Work

New Public Management, Austerity, and the Alienation of the Medical Profession in France

Year: 2024

Type: article

Abstract: In the last twenty years, France has gone through health policy changes that are perceived as paradigm shifts. After briefly describing the reforms driven by the new public management and the subsequent re-centralization of the French health system for budgetary purposes, it appears that those reforms had outcomes below expectations. The regrouping of policy decisions within the Regional Health Agencies and the rise of a French Welfare elite weakened the medical profession. Blame-shifting strategy, political dilution, and spatial inequality linger. The COVID-19 epidemic highlights those limitations. The negative societal and political impact of failed public reforms is increasingly evident.

Source: Journal of Healthcare Leadership

DOI: 10.2147/jhl.s463904

Author: Daniel Simonet

Institution: American University of Sharjah

Language: English

Topic: Health Services Management and Policy

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDGs: Peace, justice, and strong institutions, Good health and well-being

Open Access status: gold

Estimated APC paid: $2,320