Free Practice Questions for Attaché d'Administration Hospitalière

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Key Facts: Attaché d'Administration Hospitalière Exam

Category A

Civil service classification corps of hospital administrative executives

Décret n° 2001-1207

12 Months

Paid postgraduate training curriculum at EHESP in Rennes

EHESP Regulation

100 Places

2026 total across external, internal and third concours

Arrêté du 27 janvier 2026

5/20 Minimum

Strict non-compensatory eliminatory threshold for every paper

Arrêté du 15 février 2012, Article 5

Free

National civil service registration fee (€0)

Centre National de Gestion

100 MCQs

Comprehensive English study practice questions

OpenExamPrep Study Bank

The Concours AAH selects Category A hospital administrators for the French Public Hospital Service (FPH). Administered by the CNG with postgraduate training at EHESP, this 100-question English study bank covers hospital law, FPH statuts, EPRD/M21 finance, and HAS quality management.

Sample Attaché d'Administration Hospitalière Practice Questions

Try these sample questions to review concepts for the Attaché d'Administration Hospitalière exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Under the French Public Health Code (*Code de la santé publique*, Article L6143-7), which authority serves as the legal representative and authorising officer (*ordonnateur des dépenses et des recettes*) of a public healthcare establishment (*Établissement Public de Santé* - EPS)?

A.The Director of the hospital (*Directeur d'établissement*)

B.The President of the Supervisory Board (*Président du Conseil de surveillance*)

C.The President of the Medical Establishment Commission (*Président de la CME*)

D.The Director General of the Regional Health Agency (*Directeur Général de l'ARS*)

Explanation: Under Article L6143-7 of the *Code de la santé publique* (modified by the HPST Law of 2009), the hospital Director (*Directeur d'établissement*) is the legal representative of the establishment in all civil acts and legal proceedings, holds statutory authority over all personnel, and acts as the sole authorizing officer (*ordonnateur*) for expenditures and revenues.

2What is the primary statutory function of the Supervisory Board (*Conseil de surveillance*) in a French Public Healthcare Establishment (EPS) following the 2009 HPST Law?

A.Advising on executive appointments and directly negotiating public procurement tenders

B.Determining the strategic orientations of the hospital and exercising permanent oversight over its management

C.Managing daily operational clinical workflows and arbitrating medical staff disputes

D.Authorizing non-medical recruitment contracts and approving individual leave requests

Explanation: Article L6143-1 of the *Code de la santé publique* specifies that the *Conseil de surveillance* defines the strategic orientations of the establishment and exercises permanent control over its management. It hears the Director's annual report, deliberates on the establishment project (*projet d'établissement*), and audits hospital accounts.

3In the governance structure of an EPS, who automatically serves as the First Vice-President of the Executive Board (*Directoire*)?

A.The Director General of the Regional Health Agency (ARS)

B.The President of the Departmental Council (*Président du Conseil départemental*)

C.The President of the Medical Establishment Commission (*Président de la CME*)

D.The most senior Attaché d'Administration Hospitalière (AAH)

Explanation: Under Article L6143-7-4 of the *Code de la santé publique*, the *Directoire* is a collegial executive body presided over by the hospital Director. The President of the Medical Establishment Commission (*CME*) is by right (*de droit*) the First Vice-President, ensuring administrative and medical co-management.

4Which major reform introduced the mandatory establishment of Territorial Hospital Groups (*Groupements Hospitaliers de Territoire* - GHT) in France?

A.The Kouchner Law of 4 March 2002 on patients' rights

B.The Hospital, Patients, Health and Territories Law (*Loi HPST*) of 21 July 2009

C.The Modernisation of Our Health System Law (*Loi de modernisation de notre système de santé*) of 26 January 2016

D.The Decentralisation Act of 13 August 2004

Explanation: Article 107 of Law n° 2016-41 of 26 January 2016 (*Loi de modernisation de notre système de santé*, known as the Touraine Law) made membership in a *Groupement Hospitalier de Territoire* (GHT) mandatory for all public healthcare establishments in France (Article L6132-1 CSP).

5Regarding the legal status of a Territorial Hospital Group (*Groupement Hospitalier de Territoire* - GHT), which of the following statements is legally accurate?

A.A GHT possesses full independent legal personality (*personnalité morale*) and its own autonomous budget

B.A GHT does not have legal personality; it is governed by a constitutive convention with a designated support establishment (*établissement support*)

C.A GHT is a commercial public corporation (*Société d'Économie Mixte*) subject to private company law

D.A GHT operates as an autonomous regional deconcentrated service of the Ministry of Health

Explanation: Under Article L6132-1 of the *Code de la santé publique*, a GHT has no distinct legal personality (*dépourvu de personnalité morale*). It functions as an institutional cooperation network established by a *convention constitutive*, wherein a designated *établissement support* executes specific delegated common functions on behalf of all member establishments.

6Which of the following functions is legally MANDATED to be transferred to the designated support establishment (*établissement support*) of a GHT under Article L6132-3 of the *Code de la santé publique*?

