European health care systems are facing diverse challenges. In health policy, strong primary care is seen as key to deal with these challenges. European countries differ in how strong their primary care systems are. Two groups of traditionally weak primary care systems are distinguished. First a...

This article analyses the role played by childhood circumstances, especially social and family background in explaining health status among older adults. We explore the hypothesis of an intergenerational transmission of health inequalities using the French part of SHARE. As the impact of both...

Although the concept of healthcare renunciation is regularly employed in health surveys and increasingly called into the French public debate, it has never been subject to methodological questioning to analyse the term’s underlying significations. If health surveys frequently refer to...

This article explores the way in which the instrument for measuring health impacts the scope of social health inequalities by using structural equations with latent variables. A synthetic indicator of latent health is created from perceived health indicators, limitations of activity, chronic...

We study the psycho-social determinants of self-assessed health in order to explain social inequalities in health in France.We use a unique general population survey to assess the respective impact on self-assessed health status of subjective perceptions of social capital, social support, and...

Objectives Since 2006 France experiences an innovative version of Gate-keeping which aims at regulating access to outpatient specialist care. We describe the reform's initial objectives, the political pathway which lead to the implementation of a reshaped reform and discuss the first outcomes...

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 France, bien que pourvue d’un système de protection sociale à vocation universelle, connaît des inégalités sociales dans l’accès et l’utilisation des services de santé. L’analyse des déterminants du renoncement aux soins pour raisons financières apporte un nouvel éclairage...

Les descendants des cadres dirigeants et professions intellectuelles ont-ils une meilleure santé que les descendants d’ouvriers ? Est-ce que la longévité des parents infl uence l’état de santé à l’âge adulte ? Ces deux questions interrogent l’existence d’inégalités des chances...