The social construction of the French for-profit hospital market

Laura Alles () and Samuel Klebaner ()
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Laura Alles: CEPN-UMR 7234CNRS, Université Sorbonne Paris Nord
Samuel Klebaner: CEPN-UMR 7234CNRS, Université Sorbonne Paris Nord

Review of Evolutionary Political Economy, 2025, vol. 6, issue 2, 299-323

Abstract: 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.

Keywords: Healthcare; Financialisation; For-profit hospitals; Market construction (search for similar items in EconPapers)
JEL-codes: G34 G38 H44 H51 I11 I13 (search for similar items in EconPapers)
Date: 2025
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DOI: 10.1007/s43253-025-00147-3

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