LETOURMY, Alain

Les formes économiques de la régulation des dépenses de santé en France : le gaspillage négocié - Paris : IIAP, oct./déc. 1995

For more than twenty years the necessity of curbing health expenditure has been insisted upon in France. The diverse and varied measures put into place have produced only modest results and, while the mechanisms of regulation, at first imposed and then contractual, have to a certain extent been effective, financial organisation and the distribution of health care have considerably limited their scope. The process of regulation is equally hampered by the role played by institutional representatives since the creation of the health service in 1945. In fact the importance of negotiation has led to a compromise being sought and forms of regulation being adopted which are least likely to disrupt the system