Hospital heterogeneity is a major issue in defining a reimbursement system. If hospitals are heterogeneous, it is difficult to distinguish which part of the differences in costs is due to cost containment efforts and which part cannot be reduced, because it is due to other unobserved sources of...

This paper studies the relationship between the diffusion of innovative procedures for the treatment of heart attack and distributions of the cost and length of hospital stays. Using a sample of 5,681 stays observed in French public hospitals, we use microsimulation techniques to highlight...

In many areas of health care financing, there is controversy over the sources of cost variability and about the respective roles of inefficiency versus legitimate heterogeneity. This paper proposes a payment system that creates incentives to increase hospital efficiency when hospitals are...

External referencing (ER) imposes a price cap for pharmaceuticals, based on prices of identical or comparable products in foreign countries. Suppose a foreign country (F) negotiates prices with a pharmaceutical firm, whereas a home country (H) can either negotiate prices independently or...

Parmi les facteurs explicatifs proposés pour expliquer les inégalités sociales de santé, la littérature épidémiologique a récemment mis en avant l’influence du milieu social d’origine sur l’état de santé à l’âge adulte, cette influence résultant à la fois d’un effet...

La santé au travail est actuellement au cœur de l’actualité : risques psychosociaux, Troubles Musculo-Squelettiques… Au cœur de ces questions, les victimes d’accidents du travail ou de maladies professionnelles se retournent contre leur employeur pour obtenir une indemnisation. En...

This paper provides an econometric evaluation of the impact of two innovative care programs for elderly people with dementia (day-care centers and group-living) on the well-being of the primary caregiver of patients. For this evaluation, we use data from a survey conducted in six European...