france
Mrs Zaynab Riet
HOPE Governor, French Hospital Federation (FHF)
Mr Antoine Perrin
Chief Executive, French Federation of Non-Profit
Hospitals (FEHAP)
number of unnecessary medical procedures, most
notably through monetary penalties. An atlas on
variation of medical practices has been produced,
focusing on nine procedures. It shows huge
geographical variations, pushing hospitals and
providers to search for explanations of these
variations.
Enhanced recovery programmes are identified as
a major axis of development of oncology in France.
Therefore, many French comprehensive cancer
centres have now implemented, or are about to
implement, those programmes to meet cancer
patients’ wishes to safely go home shortly after
surgery. The programmes, coordinated by
a healthcare professional, cover the patient
pathway and provide different measures, such as:
• Preparing the patient for surgery (management
of anaemia, physiotherapy, etc)
• Managing the patient’s pain during surgery
(including epidural analgesia)
• Activities from the first postoperative day
(early ambulation, physical activity with pedal
exercisers, etc).
Eight French comprehensive cancer centres
Mrs Pascale Flamant
Chief Executive, French Federation of Comprehensive
Cancer Centres (UNICANCER)
Could you outline the strategy/approach
adopted in your country on quality and
patient safety or the two/three initiatives
in the hospital and healthcare sector in
the past ten years?
For the last ten years, the High Health Authority
(Haute Autorité de Santé – HAS), has been
producing guidelines on a number of topics, in
collaboration with learned societies. Furthermore,
every hospital has to be evaluated and certified by
HAS regarding safety and quality. Efforts have been
made to introduce patient centric procedures, that
led in turn to a decrease of severe adverse events.
Patient satisfaction is measured by the hospital
and contributes to a better fit between patient
expectations and medical procedures.
Simultaneously, the Health Ministry and
the French National Sickness Fund put in place
policies and programmes aimed at reducing the
france
Total health expenditure as % of Gross Domestic Product (GDP)
Percentage of current public expenditure on health as % of total current health expenditure
Hospital current health expenditure, as % of total current health expenditure
Out-of-pocket expenditure, % of current expenditure on health
All hospital beds per 100,000 inhabitants
Acute care hospital beds per 100,000 inhabitants
Acute care admissions/discharges per 100 inhabitants
Average length of stay for acute care hospitals (bed-days)
Practicing physicians per 100,000 inhabitants
Practicing nurses per 100,000 inhabitants
29
HHE 2018 | hospitalhealthcare.com
2000 2008 2015
9.5%
10.1%
11.1%
78.9%
78.2%
78.9%
36.2%
39.5%
40.2%
7.3%
7.8%
6.8 %
797.0
690.0
613.0
510.0
441.0
407.0
20.3
16.6
16.3
5.6
5.8
5.8
307.0
307.0
312.0
n.a
n.a
n.a