Face aux nouveaux enjeux épidémiologiques (maladies chroniques), à l’exigence croissante en termes de qualité et d’efficience des soins ou encore les tensions de la démographie médicale, de nombreux auteurs plébiscitent un renforcement de la médecine de première ligne et des soins...

This paper analyses the potential costs and benefits from patient driven competition between GPs and specialists by comparing gate-keeping with direct access to specialist care. The two access rules are compared under fee-for-service and capitation, on their performance at minimizing both total...

…

Do Primary Care Physicians (PCPs) react strategically to financial incentives and if so how? To address this question, we follow a quasi-natural experiment in Quebec, using a panel system technique. In so doing, we both correct for underestimation biases in earlier time series findings and...

Many recent analyses have attempted to measure and explain income-related health and health care inequalities in France. Nevertheless aspects related to equity have not systematically been emphasised. This paper considers the question of equity in recent empirical research. It adopts a...