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003 OSt
005 20190211173953.0
008 101208s2010 xx ||||gr |0|| 0 eng d
100 1 _aBRIATTE, François
_943210
245 1 0 _aA case of weak architecture :
_bthe french ministry of health
260 _aOxford :
_bWiley-Blackwell,
_cApril 2010
520 3 _aThis article asks whether the public administration of health in France fits the general description of French state institutions as autonomous, powerful bureaucracies. Existing sources on the French Ministry of Health indicate that three types of processes have shaped its institutional structure, its official mandate and its actual policy influence since its inception in the 1920s. Faced with the rise of private-practice medicine, the Ministry first emerged as a resource-poor institution, and still remains an endemically weak ministerial portfolio by virtue of institutional path dependence. Since the 1980s, it has aligned itself on cognitive influences from other ministries, and has been especially sensitive to the pressure exerted by spending ministries to control health expenditure. Finally, in the light of recent health scandals, the creation of several health agencies has contested its effective mandate over public health issues. As a result, the current Ministry struggles to redefine its role in the competitive landscape of French health policy formulation
773 0 8 _tSocial Policy & Administration
_g44, 2, p. 155-171
_dOxford : Wiley-Blackwell, April 2010
_xISSN 01445596
_w
942 _cS
998 _a20101208
_b1209^b
_cJaqueline
998 _a20110119
_b1145^b
_cCarolina
999 _aConvertido do Formato PHL
_bPHL2MARC21 1.1
_c37652
_d37652
041 _aeng