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Post-NPM Reforms or Administrative Hybridization in the French Health Care System?

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  • Daniel Simonet

Abstract

New public management (NPM) provides an opportunity to analyze a reform trajectory that is influenced by country-specific institutional and social traditions. France adopted its own version of NPM, embracing some of its “traditional” elements such as quasi-markets and performance evaluation and rejecting others. NPM reforms in France pursued a re-centralization agenda rather than a disaggregation of public agencies. Outcomes were below expectations in core areas such as citizen participation and physician professional satisfaction. Subsequent health reforms indicate convergence toward a hybrid system rather than toward a post-NPM paradigm.

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  • Daniel Simonet, 2015. "Post-NPM Reforms or Administrative Hybridization in the French Health Care System?," International Journal of Public Administration, Taylor & Francis Journals, vol. 38(9), pages 672-681, July.
    • Handle: RePEc:taf:lpadxx:v:38:y:2015:i:9:p:672-681
    DOI: 10.1080/01900692.2014.955195
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    Cited by:

    1. Agathe Morinière, 2023. "Ethical Implications of Acceleration: Perspectives From Health Professionals," Journal of Business Ethics, Springer, vol. 188(4), pages 741-758, December.

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