Article — Position paper · ○ Open access

The French healthcare system: an architectural overview

Series: The French Healthcare System (2018) — Part 1/3

Jérôme Vetillard · · LinkedIn Pulse · 6 pages · 1 min read
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The French healthcare ecosystem

Patient-centred topology mapping institutions, health agencies, care providers, payers, and industry players. France chose a heavily regulated model: Numerus Clausus, ONDAM voted by Parliament, T2A activity-based pricing driven by PMSI coding.

Financial scale

ONDAM exceeds €195 billion in 2018, up 7% in three years. France allocates 11% of its GDP to healthcare spending.

Analytical foundation

This architecture is structurally productive of medical desertification — the analytical foundation of the PREDICARE programme.

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