新公共管理、紧缩政策与法国医疗行业的异化
New Public Management, Austerity, and the Alienation of the Medical Profession in France.
作者信息
Simonet Daniel
机构信息
Department of Management, Strategy and Entrepreneurship, American University of Sharjah, School of Business and Management, Sharjah, United Arab Emirates.
出版信息
J Healthc Leadersh. 2024 Aug 24;16:329-339. doi: 10.2147/JHL.S463904. eCollection 2024.
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.
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。在简要描述了由新公共管理推动的改革以及随后法国卫生系统为预算目的进行的重新集权化之后，这些改革似乎并未达到预期效果。区域卫生机构内政策决策的重新整合以及法国福利精英阶层的崛起削弱了医疗行业。责任推诿策略、政治淡化和空间不平等问题依然存在。新冠疫情凸显了这些局限性。公共改革失败所带来的负面社会和政治影响日益明显。
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