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008 | 101208s2010 xx ||||gr |0|| 0 eng d | ||
100 | 1 |
_aBRIATTE, François _943210 |
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245 | 1 | 0 |
_aA case of weak architecture : _bthe french ministry of health |
260 |
_aOxford : _bWiley-Blackwell, _cApril 2010 |
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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 |
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_a20101208 _b1209^b _cJaqueline |
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_a20110119 _b1145^b _cCarolina |
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_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c37652 _d37652 |
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041 | _aeng |