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International Journal for Quality in Health Care 9:163-170 (1997)
© 1997 International Society for Quality in Health Care

research-article

Quality of Care Initiatives in the French Context

GÉRARD DE POUVOURVILLE

Groupe IMAGE, National School of Public Health aint-Maurice, France

The emergence of the issue of quality of health care systems of developed countries can be interpreted as the result of a growing pressure from payors and regulators on providers for increased accountability. As such, the form that this emergence takes is specific to each country's cultural, economic, and institutional context. A brief description of the French health care system and its political and functional dynamics is provided to set the stage and to explain how providers of care have responded to this pressure. The main emphasis has been put in a first period on the rationalization of medical practices using persuasive and coercive regulations to diffuse practice guidelines. As a consequence, medical data systems are developing in both the hospital and ambulatory care sectors. Quality assurance programmes are in their early years, and total quality management is still to come.© 1997 Elsevier Science Ltd.

Keywords: Outcome, quality, efficiency, France

Correspondence to: Groupe IMAGE, ENSP 14 rue duVald'Osne, 94410 Saint-Maurice, France. Tel. +331 43 96 64 18; Fax +33 1 43 96 65 29; Email gdepouvou@image.ensp.fr

Received for publication August 15, 1996. Accepted for publication December 10, 1996.


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