000			01954naa a2200193uu 4500
001			0092816340537
003			OSt
005			20190218141842.0
008			100928s1995 xx ||||gr |0|| 0 fre d
100	1		_aPOLTON, Dominique _942384
245	1	0	_aLa régulation contractuelle : _bl'exemple de la biologie de ville
260			_aParis : _bIIAP, _coct./déc. 1995
520	3		_aContractual 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		_aBROCAS, Anne-Marie _942385
773	0	8	_tRevue Française D'Administration Publique _g76, p. 629-640 _dParis : IIAP, oct./déc. 1995 _xISSN 01527401 _w
942			_cS
998			_a20100928 _b1634^b _cDaiane
998			_a20101006 _b1728^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c36524 _d36524
041			_afre