IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v121y2017i2p111-118.html
   My bibliography  Save this article

Competition policy for health care provision in France

Author

Listed:
  • Choné, Philippe

Abstract

There are more than two thousand hospitals in France, about equally divided between government-owned and privately-owned hospitals. Activity-based payment, which has been generalized in 2008 for acute care hospitals, has raised competition issues as DRG tariffs differ according to ownership status. Furthermore, the payment rule has been criticized for preventing the realization of potential hospital synergies, and as a result a recent reform has mandated close cooperation between public hospitals. The physician market is dual, with most GPs being subject to fee regulation and many self-employed, private-practice, specialist doctors being allowed to set their prices freely. Government regulation and centralized negotiations have traditionally been preferred to market mechanisms in this industry.

Suggested Citation

  • Choné, Philippe, 2017. "Competition policy for health care provision in France," Health Policy, Elsevier, vol. 121(2), pages 111-118.
    • Handle: RePEc:eee:hepoli:v:121:y:2017:i:2:p:111-118
    DOI: 10.1016/j.healthpol.2016.11.015
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851016303232
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2016.11.015?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. repec:dau:papers:123456789/15050 is not listed on IDEAS
    2. Philippe Choné & Franck Evain & Lionel Wilner & Engin Yilmaz, 2013. "Introducing Activity-Based Payment in the Hospital Industry: Evidence from French Data," CESifo Working Paper Series 4304, CESifo.
    3. AfDB AfDB, . "AfDB Group Annual Report 2007," Annual Report, African Development Bank, number 63 edited by Koua Louis Kouakou.
    4. Brigitte Dormont & Pierre-Yves Geoffard & Jean Tirole, 2014. "Refonder l’assurance-maladie," PSE-Ecole d'économie de Paris (Postprint) halshs-01109091, HAL.
    5. repec:dau:papers:123456789/9514 is not listed on IDEAS
    6. Engin Yilmaz & Albert Vuagnat, 2015. "Tarification à l'activité et réadmission," Économie et Statistique, Programme National Persée, vol. 475(1), pages 71-87.
    7. Choné, P. & Coudin, É. & Pla, A., 2014. "Are physician fees responsive to competition?," Health, Econometrics and Data Group (HEDG) Working Papers 14/20, HEDG, c/o Department of Economics, University of York.
    8. Elise Coudin & Anne Pla & Anne‐Laure Samson, 2015. "GP responses to price regulation: evidence from a French nationwide reform," Health Economics, John Wiley & Sons, Ltd., vol. 24(9), pages 1118-1130, September.
    9. repec:hal:pseose:halshs-01109091 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Siciliani, Luigi & Chalkley, Martin & Gravelle, Hugh, 2017. "Policies towards hospital and GP competition in five European countries," Health Policy, Elsevier, vol. 121(2), pages 103-110.
    2. Daniel Herrera-Araujo & Lise Rochaix, 2020. "Competition between Public and Private Maternity Care Providers in France: Evidence on Market Segmentation," Post-Print halshs-03238845, HAL.
    3. Daniel Herrera-Araujo & Lise Rochaix, 2020. "Competition between Public and Private Maternity Care Providers in France: Evidence on Market Segmentation," PSE-Ecole d'économie de Paris (Postprint) halshs-03238845, HAL.
    4. Daniel Herrera-Araujo & Lise Rochaix, 2020. "Competition between Public and Private Maternity Care Providers in France: Evidence on Market Segmentation," IJERPH, MDPI, vol. 17(21), pages 1-19, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Siciliani, Luigi & Chalkley, Martin & Gravelle, Hugh, 2017. "Policies towards hospital and GP competition in five European countries," Health Policy, Elsevier, vol. 121(2), pages 103-110.
    2. Jastrzębiec-Witowska, Anna, 2015. "Rolnictwo obywatelskie w USA: studium przypadku stanu Kentucky," Village and Agriculture (Wieś i Rolnictwo), Polish Academy of Sciences (IRWiR PAN), Institute of Rural and Agricultural Development, vol. 4(169).
    3. Jolanta Kryspin-Watson & John Pollner & Sonja Nieuwejaar, 2008. "Climate Change Adaptation in Europe and Central Asia," World Bank Publications - Reports 25985, The World Bank Group.
