Health care reform in France--the birth of state-led managed care.

作者: Victor G. Rodwin , Claude Le Pen

DOI: 10.1056/NEJMP048210

关键词: State (polity)Public administrationHRHISWorld healthHealth policyManaged careMedicineNursingFinancial crisisHealth careHealth care reform

摘要: The World Health Organization recently ranked the French health care system best in world.1 Although methods and data on which this assessment was based have been criticized, there are good grounds for being impressed by system. Yet August 2004, with national insurance (NHI) facing a severe financial crisis, France enacted Minister of Philippe Douste-Blazy's reform plan. Like previous efforts at reform, one seeks to preserve comprehensive benefits, is supported major stakeholders. (Figure) policymakers typically view their NHI as . . .

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