The United States spearheaded the movement for the globalization of patent protection. Over the past years, it has been pushing for the protection of strong intellectual property rights in multilateral and bilateral agreements, treaties and negotiations. The pharmaceutical industry insists that...

Objectives. We investigated involvement and cooperation patterns of local Brazilian AIDS program actors and the consequences of these patterns for program implementation and sustainability. Methods. We performed a public policy analysis (documentary analysis, direct observation, semistructured...

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...

Cet article étudie les coûts des hôpitaux publics français dans la perspective d'une réforme de la tarification. Des données à trois dimensions hôpital-séjour-année permettent d'identifier l'hétérogénéité non observée des hôpitaux et la composante de la variabilité du coût...

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...

Cette étude évalue l’influence des caractéristiques des systèmes de santé sur l’équité horizontale du recours aux soins en Europe. L’utilisation d’un ensemble des données issues d’enquêtes nationales récentes de treize pays européens confirme l’existence d’inégalités...

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...