Résumé :
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The french health care system, like other health care systems, entered the 1990s in a state of flux. During the 1980s, the attempts to curb health care expenditure had a limited impact with the liberal and pluralist values of the health system undermining reform strategies. In 1991 the french government introduced a new hospital reform which had four main strands : rationalizing public and private health care provision ; introducing a medical logic into the hospital service ; increasing hospital autonomy and strengthening participation and invovlment in the hospital system. However, these reforms left untouched the financing of the health service. Consequently there remains a need for a more fundamental reform of the management and financing of the French health care sustem. (R.A.).
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