Patient empowerment in public healthcare funding system reform: a power network perspective

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June 16, 2024

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HALSHS : archive ouverte en Sciences de l’Homme et de la Société

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info:eu-repo/semantics/altIdentifier/doi/10.1080/01559982.2024.2364955

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Archives ouvertes

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Centre pour la communication scientifique directe

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Health care delivery Health services Personal health services Medical services Medical and health care industry Delivery of medical care Health care Healthcare Delivery of health care

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Aziza Laguecir et al., « Patient empowerment in public healthcare funding system reform: a power network perspective », HALSHS : archive ouverte en Sciences de l’Homme et de la Société, ID : 10.1080/01559982.2024.2364955

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Abstract En

This paper examines a reform of the French healthcare system thataimed to empower patients and improve their access to care butled to various adverse consequences for patients. Specifically,already socio-economically disadvantaged groups of patientsfound their positions becoming even more precarious.Conceptually, we draw upon Emerson’s power dependencetheory and find that, rather than empowering patients, thereform resulted in private health insurance providers emerging ascritical actors and primary beneficiaries of power networkchanges. This healthcare system-level analysis highlights the needfor patients to be the direct focus of healthcare system reformand the importance of considering their position within thepower network for understanding reform outcomes. Thisattention to the power network adds to the extant theorisationon the effects of funding mechanism reform on the nature ofpatient empowerment and access to healthcare.

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