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Âge, temps et normes : une analyse de la prescription pharmaceutique

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  • Valérie Paris
  • Pierre-Jean Lancry
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    Abstract

    [fre] Âge, temps et normes : une analyse de la prescription pharmaceutique par Pierre- Jean Lancry et Valérie Paris . La mise en place de politiques cohérentes de régulation des dépenses de santé nécessite la définition de variables de commande susceptibles de modifier les comportements des différents acteurs (patients, producteurs de biens et services médicaux, assurance maladie et tutelle). Au sein de la consommation médicale ambulatoire, le médicament joue un rôle très important. Premier poste de dépenses, associé essentiellement à l'activité des médecins généralistes, il a été, depuis très longtemps, l'objet de mesures spécifiques. Dans ce travail, nous nous intéressons aux principaux déterminants de la prescription pharmaceutique. Nous présentons une analyse économétrique à partir de données sur l'offre et la pratique professionnelle (âge, sexe, activité, lieu de formation, lieu d'exercice, etc.), sur la demande (âge, sexe, taux de mortalité, etc.) et sur les conditions de marché (densité médicale, activité moyenne dans la commune, secteur conventionnel, etc.). [eng] Age, Time and Standards: An Analysis of the Pharmaceutical Prescription by Pierre- Jean Lancry and Valérie Paris . The introduction of coherent policies to control health spending requires definition of regulating variables likely to alter the behaviour of the various players (patients, producers of medical goods and services, health insurance bodies and supervisory authorities). Medicines play a very substantial part in outpatient medical consumption. As the largest item of expenditure, mainly associated with the work of general practitioners, they have long been the subject of special measures. . In this work we focus on the determining factors of the pharmaceutical prescription. Using data on supply and professional practice (age, gender, occupation, place of training, practice locality, etc.), demand (age, gender, mortality rate, etc.) and market conditions (doctor density, average workload in the district, officially recognised sector, etc.).

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    Bibliographic Info

    Article provided by Programme National Persée in its journal Économie & prévision.

    Volume (Year): 129 (1997)
    Issue (Month): 3 ()
    Pages: 173-187

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    Handle: RePEc:prs:ecoprv:ecop_0249-4744_1997_num_129_3_5871

    Note: DOI:10.3406/ecop.1997.5871
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    Web page: http://www.persee.fr/web/revues/home/prescript/revue/ecop

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    1. Victor R. Fuchs, 1968. "The Growing Demand for Medical Care," NBER Chapters, in: The Growing Demand for Medical Care, pages 1-8 National Bureau of Economic Research, Inc.
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    3. Ross, Stephen A, 1973. "The Economic Theory of Agency: The Principal's Problem," American Economic Review, American Economic Association, vol. 63(2), pages 134-39, May.
    4. David Dranove & Mark A. Satterthwaite, 1992. "Monopolistic Competition When Price and Quality are Imperfectly Observable," RAND Journal of Economics, The RAND Corporation, vol. 23(4), pages 518-534, Winter.
    5. Dionne, G. & Doherty, N., 1991. "Adverse Selection, Commitment and Renegotiation : Extention to and Evidence From Insurance Markets," Cahiers de recherche 9134, Centre interuniversitaire de recherche en économie quantitative, CIREQ.
    6. Huttin, Christine, 1994. "The use of prescription charges," Health Policy, Elsevier, vol. 27(1), pages 53-73, January.
    7. Steven Shavell, 1979. "Risk Sharing and Incentives in the Principal and Agent Relationship," Bell Journal of Economics, The RAND Corporation, vol. 10(1), pages 55-73, Spring.
    8. Glenn M. MacDonald, 1984. "New Directions in the Economic Theory of Agency," Canadian Journal of Economics, Canadian Economics Association, vol. 17(3), pages 415-40, August.
    9. Nicholas Barr, 1992. "Economic theory and the welfare state : a survey and interpretation," LSE Research Online Documents on Economics 279, London School of Economics and Political Science, LSE Library.
    10. Rochaix, Lise, 1989. "Information asymmetry and search in the market for physicians' services," Journal of Health Economics, Elsevier, vol. 8(1), pages 53-84, March.
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    Cited by:
    1. Brigitte Dormont & Éric Delattre, 2000. "Induction de la demande de soins par les médecins libéraux français. Étude micro-économétrique sur données de panel," Économie et Prévision, Programme National Persée, vol. 142(1), pages 137-161.

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