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Économie de la santé dans les pays en développement des paradigmes en mutation

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  • Jean-Paul Moatti
  • Bruno Ventelou

Abstract

Since 2000, the fight against aids, tuberculosis and malaria has contributed to significant shifts in the main paradigms of the health economics literature applied to developing countries: improvements in public health of the population are now considered a prerequisite, rather than a consequence, of economic growth; for health care financing, priority is given to promoting prepayment and health insurance mechanisms rather than "cost recovery" policies and user fees at the point of consumption; differential pricing for access to essential medicines and flexibility in international norms for intellectual property rights are increasingly recommended; disease-targeted "vertical" programs are viewed as a way to improve efficiency and strengthen health care systems as a whole. The article discusses the theoretical and empirical limitations of these new paradigms. Classification JEL : G22, I1, I18, O11, O34

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Bibliographic Info

Article provided by Presses de Sciences-Po in its journal Revue économique.

Volume (Year): 60 (2009)
Issue (Month): 2 ()
Pages: 241-256

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Handle: RePEc:cai:recosp:reco_602_0241

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