| Titre | Progrès et lacunes des données statistiques sur l'activité médicale | |
|---|---|---|
| Auteur | Jean-Yves Delanoé, Robert Rochefort | |
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Revue | Revue française d'administration publique |
| Numéro | no 43, 1987/3 La santé est-elle sous-administrée ? | |
| Rubrique / Thématique | La santé est-elle sous-administrée ? Les données |
|
| Page | 10 pages | |
| Résumé anglais |
Headway and handicaps in health care statistics.
In-house statistical services for social security and guardianship administration have shown strong sustained growth in the past decade. Such services were started decades after comparable services for business, industry and agriculture. Quality has improved and the scope of investigation has broadened despite recent budget restrictions.
However :
1. Statistical services grew in specific directions that served the purposes of the sponsoring institutions : the regulation of health care made available, and hospital management and, on the other hand, a detailed knowledge of private practice to lay the groundwork for fee-setting negotiations. Such institutional thinking has not monopolized ail statistical investigation for the past 10 years, yet it does predominate.
2. French physicians enjoy privileged social status that prevents any outside body from exerting true control over the profession. For example, the NGAP standard fees list acts as a buffer that mediates transactions between the profession and the social security administration. The jurisdiction of the Medical Association is yet another way the medical community polices itself and prevents intervention from external societal bodies.
For these reasons, it remains very difficult to collect some data certain statisticians consider useful to forming a representative picture of health care institution clienteles, especially the most ‘medical' of all data : diagnoses. Source : Éditeur (via Persée) |
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| Article en ligne | https://www.persee.fr/doc/rfap_0152-7401_1987_num_43_1_1835 |
