Lost in transformation: comparative analysis of healthcare provision dynamics within urban systems of European Russia and France

Maria Gunko, Benoit Conti (), Alexander Sheludkov, Sophie Baudet-Michel () and Anastasia Novkunskaya
Additional contact information
Maria Gunko: Institute of Geography of RAS - RAS - Russian Academy of Sciences [Moscow], University of Oxford
Benoit Conti: LVMT - Laboratoire Ville, Mobilité, Transport - ENPC - École nationale des ponts et chaussées - Université Gustave Eiffel
Alexander Sheludkov: Institute of Geography of RAS - RAS - Russian Academy of Sciences [Moscow]
Sophie Baudet-Michel: GC (UMR_8504) - Géographie-cités - UP1 - Université Paris 1 Panthéon-Sorbonne - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - UPCité - Université Paris Cité
Anastasia Novkunskaya: European University at Saint Petersburg

Post-Print from HAL

Abstract: Since the 1990s, many countries have implemented healthcare reforms underlined by New Public Management principles and technological transformations. Although studies have examined these reforms from different viewpoints, the spatial implications of healthcare reforms have received limited attention. Scholarship focused predominantly on regional variations of healthcare provision overlooking the sharp contrasts between cities where most healthcare facilities are de facto located. Addressing this research gap, we investigate the long-term dynamics of healthcare provision on the urban level, tracing the differences (if any) between cities of different sizes and administrative statuses. The study adopts a comparative approach. We draw our data from two countries: France and Russia (mainland France and European Russia). Findings indicate that, despite some variations, healthcare reforms in both countries follow similar paths, resulting in fewer hospital beds that have been partially replaced by places in day hospitals. At the same time, we also observe diverging country-specific trends in terms of redistribution of healthcare provision. In France, some cities completely lost their hospital equipment but those cities that remained equipped tend to a uniform distribution. In European Russia, on the contrary, all cities remain equipped but there is a drastic polarization depending on size and administrative status.

Keywords: Healthcare; healthcare reforms; new public management; neoliberalism; France; Russia; ACL; PARIS team (search for similar items in EconPapers)
Date: 2024-01-01
New Economics Papers: this item is included in nep-cis and nep-ure
Note: View the original document on HAL open archive server: https://hal.science/hal-03771480v1
References: View references in EconPapers View complete reference list from CitEc
Citations:

Published in Eurasian Geography and Economics, 2024, 65 (1), pp.94-118. ⟨10.1080/15387216.2022.2120033⟩

Downloads: (external link)
https://hal.science/hal-03771480v1/document (application/pdf)

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:hal:journl:hal-03771480

DOI: 10.1080/15387216.2022.2120033

Access Statistics for this paper

More papers in Post-Print from HAL
Bibliographic data for series maintained by CCSD ().