Networking Healthcare From a competitive call to a medical cooperation as a guarantee of a found confidence

Catherine dos Santos (), Anne Buttard () and Stéphane Tizio
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Catherine dos Santos: ISEOR - Institut de Socio-économie des Entreprises et des ORganisations - Institut de socio-économie des entreprises et des organisations, MAGELLAN - Laboratoire de Recherche Magellan - UJML - Université Jean Moulin - Lyon 3 - Université de Lyon - Institut d'Administration des Entreprises (IAE) - Lyon
Anne Buttard: LEG - Laboratoire d'Economie et de Gestion - UB - Université de Bourgogne - CNRS - Centre National de la Recherche Scientifique
Stéphane Tizio: LEG - Laboratoire d'Economie et de Gestion - UB - Université de Bourgogne - CNRS - Centre National de la Recherche Scientifique

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Abstract: This aim of this paper is to place the healthcare network in a continuum stretching from cooperation to competition -- according to the endorsement given -- and, from there, to revisit the relations between care providers and re-focus on how these innovative care organizations are governed in the French healthcare system. We start out with a comprehensive yet condensed study focusing on the results of academic research and then on the effects recorded in different counties (Anglosphere then European) of policies introducing competitive market mechanisms designed to more effectively regulate the health system. This analysis surfaces surface two core strategies, deployed according to whether the implementation of competition policy is oriented solely at "health risk management" or whether it also entails decentralization of the funding function. However, we will see it in the second part, the network should above all be conceptualized as a cooperative arena nurtured in the hands of care staff that are normally isolated or even mutually opposed by market-driven competitive imperatives to contain costs. Our proposal for orchestrating these goals is to initiate a two-phase healthcare network management system, based on externally defining project-indexed incentive contracts (between organization and governing body) and on ushering in a coordination framework targeted towards the convention and internal decisioning (intra-organization).

Keywords: Health care system; network; competition; cooperation; "Health care system"; "network"; "competition"; "cooperation" (search for similar items in EconPapers)
Date: 2012
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Citations: View citations in EconPapers (1)

Published in Revue Sciences de Gestion, 2012, 93/2012, 22 p

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-00880949

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