000			01834naa a2200181uu 4500
001			0110913055337
003			OSt
005			20190218141918.0
008			101109s1987 xx ||||gr |0|| 0 fre d
100	1		_aMAILLARD, Christian _942906
245	1	0	_aL'hôpital
260			_aParis : _bIIAP, _cjuil./sept. 1987
520	3		_aHowever great the efforts of the past 40 years to improve the management and control of the hospital system, dissatisfaction is obvious among users, health care personnel, the administration, social security and private enterprise. Hospitals served as locally-administered lodgings until the 19th Century. They have gradually evolved into complex centres of differentiated production that compete with other partners of the health care system and are increasingly dependent on socio-economic developments. Thus the hospital has become a meeting ground for many partners. The time is ripe for long-term decisions that are needed for a coherent, viable system, i.e. socially - concerted effort for a new definition of national health, the role and functions of hospitals; a streamlining of State intervention with its many contradictions; making citizens play an active role in hospital system, optimizing complementarity between different role players; giving hospitals appropriate tools to evaluate costs and production; and the adoption of fixed-term contracts with means and objectives between hospitals, Social Security, the State and other public bodies as to give hospitals a solid framework and better control over their future, and make them responsible entreprises
773	0	8	_tRevue Française D'Administration Publique _g43, p. 91-104 _dParis : IIAP, juil./sept. 1987 _xISSN 01527401 _w
942			_cS
998			_a20101109 _b1305^b _cDaiane
998			_a20101122 _b1456^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c37214 _d37214
041			_afre