La régionalisation sanitaire : réflexions sur un processus inabouti

Abstract : From the 1990’s health administration became part of a regionalization movement resulting in the setting up of the regional health agencies. These structures, and the methods adopted to reorganize the regional steering of health matters, marked the importing into the heath sector of the trends involved in the renovation of the French administrative machinery.Throughout the 20th century, the « territorialization » of the public policies followed the tempo of a two-step waltz, with a mix of « deconcentration » and decentralization. It is therefore possible to question the place given to thelocal authorities in the steering of regional health matters. The specific investment made by some authorities, such as the former Nord-Pas de Calais Region, raises further questions.After having observed the place given to the local authorities in the health architecture, we will look into the reasons for this, especially as regards the “Region”. In many respects the choices made do not appear to be in step with the legal and political dynamics on which decentralization, seen from a global standpoint, is based. We will try to understand the reasons behind this differential treatment of health issues, before looking ahead to what healthsector decentralization might be; i.e. in short, the completion of the health regionalization process.
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Christopher Chatfield. La régionalisation sanitaire : réflexions sur un processus inabouti. Droit. Université du Droit et de la Santé - Lille II, 2018. Français. ⟨NNT : 2018LIL2D014⟩. ⟨tel-02140436⟩

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