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Dynamiques de la gouvernementalité : concurrence et calcul des coûts dans le système de santé français

Author

Listed:
  • Marc Nikitin

    (LOG - Laboratoire Orléanais de Gestion (1998-2011) - UO - Université d'Orléans)

  • Jean-Baptiste Capgras

    (GRAPHOS - IFROSS Recherche - UJML - Université Jean Moulin - Lyon 3 - Université de Lyon)

  • Dragos Zelinschi

    (LEMNA - Laboratoire d'économie et de management de Nantes Atlantique - IEMN-IAE Nantes - Institut d'Économie et de Management de Nantes - Institut d'Administration des Entreprises - Nantes - UN - Université de Nantes)

Abstract

The funding difficulties of healthcare systems led to attempts to improve the efficiency of the use of ressources, attempts mainly built around accounting mechanisms. In France the stated aims of the T2A method, based on costing standardisation, were to scientifically measure the production of healthcare, fairly compensate the healthcare providers and organise a fair competition. It seems that none of these aims was attained, but despite this, the use of the T2A method is not called into question. We attempt to understand this apparent paradox by showing that the implementation of T2A is in fact a governmentality mechanism rather than a rational approach.

Suggested Citation

  • Marc Nikitin & Jean-Baptiste Capgras & Dragos Zelinschi, 2017. "Dynamiques de la gouvernementalité : concurrence et calcul des coûts dans le système de santé français," Post-Print hal-01907396, HAL.
    • Handle: RePEc:hal:journl:hal-01907396
    Note: View the original document on HAL open archive server: https://hal.science/hal-01907396
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    References listed on IDEAS

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