    4. Pérez-Martínez, P.J. & Vassallo-Magro, J.M., 2013. "Changes in the external costs of freight surface transport In Spain," Research in Transportation Economics, Elsevier, vol. 42(1), pages 61-76.
    5. Muhongayire, Wivine, 2012. "An Economic Assessment of the Factors Influencing Smallholder Farmers' Access to Formal Credit: A Case Study of Rwamagana District, Rwanda," Research Theses 198522, Collaborative Masters Program in Agricultural and Applied Economics.
    6. Montmartin, Benjamin & Herrera-Gómez, Marcos, 2023. "Spatial dependence in physicians’ prices and additional fees: Evidence from France," Journal of Health Economics, Elsevier, vol. 88(C).
    7. Barbieri, Stefano & Edwards, John H.Y., 2017. "Middle-class flight from post-Katrina New Orleans: A theoretical analysis of inequality and schooling," Regional Science and Urban Economics, Elsevier, vol. 64(C), pages 12-29.
    8. Aleksandr Proshin & Alexandre Cazenave-Lacroutz & Zeynep Or & Lise Rochaix, 2018. "Impact of Diagnosis Related Group Refinement on the Choice Between Scheduled Caesarean Section and Normal Delivery: Recent Evidence from France," PSE Working Papers halshs-01812107, HAL.
    9. Damien Besancenot & Karine Lamiraud & Radu Vranceanu, 2023. "A model for dual health care market with congestion differentiation," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 32(2), pages 400-423, April.
    10. Gimeno, Beatriz & Artal, Manuela & Velasco, Inmaculada & Blanco, Sofía T. & Fernández, Javier, 2017. "Influence of SO2 on CO2 storage for CCS technology: Evaluation of CO2/SO2 co-capture," Applied Energy, Elsevier, vol. 206(C), pages 172-180.
    11. Nalin Abeysekera & Ananda Wickramasinghe, 2012. "Transforming nobody to somebody: Do transformational leadership and relationship marketing make a difference for sustainable marketing?," International Journal of Trade and Global Markets, Inderscience Enterprises Ltd, vol. 5(1), pages 31-42.
    12. Sukati, Mphumuzi, 2014. "The South African Bio ethanol blend mandate and its implications on regional agricultural markets and welfare," MPRA Paper 57702, University Library of Munich, Germany.
    13. Zhang, Yi & Zhou, Zhongliang & Si, Yafei, 2019. "When more is less: What explains the overuse of health care services in China?," Social Science & Medicine, Elsevier, vol. 232(C), pages 17-24.
    14. Agnès Charpin & Josep Amer-Mestre & Noémi Berlin & Magali Dumontet, 2024. "Gender Differences in Early Occupational Choices: Evidence from Medical Specialty Selection," EconomiX Working Papers 2024-5, University of Paris Nanterre, EconomiX.
    15. Kaplinsky, Raphael & Terheggen, Anne & Tijaja, Julia, 2011. "China as a Final Market: The Gabon Timber and Thai Cassava Value Chains," World Development, Elsevier, vol. 39(7), pages 1177-1190, July.
    16. Bacellar, Atlas Augusto & Rocha, Brígida R.P., 2010. "Wood-fuel biomass from the Madeira River: A sustainable option for electricity production in the Amazon region," Energy Policy, Elsevier, vol. 38(9), pages 5004-5012, September.
    17. World Bank, 2010. "Domestic Terms of Trade in Pakistan : Implications for Agricultural Pricing and Taxation Policies," World Bank Publications - Reports 12448, The World Bank Group.
    18. Benjamin Montmartin & Mathieu Escot, 2017. "Local Competition and Physicians’ Pricing Decisions: New Evidence from France," GREDEG Working Papers 2017-31, Groupe de REcherche en Droit, Economie, Gestion (GREDEG CNRS), Université Côte d'Azur, France.
    19. Hong, Jongsup & Field, Randall & Gazzino, Marco & Ghoniem, Ahmed F., 2010. "Operating pressure dependence of the pressurized oxy-fuel combustion power cycle," Energy, Elsevier, vol. 35(12), pages 5391-5399.
    20. Vialle, Pierre & Beltran, Samuel & Whalley, Jason, 2015. "An assessment of innovation profiles of telecom operators: a longitudinal comparison between BT and Orange from 2004 to 2013," 26th European Regional ITS Conference, Madrid 2015 127193, International Telecommunications Society (ITS).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:121:y:2017:i:2:p:111-118. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.