France's response to the Covid-19 pandemic: between a rock and a hard place

Author:

Or ZeynepORCID,Gandré Coralie,Durand Zaleski IsabelleORCID,Steffen Monika

Abstract

AbstractFrance is one of the European countries hardest hit by the Covid-19 pandemic. The pandemic brought into light structural weaknesses of the health system, including its governance and decision-making process, but also provoked changes that helped to improve its resilience. We analyse the French experience of Covid-19 in 2020 by critically reviewing major policy measures implemented during the first two waves of the pandemic. France has struggled to find the right balance between the rock of economic and social damage caused by containment measures and the hard alternative of a rapidly spreading pandemic. The response to the first wave, including a full lock-down, was an emergency response that revealed the low level of preparedness for pandemics and the overly hospital-centred provision of health care in France. During the second wave, this response evolved into a more level strategy trying to reconcile health needs in a broader perspective integrating socio-economic considerations, but without fully managing to put in place an effective health strategy. We conclude that to achieve the right balance, France will have to strengthen health system capacity and improve the cooperation between actors at central and local levels with greater participatory decision-making that takes into account local-level realities and the diversity of needs.

Publisher

Cambridge University Press (CUP)

Subject

Health Policy

Reference33 articles.

1. Milon, A , Deroche, C , Jomier, B and Vermeillet, S (2020) Report for the president of the Senat, Commission of inquiry on public policies against major pandemics in light of the health crisis of Covid-19 and its management [‘Commission d'enquête pour l'évaluation des politiques publiques face aux grandes pandémies à la lumière de la crise sanitaire de la covid-19 et de sa gestion’], Sénat, No. 199, Tome 1.

2. SHI (2020a) Croissance record du recours à la téléconsultation en mars. Social health insurance fund. Available at https://www.ameli.fr/fileadmin/user_upload/documents/20200331-CP_Teleconsultations_Covid_19.pdf [21 November 2020].

3. Parcours hospitalier des patients atteints de la Covid-19 lors de la première vague de l’épidémie;Courtejoie;Les dossiers de la Drees, No.67,2020

4. French Ministry of Health (2020e) Ségur de la santé: les conclusions. Available at https://solidarites-sante.gouv.fr/systeme-de-sante-et-medico-social/segur-de-la-sante-les-conclusions/ [25 October 2020].

5. Racapé, A (2020) Covid-19 : en Côte-d'Or, la coopération s'accélère entre les hôpitaux privés et publics, France Bleu. Available at https://www.francebleu.fr/infos/sante-sciences/covid-19-en-cote-d-or-la-cooperation-s-accelere-entre-les-hopitaux-prives-et-publics-1606117620 [27 January 2021].

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3