“…In health care, opportunities for conflicts between public and private values range from balancing equity, medical ethics (Pierru, 2013;Batifoulier, Bessis, & Biencourt, 2011;Batifoulier, Eymard-Duvernay, & Favereau, 2007), and conventions (Diaz-Bone & Thévenot, 2010) with efficiency (a private value) to confronting the frequent problem of imperfect markets (Brown et al, 2006). Conflicts are likely to arise when private partners become involved, even when contractors have minimal discretion (Keeler, 2013;Reynaers and de Graaf, 2014). While there is evidence of successful NPM-driven state and private market integration in France such as patent enforcement (Valdivia, 2011), e-innovation via public online government portals, and health smart cards or electronic patent medical files (Issa, Isaias, & Kommers, 2013;Karunasena et al, 2010) that benefited both the public and the private sectors (Wade, 2014), many arrangements such as the outsourcing of hospital construction and the benchmarking of public care providers (hospital) against private providers (Hartley, 2013) failed.…”