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Politique des coûts, politique des écarts. Étude d’une controverse métrologique sur les tarifs hospitaliers

Abstract : Since 2004, private and public hospitals have been funded by the social security system through a prospective payment system (PPS). When the PPS was implemented in France, public sector pricing was set at a higher rate than in the private sector for many medical interventions. The difference was justified by the fact that public hospitals have higher cost structures. Since 2007, the French government has sought to rein in costs in public hospitals by promoting pricing convergence. This led to an intense debate between the representatives of the public sector, the private sector, and the Ministry of Health. This article analyses this controversy by focusing on how accounting and financial tools redefine the meanings and borders between the “public” and the “private” sectors. It also points out the need to consider “cost” and “cost variances” as policy instruments that contribute to orienting hospital policies
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https://hal-cnrs.archives-ouvertes.fr/hal-03479158
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Submitted on : Tuesday, December 14, 2021 - 11:14:34 AM
Last modification on : Thursday, December 23, 2021 - 2:57:32 PM

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Pierre-André Juven. Politique des coûts, politique des écarts. Étude d’une controverse métrologique sur les tarifs hospitaliers. Gouvernement & action publique, Presses de sciences po, 2016, 5, pp.35-62. ⟨10.3917/gap.161.0035⟩. ⟨hal-03479158⟩

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