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Santé, contrat social et marché : la fonction publique hospitalière en réformes

Abstract : This paper compares the impact on the hospital labor market of competition between public and private healthcare, which is regulated at the state level through the pricing of services. Public hospitals are having to adopt human resources management systems designed to overcome problems in this market. Privatization of a public hospital would not necessarily ensure simpler organization, and the principle of free and equal access of all citizens to healthcare exists independently of any such competition. However, the conflict between a generous system and cost-efficiency requires thinking about how to reorganize the public health sector. Efforts can be made to improve the performance of public hospital staff, such as organizing hospitals into centers of specialized services, redefining of the relationship between different actors, increasing motivation, and managing vocational qualifications.
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Submitted on : Monday, July 1, 2019 - 1:07:41 PM
Last modification on : Tuesday, September 22, 2020 - 3:46:10 AM

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François-Xavier Schweyer. Santé, contrat social et marché : la fonction publique hospitalière en réformes. Revue française d'administration publique, ENA, 2009, 132 (4), pp.727-744. ⟨10.3917/rfap.132.0727⟩. ⟨hal-02169611⟩

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