medical profession. Blame-shifting strategy, political dilution, and spatial inequality linger. The COVID-19 epidemic highlights those limitations. The negative societal and political impact of failed public reforms is increasingly evident.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Healthcare Leadership HEALTH POLICY & SERVICES-

CiteScore

5.40

自引率

2.30%

发文量

审稿时长

16 weeks

期刊介绍： Efficient and successful modern healthcare depends on a growing group of professionals working together as an interdisciplinary team. However, many forces shape the delivery of healthcare; changes are being driven by the markets, transformations in concepts of health and wellbeing, technology and research and discovery. Dynamic leadership will guide these necessary transformations. The Journal of Healthcare Leadership is an international, peer-reviewed, open access journal focusing on leadership for the healthcare professions. The publication strives to amalgamate current and future healthcare professionals and managers by providing key insights into leadership progress and challenges to improve patient care. The journal aspires to inform key decision makers and those professionals with ambitions of leadership and management; it seeks to connect professionals who are engaged in similar endeavours and to provide wisdom from those working in other industries. Senior and trainee doctors, nurses and allied healthcare professionals, medical students, healthcare managers and allied leaders are invited to contribute to this publication