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Health systems

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Question:

What were the advantages and disadvantages of France’s 1996-1999 reforms introducing Universal Health Coverage and the carnet de santé?

Author: Henriette Bergo



Answer:

Advantages: Universal Health Coverage expanded access to all residents, reducing health inequities. The carnet de santé improved coordination of care and avoided redundant or contradictory prescriptions. Introduced gatekeeping by family doctors, optimizing resource use for secondary care. Disadvantages: Increased tax burdens to fund expanded coverage. Administrative complexity in managing new tools and coverage mechanisms.


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