Funding and Management Control of Hospitals: A France–Japan Comparison

Emmanuelle Cargnello-Charles (), Isabelle Franchisteguy-Couloume (), Jacques Jaussaud, Julien Martine () and Hiroyuki Nakamura ()
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Emmanuelle Cargnello-Charles: E2S UPPA, Laboratoire de Recherche en Gestion (LiREM), Université de Pau et des Pays de l’Adour (UPPA)
Isabelle Franchisteguy-Couloume: E2S UPPA, Laboratoire de Recherche en Gestion (LiREM), Université de Pau et des Pays de l’Adour (UPPA)
Julien Martine: Centre de Recherche sur les Civilisations Orientales (CRCAO), University of Paris
Hiroyuki Nakamura: Yokohama National University

A chapter in Sustainable Development in Asia, 2022, pp 179-199 from Springer

Abstract: Abstract The objective of this chapter is to compare the hospital funding and management control systems in two countries with ageing populations, France and Japan. Due to significant financial constraints in the context of strong growth in health needs, powerful mechanisms for disseminating funding and hospital management practices between countries are being put in place, which neo-institutional theory helps to analyse. In this chapter, we present the funding systems of hospitals in the two countries, both of which are being forced to constrain their health expenditure, each within its own institutional framework. We then analyse, on the basis of in-depth interviews in both countries, the impact of the characteristics of their hospital funding systems on the development of hospital management control. The consequences of the current Covid-19 health crisis are also considered.

Keywords: Management control; Hospital management; Activity-based funding; France; Japan (search for similar items in EconPapers)
Date: 2022
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Working Paper: Funding and Management Control of Hospitals: A France-Japan Comparison (2022)
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DOI: 10.1007/978-3-030-94679-1_10

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