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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

    as
    1. Robson, Keith, 1994. "Inflation accounting and action at a distance: The sandilands episode," Accounting, Organizations and Society, Elsevier, vol. 19(1), pages 45-82, January.
    2. Preston, Alistair M. & Chua, Wai-Fong & Neu, Dean, 1997. "The Diagnosis-Related Group-Prospective Payment System and the problem of the government of rationing health care to the elderly," Accounting, Organizations and Society, Elsevier, vol. 22(2), pages 147-164, February.
    3. Barreiros, Lídia., 1985. "Towards social accounting," ILO Working Papers 992431063402676, International Labour Organization.
    4. Zeynep Or & Julia Bonastre & Florence Journeau & Clément Nestrigue, 2013. "Activité, productivité et qualité des soins des hôpitaux avant et après la T2A," Working Papers DT56, IRDES institut for research and information in health economics, revised Apr 2013.
    5. Miller, Peter & O'Leary, Ted, 1987. "Accounting and the construction of the governable person," Accounting, Organizations and Society, Elsevier, vol. 12(3), pages 235-265, April.
    6. Colwyn Jones, T. & Dugdale, David, 2002. "The ABC bandwagon and the juggernaut of modernity," Accounting, Organizations and Society, Elsevier, vol. 27(1-2), pages 121-163.
    7. Thierry Nobre, 2001. "Management hospitalier : du contrôle externe au pilotage, apport et adaptabilité du tableau de bord prospectif," Comptabilité - Contrôle - Audit, Association francophone de comptabilité, vol. 7(2), pages 125-146.
    8. Michela Arnaboldi & Irvine Lapsley, 2004. "Modern Costing Innovations and Legitimation: A Health Care Study," Abacus, Accounting Foundation, University of Sydney, vol. 40(1), pages 1-20, February.
    9. Preston, Alistair M., 1992. "The birth of clinical accounting: A study of the emergence and transformations of discourses on costs and practices of accounting in U.S. hospitals," Accounting, Organizations and Society, Elsevier, vol. 17(1), pages 63-100, January.
    10. Bruno Palier, 2015. "La réforme des systèmes de santé," Post-Print hal-01393555, HAL.
    11. Llewellyn, Sue & Northcott, Deryl, 2005. "The average hospital," Accounting, Organizations and Society, Elsevier, vol. 30(6), pages 555-583, August.
    12. Reinhard Busse & Jonas Schreyögg & Peter Smith, 2006. "Editorial: Hospital case payment systems in Europe," Health Care Management Science, Springer, vol. 9(3), pages 211-213, August.
    13. Irvine Lapsley, 2001. "The Accounting–Clinical Interface—Implementing Budgets for Hospital Doctors," Abacus, Accounting Foundation, University of Sydney, vol. 37(1), pages 79-109, February.
    14. Chalkley, Martin & Malcomson, James M., 2000. "Government purchasing of health services," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 15, pages 847-890, Elsevier.
    15. Miller, Peter & O'Leary, Ted, 2007. "Mediating instruments and making markets: Capital budgeting, science and the economy," Accounting, Organizations and Society, Elsevier, vol. 32(7-8), pages 701-734.
    16. Carmona, Salvador & Ezzamel, Mahmoud & Gutierrez, Fernando, 2002. "The relationship between accounting and spatial practices in the factory," Accounting, Organizations and Society, Elsevier, vol. 27(3), pages 239-274, April.
    17. Zeynep Or & Unto Häkkinen, 2012. "Qualité des soins et T2A : pour le meilleur ou pour le pire ?," Working Papers DT53, IRDES institut for research and information in health economics, revised Dec 2012.
    18. Miller, Peter & Hopper, Trevor & Laughlin, Richard, 1991. "The new accounting history: An introduction," Accounting, Organizations and Society, Elsevier, vol. 16(5-6), pages 395-403.
    19. Andrei Shleifer, 1985. "A Theory of Yardstick Competition," RAND Journal of Economics, The RAND Corporation, vol. 16(3), pages 319-327, Autumn.
    20. Burchell, Stuart & Clubb, Colin & Hopwood, Anthony & Hughes, John & Nahapiet, Janine, 1980. "The roles of accounting in organizations and society," Accounting, Organizations and Society, Elsevier, vol. 5(1), pages 5-27, January.
    21. Robert B. Fetter, 1991. "Diagnosis Related Groups: Understanding Hospital Performance," Interfaces, INFORMS, vol. 21(1), pages 6-26, February.
    22. Dranove, David & Satterthwaite, Mark A., 2000. "The industrial organization of health care markets," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 20, pages 1093-1139, Elsevier.
    23. Chua, Wai Fong, 1995. "Experts, networks and inscriptions in the fabrication of accounting images: A story of the representation of three public hospitals," Accounting, Organizations and Society, Elsevier, vol. 20(2-3), pages 111-145.
    24. Ferlie, Ewan & Mcgivern, Gerry & FitzGerald, Louise, 2012. "A new mode of organizing in health care? Governmentality and managed networks in cancer services in England," Social Science & Medicine, Elsevier, vol. 74(3), pages 340-347.
    25. McKinlay, Alan & Pezet, Eric, 2010. "Accounting for Foucault," CRITICAL PERSPECTIVES ON ACCOUNTING, Elsevier, vol. 21(6), pages 486-495.
    26. Burchell, Stuart & Clubb, Colin & Hopwood, Anthony G., 1985. "Accounting in its social context: Towards a history of value added in the United Kingdom," Accounting, Organizations and Society, Elsevier, vol. 10(4), pages 381-413, October.
    27. Thierry Nobre & Noëlle Biron, 2002. "L'ABC à l'hôpital:le cas de la chirurgie infantile," Revue Finance Contrôle Stratégie, revues.org, vol. 5(2), pages 85-105, June.
    28. Thierry Nobre, 2001. "Management hospitalier : du contrôle externe au pilotage, apport et adaptabilité du tableau de bord prospectif," ACCRA, Association francophone de comptabilité, vol. 7(2), pages 125-146.
    29. Campanale, Cristina & Cinquini, Lino, 2016. "Emerging pathways of colonization in healthcare from participative approaches to management accounting," CRITICAL PERSPECTIVES ON ACCOUNTING, Elsevier, vol. 39(C), pages 59-74.
    30. Robson, Keith, 1992. "Accounting numbers as "inscription": Action at a distance and the development of accounting," Accounting, Organizations and Society, Elsevier, vol. 17(7), pages 685-708, October.
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