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...

In any fee for service system (FFS), doctors are incited to increase their activity such that outpatient care supply is strongly linked to private practice income. Thus, studying the private practice income determinants allows predicting doctors’ care provision. We aim first, to identify the...

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...

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...

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...

In any fee-for-service system, doctors may be encouraged to increase the number of services (private activity) they provide to receive a higher income. Studying private activity determinants helps to predict doctors’ provision of care. In the context of strong feminization and heterogeneity in...

Background: In France, equality in access to screening has been one of the main thrusts of public policies implemented between 2009 and 2013 (the national cancer plan). Our aim in this study was to analyse the obstacles to and levers for breast, cervical, and colorectal cancer screening uptake...

Objective: Pay-for-performance programmes have been widely implemented in primary care, but few studies have investigated their potential adverse effects on the intrinsic motivation of general practitioners (GPs) even though intrinsic motivation may be a key determinant of quality in health...