Chapter 35: Interaction Between Regulation and Organization: The Case of the Hospital System

The history of the implementation of activity-based pricing in the French hospital system reveals the difficulties encountered by the State in changing hospital organization, which is highly inertial given the complexity of this organization. Thus, the State has recently decided to test another intervention policy, by letting the actors in the field propose and experiment with changes in organization and financing. We can thus see a new form of articulation between regulation and organization taking shape. It is also a way of opening up the field of organization, no longer seen in the narrow sense of the hospital, but integrating the other health actors.