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...

Contrary to the traditional view of the health care consumer as an economic agent whose sove-reignty is attenuated, we argue that he is far less ignorant and far less deprived of reason than it is supposed by the tutelary model of health economics. The reason lies in his enhanced level of...

Objectives: The objective of this study is to assess the impact of CEDIT (French Committee for the Assessment and Dissemination of Technological Innovations) recommendations on the introduction of technological innovations within the AP-HP (Assistance Publique–Hôpitaux de Paris), the French...

L'évaluation économique est pertinente pour appréhender les stratégies thérapeutiques des maladies chroniques. Celles-ci posent néanmoins des difficultés d'application qui peuvent exister dans les maladies aiguës mais sont cumulées dans les maladies chroniques (horizon de long terme,...

This study investigates the relation between early life conditions and adult obesity in France, using a rich data set collected through the 2003 nationally representative Life History Survey. No salient factor emerged in men, while in women, after controlling for current socio-demographic...

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...

The strategy currently adopted in France to deal with the ever-growing health expenditures is one of freezing compulsory deductions and broadening the scope of complementary insurance, while at the same time reaffirming that such insurance is optional. But individual freedom to take out...

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...

Healthcare had long remained free of competition. Public regulatory authorities used to manage financing and strictly monitor the health productive system with country-specific mechanisms. Several factors now broaden competitive mechanisms. These include new paramedical markets, further...