A.Recruitment and daily disciplinary management of non-medical ward nursing staff

B.Common territorial procurement function (*fonction achats*), convergent hospital information system (SIH), and shared medical imaging/biology coordination

C.Billing individual patient tickets and collecting communal health taxes

D.Direct surgical scheduling for emergency operating theatres in peripheral member hospitals

Explanation: Under Article L6132-3 of the CSP, the *établissement support* is legally tasked with mandatory mutualised functions: the shared procurement strategy (*fonction achats*), the convergent territorial hospital information system (*SIH convergent*), coordinating medical biology laboratories, coordinating hospital pharmacies (*PUI*), and coordinating paramedical training institutes (*IFSI*).

7At the regional level in France, which public administrative body is responsible for defining regional healthcare policy, allocating hospital funding envelopes, and issuing authorizations for clinical activities?

A.The Regional Health Agency (*Agence Régionale de Santé* - ARS)

B.The Regional Council (*Conseil Régional*)

C.The Departmental Directorate for Employment, Labour, and Solidarity (DDETS)

D.The Regional Chamber of Accounts (*Chambre Régionale des Comptes* - CRC)

Explanation: Created by the 2009 HPST Law (Article L1431-1 CSP), the *Agence Régionale de Santé* (ARS) is a public administrative body that coordinates public health policies, issues authorizations for healthcare activities, approves hospital EPRDs, and oversees health and medico-social provision at the regional level.

8What is the primary planning instrument drafted by the ARS to set medium-term health objectives and territorial hospital capacity across its region?

A.The Multi-Annual Investment Agreement (*Plan Global de Financement Pluriannuel* - PGFP)

B.The Regional Health Project (*Projet Régional de Santé* - PRS)

C.The Single Occupational Risk Assessment Document (*DUERP*)

D.The Hospital Social Report (*Rapport Social Unique* - RSU)

Explanation: Under Article L1434-1 of the *Code de la santé publique*, the *Projet Régional de Santé* (PRS) is established by the ARS for a multi-year duration. It defines health prevention, sanitary organisation, and medico-social planning through its strategic plan, the *Schéma Régional de Santé* (SRS), and the *Programme Régional d'Accès à la Prévention et aux Soins* (PRAPS).

9Under the Kouchner Law of 4 March 2002 (*Loi relative aux droits des malades et à la qualité du système de santé*), within what statutory timeframe must a hospital communicate a medical file to a patient for records dating under 5 years?

A.Immediately without any reflection delay

B.Within a mandatory 48-hour reflection delay, and at most within 8 days following the formal request

C.Within 30 business days following approval by the hospital's legal counsel

D.Within 2 months after payment of administrative processing fees

Explanation: Under Article L1111-7 of the CSP, access to medical records must take place at the latest within 8 days following a valid request, after a mandatory safety/reflection delay of 48 hours. If the information dates back more than 5 years, this period is extended to 2 months.

10What is the statutory role of the Users' Commission (*Commission des Usagers* - CDU, formerly CRUQPC) within a French public hospital?

A.To negotiate salary scales and overtime compensation for clinical nursing personnel

B.To participate in the elaboration of the quality and safety policy, and ensure respect for patients' rights and complaint examination

C.To inspect medical prescriptions and sanction physicians guilty of diagnostic negligence

D.To manage hospital real estate investments and validate commercial vendor invoices

Explanation: Under Article L1112-3 of the CSP, the *Commission des Usagers* (CDU) is mandated to ensure the respect of users' rights, examine complaints and grievances (*plaintes et réclamations*), assist patients in dialogue with medical mediators, and actively contribute to the institution's quality improvement and safety policy.

About the Attaché d'Administration Hospitalière Exam

The Concours Attaché d'Administration Hospitalière (AAH) is the premier Category A civil service competition governing managerial, legal, financial, and human resource administration within the French Public Hospital Service (Fonction Publique Hospitalière - FPH). Governed by Décret n° 2001-1207 under the auspices of the Centre National de Gestion (CNG) and the École des Hautes Études en Santé Publique (EHESP), the competition selects hospital executives responsible for directing procurement, steering EPRD budgets, managing hospital workforce statuts, ensuring regulatory compliance under the Code de la santé publique, and executing health territory cooperations within Groupements Hospitaliers de Territoire (GHT).

Exam sponsor: Centre National de Gestion (CNG) / École des Hautes Études en Santé Publique (EHESP). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Under the current Arrêté du 15 février 2012 as amended in 2024, all three AAH tracks have two written admissibility tests: two to six short-answer questions on administrative and legal culture, public finance, EU institutions and hospital law (2 hours, coefficient 3), and a dossier-based note on a selected theme—HR, public procurement, budget/finance or hospital law (4 hours, coefficient 4). Admission is a 30-minute jury interview (coefficient 7), tailored to the external, internal or third-concours route. A mark below 5/20 in any test is eliminatory; written admissibility requires at least 70 weighted points.

Time Limit

Admissibility: 2-hour QRC + 4-hour dossier note; admission: 30-minute jury interview

Passing Score

Competitive rank-based intake; 100 places were opened across the 2026 external, internal and third concours. A mark below 5/20 in any test is eliminatory, and written admissibility requires at least 70 weighted points.

