14. La crise de l’hôpital en France: le naufrage d’une régulation au point flottant

Brigitte Dormont

Regards croisés sur l'économie, 2019, vol. n° 25, issue 2, 181-191

Abstract: The purpose of the French hospital reform was to introduce a lump-sum payment per stay to improve hospital efficiency. However, its actual implementation has distorted the targeted mechanisms. Instead of computing rates based on a yardstick competition mechanism, the regulator decided to reduce unit payments if volumes exceeded an overall budget cap fixed for all hospitals at the national level. This has facilitated significant cuts in hospital expenditures, along with creating deleterious incentives to provide more hospital care and more intensive procedures.

Date: 2019
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