The Introduction to health care management pdf download health care system is one of universal health care largely financed by government national health insurance. In its 2000 assessment of world health care systems, the World Health Organization found that France provided the “close to best overall health care” in the world. In 2011, France spent 11. 4,086 per capita, a figure much higher than the average spent by countries in Europe but less than in the US.
Most general physicians are in private practice but draw their income from the public insurance funds. These funds, unlike their German counterparts, have never gained self-management responsibility. Supplemental coverage may be bought from private insurers, most of them nonprofit, mutual insurers.
Lionel Jospin put into place universal health coverage and extended the coverage to all those legally resident in France. 1914 followed well behind Bismarckian Germany, as well as Great Britain, in developing the welfare state including public health. Tuberculosis was the most dreaded disease of the day, especially striking young people in their 20s.
Germany set up vigorous measures of public hygiene and public sanatoria, but France let private physicians handle the problem, which left it with a much higher death rate. The French medical profession jealously guarded its prerogatives, and public health activists were not as well organized or as influential as in Germany, Britain or the United States. For example, there was a long battle over a public health law which began in the 1880s as a campaign to reorganize the nation’s health services, to require the registration of infectious diseases, to mandate quarantines, and to improve the deficient health and housing legislation of 1850.