Titre | L'équité dans le modèle de "concurrence organisée" pour la régulation d'un système de santé | |
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Auteur | Claude Schneider-Bunner, Maryse Gadreau | |
Revue | Economie et prévision | |
Numéro | no 129-130, 1997/3-4 Nouvelles approches micro-économiques de la santé | |
Rubrique / Thématique | Nouvelles approches micro-économiques de la santé Les enjeux de la régulation |
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Page | 221-237 | |
Résumé anglais |
Equity in the "Planned Competition" Model of Regulating a Health System by Maryse Gadreau and Claude Schneider-Bunner
The distributive logic of European health systems (contribution depending on income and use depending on need) is indicative of the importance attached to the principle of equal access to health-care. However, reforms introducing competition are arousing interest in Europe and have been piloted in the United Kingdom and the Netherlands. To what extent is equity still maintained? This paper uses a threefold typology of justice theories (egalitarian, liberal and Rawlsian) to analyse the "planned competition" model and its European pilots. The underlying conception of equity is ambiguous: all three dimensions are present, indicating the hesitations of equity policy and reflecting the pluralism of the principles in whose name the health system players are acting. Source : Éditeur (via Persée) |
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Article en ligne | http://www.persee.fr/web/revues/home/prescript/article/ecop_0249-4744_1997_num_129_3_5875 |