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The social construction of the French for-profit hospital market

La construction sociale du marché hospitalier privé à but lucratif

Laura Alles () and Samuel Klebaner ()
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Laura Alles: CEPN - Centre d'Economie de l'Université Paris Nord - Université Sorbonne Paris Nord
Samuel Klebaner: CEPN - Centre d'Economie de l'Université Paris Nord - Université Sorbonne Paris Nord

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Abstract: The aim of this article is to analyse the historical transformation of the for-profit hospital market in France. Starting from the after-war period, we demonstrate that the rise of the private hospitals, from small challengers to autonomous financialised and concentrated corporations, follows a path made of regulatory change, technical development and demand construction. To do so, we qualitatively analyse the laws and official reports over the period. We conclude that the accelerated for-profit hospitals' financialisation results from the budget constraint implemented in the subsidisation of this sector inducing search for cost production decrease, along with a conjunction of other factors such as the extension of the for-profit health insurance, the regulation allowing private hospitals to adapt and the development of the investment funds sector in France.

Date: 2025-03-07
Note: View the original document on HAL open archive server: https://hal.science/hal-05556445v1
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Published in Review of Evolutionary Political Economy, 2025

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