Retentissement de la version 11 de la T2A sur le financement de la chirurgie des glaucomes

Responding to legitimate public demand for a more effective government, and pressed by EU authorities to achieve fiscal balance, and to reorient the economy toward an export model (Lux, 2015), French authorities embraced New Public Management (NPM). The aims were: to modernize the public sector; to introduce some elements of economic performance in the administration; and to enhance accountability (Bezes, 2008). The health care sector was not spared. Diagnostic-Related Groups (DRG) was one of the new accounting tools designed to effect changes in this sector. The purpose of this paper is to critically evaluate the appropriateness of the DRG system and the challenges associated with its implementation in the health system. We evaluate the impact of DRGs using the four evaluation dimensions of the World Health Organization: efficiency, quality, relevancy and equity. Our findings indicate that although DRGs contributed to improving the relevance of the system and its efficiency (the ‘reality axis’ of WHO model), it has failed to meet what the society expects of an ‘ideal’ health care system: an increase in the quality of care and the promotion of equity between public and private care providers (the ‘ideal axis’ of the WHO model).

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Retentissement de la version 11 de la T2A sur le financement de la chirurgie des glaucomes

Cited by 3 publications

References 17 publications

Macular Hole Surgery and Cataract Extraction: Combined vs Consecutive Surgery

Macular Hole Surgery and Cataract Extraction: Combined vs Consecutive Surgery

T2A et chirurgie orbitopalpébrale : l’ambulatoire est-il vraiment rentable pour l’établissement ?

Critical Evaluations of the French Health Care Accounting Indicators: The Use of Drgs

Contact Info

Product

Resources

About