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La régulation contractuelle : (Record no. 36524)

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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Escola Nacional de Administração Pública

Escola Nacional de Administração Pública

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