BERTHOD-WURMSER, Marianne

Régulation et réformes de la protection maladie en Europe - Paris : IIAP, oct./déc. 1995

The systems of health care in European states have been construct around a common objective: equal access to health care for all levels of the population. But in the light of increases in health expenditure, notions of "curbing" spending and "efficiency" occupy an increasingly important place. The reforms undertaken by European states show certain similarities. On the one hand, they concern the tools necessary for intervention in curbing expenditure, and, on the other hand, they deal with the flow of financial resources which sustain activity in the health sector. Equally these developments have led to the adoption of new method of negotiation between professionals and government which takes into account not only economic variable and medical regulation but also the definition of real "health objectives"