{"id":"https://openalex.org/W1970053370","doi":"https://doi.org/10.1001/jama.270.6.748","title":"Lessons from France--'vive la difference'. The French health care system and US health system reform","display_name":"Lessons from France--'vive la difference'. The French health care system and US health system reform","publication_year":1993,"publication_date":"1993-08-11","ids":{"openalex":"https://openalex.org/W1970053370","doi":"https://doi.org/10.1001/jama.270.6.748","mag":"1970053370","pmid":"https://pubmed.ncbi.nlm.nih.gov/8336379"},"language":"en","primary_location":{"id":"doi:10.1001/jama.270.6.748","doi":"https://doi.org/10.1001/jama.270.6.748","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.270.6.748","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA: The Journal of the American Medical Association","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"J. E. Fielding","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"J. E. Fielding","raw_affiliation_strings":["Department of Health Services, UCLA School of Public Health 90024"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Services, UCLA School of Public Health 90024","institution_ids":["https://openalex.org/I161318765"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I161318765"],"apc_list":null,"apc_paid":null,"fwci":4.9018,"has_fulltext":false,"cited_by_count":35,"citation_normalized_percentile":{"value":0.9414843,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"270","issue":"6","first_page":"748","last_page":"756"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.576200008392334,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.576200008392334,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.2484000027179718,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.16760000586509705,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.75},{"id":"https://openalex.org/keywords/french-healthcare-system","display_name":"French health system","score":0.8849999904632568},{"id":"https://openalex.org/keywords/comparative-health-policy","display_name":"comparative health policy","score":0.7149999737739563},{"id":"https://openalex.org/keywords/universal-health-coverage","display_name":"universal health coverage","score":0.8230000138282776},{"id":"https://openalex.org/keywords/healthcare-spending","display_name":"health care spending","score":0.6259999871253967},{"id":"https://openalex.org/keywords/out-of-pocket-costs","display_name":"out-of-pocket costs","score":0.8920000195503235},{"id":"https://openalex.org/keywords/health-insurance-portability","display_name":"health insurance portability","score":0.5479999780654907},{"id":"https://openalex.org/keywords/outpatient-care","display_name":"outpatient care","score":0.6940000057220459},{"id":"https://openalex.org/keywords/health-care-cost-containment","display_name":"health care cost containment","score":0.421999990940094},{"id":"https://openalex.org/keywords/united-states-health-care-system","display_name":"United States health care system","score":0.7680000066757202}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9460761547088623},{"id":"https://openalex.org/C2778584109","wikidata":"https://www.wikidata.org/wiki/Q60603744","display_name":"Health care reform","level":4,"score":0.47903481125831604},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.42704248428344727},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.41553935408592224},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3102344274520874},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.2934145927429199},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.16982603073120117},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.15180566906929016},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D004465","descriptor_name":"Economic Competition","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005602","descriptor_name":"France","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006076","descriptor_name":"Government","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007882","descriptor_name":"Legislation, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010593","descriptor_name":"Pharmaceutical Services","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D010593","descriptor_name":"Pharmaceutical Services","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000600","qualifier_name":"supply & distribution","is_major_topic":false},{"descriptor_ui":"D013677","descriptor_name":"Medical Laboratory Science","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D013677","descriptor_name":"Medical Laboratory Science","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015397","descriptor_name":"Program Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1001/jama.270.6.748","doi":"https://doi.org/10.1001/jama.270.6.748","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.270.6.748","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA: The Journal of the American Medical Association","raw_type":"journal-article"},{"id":"pmid:8336379","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8336379","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.5683000087738037,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W164658652","https://openalex.org/W329883410","https://openalex.org/W560313535","https://openalex.org/W588839990","https://openalex.org/W1034794164","https://openalex.org/W2039998091","https://openalex.org/W2059116337","https://openalex.org/W2091806793","https://openalex.org/W2412536531"],"related_works":["https://openalex.org/W4240478367","https://openalex.org/W2495985216","https://openalex.org/W2130848906","https://openalex.org/W4246926726","https://openalex.org/W6944243903","https://openalex.org/W167745796","https://openalex.org/W2166603827","https://openalex.org/W2602067125","https://openalex.org/W2992003756","https://openalex.org/W2946011367"],"abstract_inverted_index":{"GERMANY,":[0],"and":[1,49,91,117,142],"Canada,":[2],"maybe":[3],"England.":[4],"These":[5],"countries":[6],"are":[7,73],"where":[8,78],"US":[9,20],"policy":[10],"makers":[11],"look":[12],"for":[13,95,140,145],"lessons":[14],"applicable":[15],"to":[16,63,114],"reform":[17],"of":[18,69,88,102],"the":[19,42,76,128],"health":[21,109],"care":[22,110],"system.":[23],"Why":[24],"not":[25],"France?":[26],"France":[27,99,136],"provides":[28],"almost":[29],"universal":[30],"coverage":[31,57],"with":[32],"a":[33],"uniform":[34],"comprehensive":[35],"benefit":[36],"plan":[37],"that,":[38],"unlike":[39],"those":[40],"in":[41,111,135,147],"United":[43,129],"States,":[44],"includes":[45],"pharmaceuticals,":[46],"physical":[47],"therapy,":[48],"even":[50],"medically":[51],"prescribed":[52],"spa":[53],"treatments.":[54],"Consumers":[55],"have":[56],"that":[58],"follows":[59],"them":[60],"from":[61],"job":[62],"job,":[64],"including":[65],"any":[66],"intervening":[67],"periods":[68],"unemployment.":[70],"Out-of-pocket":[71],"costs":[72],"capped":[74],"below":[75],"level":[77],"they":[79],"could":[80],"cause":[81],"financial":[82],"hardship.":[83],"There":[84],"is":[85],"free":[86],"choice":[87],"office-based":[89],"physicians":[90],"ancillary":[92],"service":[93],"providers":[94],"ambulatory":[96],"care.":[97],"spent":[100],"9.1%":[101],"its":[103],"gross":[104],"domestic":[105],"product":[106],"(GDP)":[107],"on":[108],"1991,":[112],"similar":[113],"Canada":[115],"(10.0%)":[116],"Germany":[118],"(8.5%)":[119],"but":[120],"over":[121],"4":[122],"GDP":[123],"percentage":[124],"points":[125],"less":[126],"than":[127],"States":[130],"at":[131,137],"13.4%.1Yet":[132],"life":[133],"expectancy":[134],"81.1":[138],"years":[139,144],"women":[141],"73.0":[143],"men":[146],"1991":[148]},"counts_by_year":[{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2014,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}