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La tarification à l’activité : première année de mise en œuvre

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  • Roland Cash

Abstract

[fre] La tarification à l'activité basée sur les groupes homogènes de malades (GHM) constitue une réforme ambitieuse du mode d'allocation de ressources des établissements publics et privés visant à une meilleure équité des dotations entre établissements et une plus grande efficience de l'activité hospitalière. Des réformes de même nature ont été engagées dans de nombreux pays occidentaux ou sont en cours de déploiement. La spécificité française est de chercher en outre à rapprocher les modes de financement des secteurs public et privé. La réforme va connaître une mise en place progressive sur plusieurs années afin d'éviter des effets trop brutaux et permettre aux établissements de s'adapter. Un dispositif d'évaluation est mis en place pour en observer les impacts et maintenir les outils (classification, étude de coûts...). . Classification JEL : H51, I11, I18 [eng] The seulement of the reform will be progressive on several years to avoid too tough effects and to allow gentle hospitals' adaptation. Evaluation procedures are planned to observe the consequences and adapt the tools (classification, cost analysis...). . fEL classification : H51, H1, H8 . .

Suggested Citation

  • Roland Cash, 2004. "La tarification à l’activité : première année de mise en œuvre," Revue d'Économie Financière, Programme National Persée, vol. 76(3), pages 209-222.
    • Handle: RePEc:prs:recofi:ecofi_0987-3368_2004_num_76_3_4922
    DOI: 10.3406/ecofi.2004.4922
    Note: DOI:10.3406/ecofi.2004.4922
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    More about this item

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H1 - Public Economics - - Structure and Scope of Government
    • H8 - Public Economics - - Miscellaneous Issues

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