Stakeholder Analysis, Territorial Networks, and Regulatory Reforms in France

Daniel Simonet ()
Additional contact information
Daniel Simonet: American University of Sharjah

Public Organization Review, 2025, vol. 25, issue 3, No 37, 1587-1603

Abstract: Abstract The article discusses the French implementation of New Public Management, focusing on health policy consolidation, the growth of Diagnosis-Related Groups, and the emergence of territorial networks. It highlights its impacts on critical stakeholders, assessing patient sovereignty and physician autonomy. The technocracy strengthened at the expense of citizen participation. Physicians, once the ultimate guardians of ethics, experienced a decline in their autonomy. Key reforms include the establishment of strong Regional Health Agencies and a clear decision-making chain. While DRGs promoted fiscal discipline, neo-liberal regulation has overshadowed physicians and citizens, leaving uncertainty in decision-making despite advanced data-reporting systems.

Keywords: France; New public management; Health care (search for similar items in EconPapers)
Date: 2025
References: Add references at CitEc
Citations:

Downloads: (external link)
http://link.springer.com/10.1007/s11115-025-00876-3 Abstract (text/html)
Access to full text is restricted to subscribers.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:kap:porgrv:v:25:y:2025:i:3:d:10.1007_s11115-025-00876-3

Ordering information: This journal article can be ordered from
http://www.springer. ... ce/journal/11115/PS2

DOI: 10.1007/s11115-025-00876-3

Access Statistics for this article

Public Organization Review is currently edited by Ali Farazmand

More articles in Public Organization Review from Springer
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().