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Trajectoires d'européanisation : une comparaison des usages de l'Europe dans le secteur de la santé en Suède et en France (1945-2015)

Abstract : This PhD thesis, in the field of political science, offers to compare the Europeanisation of health policies in France and Sweden, in a historic and interactionist perspective. Since the 1990s, numerous studies have shown the growing significance of the European Union’s intervention in the health sector. However, few of them have looked at how the institutionalisation of European public action interplays with national health policy changes in a long-term approach. Based on the premise that health systems are strongly embedded in national settings and are organised along very different institutional models, the aim is to understand how the European dimension of health policies have been built and incorporated into national systems. The comparison between health policies in Sweden and France is justified on the one hand by the fact that each country represents one of the two main type of health systems existing in the European Union, the national health and national insurance system respectively; and on the other hand by the contrasting European histories of these two states, France being one of the founding members and Sweden having joined the EU at a later stage and with little enthusiasm. We can thus show on a long period of time, and for two different cases, that the effects of European integration cannot be reduced to European pressures on health systems that are more or less fit. By tracing the trajectories of Europeanisation of Swedish and French health policies on a long period, and for key issues for the national models regarding healthcare services (demography of health care professionals and patient’s choice) and public health (fight against cancer, tobacco and alcohol addictions), this dissertation shows that the Europeanisation of health policies results from the long-term political work of construction of domestic actors in interaction.
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Submitted on : Thursday, April 28, 2022 - 2:48:09 PM
Last modification on : Friday, April 29, 2022 - 3:35:37 AM


  • HAL Id : tel-03654266, version 1


Alban Davesne. Trajectoires d'européanisation : une comparaison des usages de l'Europe dans le secteur de la santé en Suède et en France (1945-2015). Science politique. Institut d'études politiques de Paris - Sciences Po, 2017. Français. ⟨NNT : 2017IEPP0045⟩. ⟨tel-03654266⟩



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