000			01905naa a2200181uu 4500
001			0110913044837
003			OSt
005			20240621153900.0
008			101109s1987 xx ||||gr |0|| 0 fre d
100	1		_913978 _aCatrice-Lorey, Antoinette
245	1	0	_aL'assurance maladie et le système de santé
260			_aParis : _bIIAP, _cjuil./sept. 1987
520	3		_aThe author shows how health care austerity policy and the social security crisis have given rise to an added mission for national health insurance (NHI) bodies which, since 1980, have had to evaluate the functioning of the health care system and contribute to improving its efficiency in addition to their current tasks. She describes the history of NHI duties and recent developments in various health care sectors. Including private practise and hospital care, public and private. The missions of all bodies are given. The new powers vested in Social Security are part of long-term government policy; government instruments of self-regulation are analyzed; the specific role of SOcial Security is described in detail, i.e. how it maintains ongoing dialogue towards negotiated change with health care professionals, over an above authoritarian regulations and economic restrictions. In fact, the State relies on NHI to adjust societal regulations so as to try to buld a consensus for its policy. The proper execution of this new function assumes a re-destribution of roles among individuals and bodies active in NHI. This would modify the configuration of an already complex power structure. The article also describes the problems arising within NHI from the growing importance of consulting physicians
773	0	8	_tRevue Française D'Administration Publique _g43, p. 71-90 _dParis : IIAP, juil./sept. 1987 _xISSN 01527401 _w
942			_cS
998			_a20101109 _b1304^b _cDaiane
998			_a20101122 _b1456^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c37213 _d37213
041			_afre