Des objectifs sanitaires à la rationalité budgétaire. La mise en marché des systèmes de santé saisie par la quantification

Constantin Brissaud

Revue française de socio-Economie, 2021, vol. n° 26, issue 1, 27-46

Abstract: This article takes a new look at the marketization of health by analyzing chronologically the indicators that have justified it in industrialized countries. It shows that the OECD indicators?the most widely used today?are gradually taking into account only the budgetary dimensions of health systems, thereby overlooking their specificities: uncertainty about quality, the special role of doctors, third-party reimbursement, the role of insurance, etc. Offering a desocialized vision of health, these indicators contribute to focusing attention on the accounting ?sustainability? of systems for public budgets. Marketization controlled at a distance by the state is thus portrayed as the only reasonable policy for achieving the main objective: controlling public health expenditure.

Keywords: OECD; health care; market; sociology of quantification; health expenditure (search for similar items in EconPapers)
Date: 2021
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