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Les biens communs à l'hôpital: De la « T2A » à la tarification au cycle de soins

Nathalie Angelé-Halgand and Thierry Garrot

ACCRA, 2014, vol. 20, issue 3, 15-41

Abstract: This article provides a contribution to the reflection on the ways by which the current acute care hospital funding framework called activity based tariffs (Tarification A l?Activité, T2A in French) could be refined borrowing to Elinor Ostrom?s work on the commons. Stemming from an updated state of the T2A limitations addressed via a hospital performance management view, we call for revisiting the hospital funding issue in the light of incentives. Drawing from these bases we introduce a proposition to reform the current frame that leads to set tariffs on care cycles and that renews the way, by which we address hospital performance and its management.

Keywords: hospital performance; DRG-based tariffs; common pool resources; care cycle based tariffs; bundled care; Diagnosis Related Groups (DRGs) (search for similar items in EconPapers)
Date: 2014
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