Financial Aspects in the Hospital

The organization of our health system in the 20th century was largely influenced by the hospital-university model created by the three Debré ordinances of 1958. It is still the case today. The radical change in the health environment over the past 30 years and the lack of restructuring of the hospital institution at the height of this change have plunged the latter into a deep crisis of several kinds: social, managerial and financial. Despite the deteriorated state of public finances, the way out of the crisis is within reach, as the necessary transformations are more qualitative than quantitative. The necessary brake lies mainly at the level of the senior civil service which guides the political power and not the other way around as it should be the case.