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Titre Les trompe-l'oeil de la "gouvernance" de l'assurance maladie - Contrastes franco-allemands
Auteur MM. Patrick ASSENTEUFEL, Professeur à l'Univ. de Rennes 1, Bruno PALIER, Chargé de recherche CNRS
Mir@bel Revue Revue française d'administration publique
Numéro no 113, janvier 2005 Les métamorphoses des politiques de santé
Rubrique / Thématique
Les métamorphoses des politiques de santé
 Les débats récurrents
Page 13
Résumé anglais Trompes-l'œil in the “Governance” of Health Insurance French-German Contrasts. The authors judge the relevance of the term governance — now the accepted term for the transformation of the regulation mode of the health insurance system — in relation to two basic issues : the horizontal relationships between state and non-state actors, and the importance given to negotiation between multiple actors. These two aspects of the system are then discussed in the framework of an analysis of the recent reforms in the French health insurance system. Finally, a comparison with Germany shows the limits of a governance unable to question the validity of the two essential elements constituting the identity of the French health system : the patient‘s freedom and the freedom of liberal practitioners (doctors practising outside the state healthcare system).
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