La décentralisation en Chine a placé les hôpitaux municipaux (HM) au cœur du système sanitaire en zone rurale. Nous avons utilisé les informations collectées dans un échantillon de 21 HM de la province de Shandong et dans les administrations concernées pour analyser par des méthodes...

Budgetary restrictions, and more generally, the lack of resources available in the health sector in Africa, have gradually led governments to undertake health care reforms, most notably by introducing user fees, as in the Côte d'Ivoire. But whilst it may be hoped that charging fees should lead...

During the last decades, China has achieved some remarkable results in improving the health status of its population. Since the end of the seventies, it has engaged in a process of large reforms in integrating with the global economy. This openness in policy has already paid important dividends...

The analysis of the Mauritanian experience, where cost recovery was introduced in 1993, contributes on a number of key points to the discussion surrounding user fees contribution to health care systems. Initial results appear to be largely positive regarding the improvement of the quality of...

This study aims at testing the theoretical issue according to which multinomial logit (MNL) would give lower performance than a mixed multinomial logit (MMNL) in the presence of heterogeneity. To do so, we construct two samples of patients surveyed within the same regions in rural China, but of...

We estimate the evolution of healthcare demand under the influence of income growth and population aging with two samples of patients surveyed in the same regions, but with an interval of 18 years in rural China and with mixed logit to deal with heterogeneity. In accordance with theoretical and...

The aim of this paper is to analyze the determinants of public health expenditure in developing countries. This is done through an econometric analysis of panel data for 61 countries. A special interest is devoted to the role of external financial constraints, on corruption and on two aspects of...

The sectors of coffee and cocoa represented in Côte d'Ivoire, before the political crisis, approximately 15% of the GDP and 40% of exports. The zones of production of these two cultures are in the forest area which is infected with malaria. The culture of these products is less constraining...

Les vastes réformes entreprises en Chine dans le cadre de ce qu’il est convenu d’appeler le « socialisme de marché » ont eu d’importantes répercussions sur le fonctionnement du système de santé. Cette communication se propose d’en analyser certains effets sur l’activité et la...

In the rural health-care organization of China, township hospitals ensure the delivery of basic medical services. Particularly damaged by the economic reforms implemented from 1975 to the end of the 1990s, township hospitals efficiency is questioned, mainly with the implementation since 2003 of...