From the outset, reform of regional health agencies in France, has been torn between two conflicting approaches: traditional state planning and the more recent New Public Management. In fact, the “Hôpital Patients Santé Territoires” (Hospital Patients Health Territories) bill juxtaposes...

Common sense as health professionals tend to dramatize the conflict between managerial rationality on one side, professional ethics on the other. According to this point of view, budgetary constraints and implementation of new managerial tools are many dangers to the values that health...

The change of health policies' paradigm at the end of 70's is contemporary with a revolution of hospital reality conception. When health expenses are now looked as a load for national economy, a new definition of hospital modernization is becoming firmly established. Whereas the priority was...