Hospitalo-centrism
The Hospitalo-centrism is a qualifier given to the health systems when the Hôpital fills of the functions which can be assumed by other types of establishments (as it is the case for the general medical care.)
One thus speaks about hospitalocentrime when the hospital this finds in the central and dominating place health system. Our health system in France is an excellent example of hospitalocentrime.
The dominating place of the hospital in the whole of the health system, including the care of first line, rises from the choice made by the government in the post-war period adopt a policy of gradual public finance of the care while starting with the hospitals.
The insurance-hospitalization envisaged the exemption from payment of the Hospitalization and the external consultations with all the examinations complementary to Laboratoire and Radiologie, but did not extend this exemption from payment to the services offered in the private medical polyclinics or the public ambulatory health care centres.
It thus developed in the Sixties a mentality of recourse to the hospital, alone standard of establishment to offer all these services free. When, with the beginning of the year seventy, one started to slow down the expansion of the services of hospitalization to control the continuous increase of the costs, the selected alternative was not to privilege the development of a network extrahospitalier, but rather to reinforce the external hospital services.
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