医疗保健改革、权力集中与公民参与的式微
Health Care Reforms, Power Concentration, and Receding Citizen Participation.
作者信息
Simonet Daniel
机构信息
Department of Management, Strategy & Entrepreneurship, American University of Sharjah, Sharjah, United Arab Emirates.
出版信息
Risk Manag Healthc Policy. 2023 Jul 26;16:1359-1364. doi: 10.2147/RMHP.S421397. eCollection 2023.
The article highlights several outstanding features of French healthcare reforms in light of New Public Management (NPM). The paper exposes the economic, administrative, and social context of reforms. It investigates horizontal integration, as exemplified by the concentration of power within the Regional Health Organizations, the verticalization of the chain of command, and ensuing conflicts between the French welfare elite and the operating core (eg, the medical profession). Outcomes were below expectations in many areas. The NPM-endorsed fragmentation of public organizations has yet to take root in the French healthcare system. There was little consultation with the medical profession. Physicians' autonomy and patients' rights receded.
本文根据新公共管理（NPM）突出了法国医疗改革的几个显著特征。该论文揭示了改革的经济、行政和社会背景。它调查了横向整合，如区域卫生组织内部权力的集中、指挥链的垂直化，以及法国福利精英与运营核心（如医疗行业）之间随之而来的冲突。在许多领域，改革结果低于预期。NPM所倡导的公共组织碎片化在法国医疗体系中尚未扎根。与医疗行业几乎没有进行协商。医生的自主权和患者的权利都有所减少。
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