The medical profession and health insurance policies

A Franco‐German comparison

Bibliographic Data

ID6290769
AuthorsPatrick Hassenteufel (0000-0002-8705-994X, Institut d'Etudes Politiques de Paris, corresponding author)
Year1996
Volume3
Issue3
Pages461-480
Publication date1996-09-01
Open AccessNo
TypeARTICLE
VenueJournal of European Public Policy (JOURNAL)
Journal identifiersISSN: 1350-1763 • E-ISSN: 1466-4429
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13501769608407044
OpenAlexW1972582240
LanguageEN
Citations received6
References cited12

In Germany doctors arc highly organized within the welfare state, whereas in France they have traditionally fought against this. As they are more institutionalized, German doctors have a key position in health insurance policy networks, which arc referred to as ‘asymmetric corporatism’. In France the state ‐ facing a less institutionalized and more fragmented medical profession ‐ is the central actor in the network, characterized as ‘statist’. Cost‐containment policies are adjusted to those networks: self‐administrative regulation in Germany, administrative regulation in France. The limitations of these policies have led to changes. In Germany the exclusive reform of 1992 cannot be explained solely by political factors: the transformation of the organized representation of doctors has to be taken into account. In France changes are limited because of the non co‐operative strategy of those involved in their implementation: the doctors, first and foremost, but also the sickness funds

Business · Corporatism · German · German model · Health care · Health insurance · Political economy · Political science · Politics · Position (finance · Social insurance · Sociology · State (computer science · Welfare state · Healthcare Systems and Practices · Law · Political and Social Issues · Public Administration · Social Policies and Family