Study objective: Since January 2005 France is exploring a new scheme termed "preferred doctor" (médecin traitant) which can be considered as an innovative version of Gate Keeping in order to reduce the excess of postulated excess in health consumption, more especially access to specialist care....

Les paramètres majeurs de l'organisation et de la planification de l'offre de soins ont été considérablement modifiés dans le cadre de la réforme Hôpital 2007. Les schémas régionaux d'organisation sanitaire (SROS) de troisième génération couvrant la période 2006-2011 ont pour leur...

This paper examines the demand for complementary health insurance (CHI) in the non-group market in France and the reasons why the near poor seem price insensitive. First we develop a theoretical model based on a simple tradeoff between two goods: CHI and a composite good reflecting all other...

Many researches in France or abroad have highlighted the medical practice variation (MPV)phenomenon, or even the inappropriateness of certain medical decisions. There is no consensus on the origin of this MPV between preference-centred versus opportunities and constraints approaches. This study...

Définir et évaluer la qualité des soins est une démarche fondamentale si l'on veut améliorer le système de santé. Malgré sa réputation « de meilleur système de santé dans le monde », selon l’OMS, la France est en retard sur l'étude de la qualité des soins. Il n’existe pas à...

The aim of this paper is to compare the evolution of antidepressant consumption in France, Germany and the United Kingdom between 1998 and 2002. Commercial databases (IMS Health) have been used in conjunction with administrative data (PACT for the UK, GKV for Germany and Afssaps for France) to...

This study examines the impact of health system characteristics on social inequities in health care use in Europe, using data from national surveys in 13 European countries. Multilevel logistic regression models are estimated to separate the individual level determinants of generalist and...

In 2005, France joined the ranks of most other developed countries when it introduced an activity based payment system to finance all acute care hospitals. Despite some basic principles in common, the design of these systems can vary significantly across countries. In order to understand better...

In France, drug prices have historically been regulated but approaches to setting and regulating prices have been evolving in recent years. In 2003, the prices of new outpatient drugs, which had hitherto been entirely regulated, were semi-liberalised, with drug companies setting prices in line...

Lorsque les modalités de réponse à une question de santé subjective sont utilisées différemment par différents individus, on dit que celles-ci sont affectées d’un effet DIF. Nous présentons une méthode non-paramétrique de détection et de correction de tels effets dans les...