Exam / Certification Fees

Free / No examination fee

Exam sponsor website

Reported exam pass rate: Not fixed as a pass percentage; admission is rank-based within the annual number of places. The 2026 opening order set 100 places: 50 external, 45 internal and 5 third-concours. Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

30%

Organisation sanitaire, droit hospitalier et droits des usagers

Code de la santé publique, Loi HPST, Loi de modernisation du système de santé, governance of public healthcare facilities (EPS), Agences Régionales de Santé (ARS), Groupements Hospitaliers de Territoire (GHT), patient rights, informed consent, and Commission des Usagers (CDU).

25%

Gestion des ressources humaines et statuts dans la FPH

Code Général de la Fonction Publique (CGFP), non-medical and medical civil service statuts, recruitment and career progression, working hours and organization (RTT, gardes, astreintes), social dialogue bodies (CSE, CSIRMT, CAPD, CAPL), and disciplinary proceedings.

25%

Gestion financière, budgétaire et marchés publics hospitaliers

Hospital financial governance, État des Prévisions de Recettes et de Dépenses (EPRD), Plan Global de Financement Pluriannuel (PGFP), M21 budgetary accounting, T2A activity-based funding, public procurement (Code de la commande publique), and GHT purchasing convergence.

20%

Management, qualité des soins et politiques de santé publique

Haute Autorité de Santé (HAS) hospital certification, clinical risk management and vigilance systems, hospital logistics and supply chain steering, and healthcare information systems (DPI, Dossier Médical Partagé, cybersecurity).

Preparing for the Attaché d'Administration Hospitalière Exam

What You Need to Know

Passing score: Competitive rank-based intake; 100 places were opened across the 2026 external, internal and third concours. A mark below 5/20 in any test is eliminatory, and written admissibility requires at least 70 weighted points.
Assessment: Under the current Arrêté du 15 février 2012 as amended in 2024, all three AAH tracks have two written admissibility tests: two to six short-answer questions on administrative and legal culture, public finance, EU institutions and hospital law (2 hours, coefficient 3), and a dossier-based note on a selected theme—HR, public procurement, budget/finance or hospital law (4 hours, coefficient 4). Admission is a 30-minute jury interview (coefficient 7), tailored to the external, internal or third-concours route. A mark below 5/20 in any test is eliminatory; written admissibility requires at least 70 weighted points.
Time limit: Admissibility: 2-hour QRC + 4-hour dossier note; admission: 30-minute jury interview
Exam / certification fees: Free / No examination fee Official sources

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Attaché d'Administration Hospitalière: Suggested Study Strategy

1Master the governance structure introduced by the Loi HPST (2009) and Loi Touraine (2016): clearly distinguish the strategic and executive authority of the Directeur d'établissement from the supervisory powers of the Conseil de Surveillance and the advisory remit of the Directoire and CME.

2Thoroughly memorize hospital accounting terminology under Instruction M21 and the EPRD architecture (Titles I to IV for revenues and expenses, CRPA, TPER, and the multi-year PGFP).

3Study the Code Général de la Fonction Publique (CGFP enacted in 2022): understand the unified numbering system, the distinction between titulaire and contractuel staff, and the powers of the Comité Social d'Établissement (CSE).

4Analyze the legal framework of territorial hospital groupings (GHT): understand mandatory core shared competencies including the convergent territorial medical project (PMPT), shared pharmaceutical purchasing, territorial information systems (SIH), and medical biology.

5Practice structured synthesis note writing: extract key legal facts, structure arguments using standard French administrative headings, and balance statutory compliance with operational healthcare constraints.

Frequently Asked Questions

What is the Concours Attaché d'Administration Hospitalière (AAH) and who organizes it?

The Concours AAH is a national civil service competition (Category A) organized annually by the Centre National de Gestion (CNG) under the authority of the French Ministry of Health. It recruits administrative officers and managers for public healthcare institutions (Établissements Publics de Santé - EPS) and social/medico-social establishments (ESMS).

What are the tracks and eligibility requirements for the AAH concours?

There are three distinct tracks: External (open to holders of a Licence / Bac+3 or EQF Level 6 degree), Internal (open to established public servants in the FPH, FPE, or FPT with at least 3 years of effective public service), and Third Concours (open to candidates with at least 4 years of professional experience in private enterprise or elective office).

What professional training follows success in the AAH concours?

Laureates are appointed as trainee attachés (attachés stagiaires) and undertake a mandatory 12-month paid professional management curriculum at the École des Hautes Études en Santé Publique (EHESP) in Rennes, alternating academic coursework with practical internships in hospital directorates prior to titularisation.

What are the key professional responsibilities of an Attaché d'Administration Hospitalière?

An AAH serves as a senior hospital manager directing functional services such as human resources, financial affairs and budget control (EPRD), public procurement and legal affairs, patient admissions and billing, quality management, logistics, or medical directorate secretariat.

What are the eliminatory grading conditions during the concours examinations?

Under the current Arrêté du 15 février 2012, a score below 5 out of 20 in any test is eliminatory. Candidates also need at least 70 weighted points across the two written papers to be eligible for admissibility.