From the Departments of Medicine and Pediatrics, Albany Medical College, Albany, NY.
Edited by Annette Flanagin, RN, MA, Associate Senior Editor.
The French health care system combines a strong tradition of autonomous
private practice with nearly universal health care coverage through the social
security system. The French state's responses to rising health care expenditures
have included limitation of the number of medical students, control over physician
fees, rules to prohibit certain clinical practices, experiments with generalist
physicians coordinating care and access to specialists, and collective physician
responsibility for expenditures beyond the health care budget. The failure
of physicians' protests, including a strike of French residents and fellows
in 1997, may signify the end of traditional private practice in the face of
France's statist version of managed care.
Sorum PC. Striking Against Managed CareThe Last Gasp of La Médicine Libérale?. JAMA. 1998;280(7):659-664. doi:10.1001/jama.280.7.659