New Public Management à la Française: The Case of Regional Hospital Agencies

Authors

  • Etienne Minvielle

    Corresponding author
    1. French National Center for Scientific Research
      Etienne Minvielle is a researcher at the French National Center for Scientific Research and heads the national project on developing quality indicators for the French Ministry of Health, National Authority for Health, and National Institute for Medical Research. His research interests include health policy and management and the assessment of hospital performance. E-mail: miniel@kb.inserm.fr.
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Etienne Minvielle is a researcher at the French National Center for Scientific Research and heads the national project on developing quality indicators for the French Ministry of Health, National Authority for Health, and National Institute for Medical Research. His research interests include health policy and management and the assessment of hospital performance. E-mail: miniel@kb.inserm.fr.

Abstract

In 1996, French authorities—committed to developing an innovative, decentralized style of public intervention in a country with a reputation for administrative conservatism and a historical bias toward centralization—created the Regional Hospital Agencies. The author asks whether these agencies exemplify the modernization of French public administration. A survey of all 26 such agencies indicates that they did introduce novel management practices and do, in fact, illustrate New Public Management “ à la française.”

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