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Patient empowerment in public healthcare funding system reform: a power network perspective

Author

Listed:
  • Aziza Laguecir

    (LEM - Lille économie management - UMR 9221 - UA - Université d'Artois - UCL - Université catholique de Lille - Université de Lille - CNRS - Centre National de la Recherche Scientifique, Accounting, Control & Legal Affairs, EDHEC Business School, Roubaix, France)

  • Christopher Chapman

    (Business School, University of Bristol, Bristol, UK)

  • Florian Gebreiter

    (University of Birmingham [Birmingham])

  • Célia Lemaire

    (Laboratoire de Recherche Magellan - UJML - Université Jean Moulin - Lyon 3 - Université de Lyon - Institut d'Administration des Entreprises (IAE) - Lyon, ULaval - Université Laval [Québec], IUF - Institut universitaire de France - M.E.N.E.S.R. - Ministère de l'Education nationale, de l’Enseignement supérieur et de la Recherche)

Abstract

This paper examines a reform of the French healthcare system that aimed to empower patients and improve their access to care but led to various adverse consequences for patients. Specifically, already socio-economically disadvantaged groups of patients found their positions becoming even more precarious. Conceptually, we draw upon Emerson's power dependence theory and find that, rather than empowering patients, the reform resulted in private health insurance providers emerging as critical actors and primary beneficiaries of power network changes. This healthcare system-level analysis highlights the need for patients to be the direct focus of healthcare system reform and the importance of considering their position within the power network for understanding reform outcomes. This attention to the power network adds to the extant theorisation on the effects of funding mechanism reform on the nature of patient empowerment and access to healthcare.

Suggested Citation

  • Aziza Laguecir & Christopher Chapman & Florian Gebreiter & Célia Lemaire, 2024. "Patient empowerment in public healthcare funding system reform: a power network perspective," Post-Print hal-04617978, HAL.
  • Handle: RePEc:hal:journl:hal-04617978
    DOI: 10.1080/01559982.2024.2364955
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