Les politiques de régulation de l'assurance maladie en France et en Alemagne
By: DÖHLER, Marian
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Contributor(s): Hassenteufel, Patrick.
Material type: 
ArticlePublisher: Paris : IIAP, oct./déc. 1995Revue Française D'Administration Publique 76, p. 549-560Abstract: While the French and German systems of social insurance have strong structural similarities (being para-state systems), there are important differences in the ways of regulating the systems. Thus, in France, state representatives occupy a predominant position in the policy of regulation of this sector representatives occupy a predominant position in the policy of regulation of this sector of health care, a sector which is nevertheless very fragmented; however in Germany a body of well organised non-state actors play an essential role in the regulation of the system. These essential distinctions have a considerable influence upon policies concerning the limitation of health service expenditure, which are largely negotiated in Germany and imposed by the state in France, and on the result of these policies
While the French and German systems of social insurance have strong structural similarities (being para-state systems), there are important differences in the ways of regulating the systems. Thus, in France, state representatives occupy a predominant position in the policy of regulation of this sector representatives occupy a predominant position in the policy of regulation of this sector of health care, a sector which is nevertheless very fragmented; however in Germany a body of well organised non-state actors play an essential role in the regulation of the system. These essential distinctions have a considerable influence upon policies concerning the limitation of health service expenditure, which are largely negotiated in Germany and imposed by the state in France, and on the result of these policies
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