La régulation contractuelle : (Record no. 36524)
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000 -LEADER | |
---|---|
fixed length control field | 01954naa a2200193uu 4500 |
001 - CONTROL NUMBER | |
control field | 0092816340537 |
003 - CONTROL NUMBER IDENTIFIER | |
control field | OSt |
005 - DATE AND TIME OF LATEST TRANSACTION | |
control field | 20190218141842.0 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
fixed length control field | 100928s1995 xx ||||gr |0|| 0 fre d |
999 ## - SYSTEM CONTROL NUMBERS (KOHA) | |
Koha Dewey Subclass [OBSOLETE] | PHL2MARC21 1.1 |
041 ## - LANGUAGE CODE | |
Language code of text/sound track or separate title | fre |
100 1# - MAIN ENTRY--PERSONAL NAME | |
Personal name | POLTON, Dominique |
9 (RLIN) | 42384 |
245 10 - TITLE STATEMENT | |
Title | La régulation contractuelle : |
Remainder of title | l'exemple de la biologie de ville |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Place of publication, distribution, etc. | Paris : |
Name of publisher, distributor, etc. | IIAP, |
Date of publication, distribution, etc. | oct./déc. 1995 |
520 3# - SUMMARY, ETC. | |
Summary, etc. | Contractual regulation of health care outside the hospital sector was introduced in 1991 following on overly brutal revision of the remuneration scale. This system of regulation created a three-way relatioship between the State, the health insurance and professionals in the making of annual agreement forecasting future health service expenditure. The bsaic idea behind contractual regulation is co-responsaibility. The financial framwork sets out the predicted increase in treatments with an adjustment mechanism operating a rigid system of financial compensation. This is accompanied by recommendations and the creation of emans for gathering information concerning the sector. All objectives which were forecast have been reached, but management of the system is complex. Specific negotiation with each profession brings with it a risk of inflexibility in parts of the market. The means of putting the national objetive into effect at regional level still has to be worked out. Beyond this it appears that contractualisation has its limits due to the over-protective effect of the contract which prevents spontaneous increases in spending which might be a lot less favourable for professionals. In fact what this method of contractualisation lacks is the state's vision of the aim sought t be achieved |
700 1# - ADDED ENTRY--PERSONAL NAME | |
Personal name | BROCAS, Anne-Marie |
9 (RLIN) | 42385 |
773 08 - HOST ITEM ENTRY | |
Title | Revue Française D'Administration Publique |
Related parts | 76, p. 629-640 |
Place, publisher, and date of publication | Paris : IIAP, oct./déc. 1995 |
International Standard Serial Number | ISSN 01527401 |
Record control number | |
942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
Koha item type | Periódico |
998 ## - LOCAL CONTROL INFORMATION (RLIN) | |
-- | 20100928 |
Operator's initials, OID (RLIN) | 1634^b |
Cataloger's initials, CIN (RLIN) | Daiane |
998 ## - LOCAL CONTROL INFORMATION (RLIN) | |
-- | 20101006 |
Operator's initials, OID (RLIN) | 1728^b |
Cataloger's initials, CIN (RLIN) | Carolina |
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