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Expliquer la croissance des dépenses de santé : le rôle du niveau de vie et du progrès technique

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Author Info

  • Frédéric Rupprecht
  • Alain Quinet
  • Yannick L'Horty

Abstract

[eng] Explaining Health Expenditure Growth: the Effect of Standard of Living and Technical Progress by Yannick L'Horty, Alain Quinet and Frédéric Rupprecht . The aim of this paper is to explain health expenditures growth in France since 1970. In a first section, we survey empirical studies and deal with two major issues : is income elasticity of health greater than one ? What is the impact of supply factors, like medical technical progress ? In a second section, we estimate an health expenditure function using French data between 1970 and 1995. Health expenditures grow with the standard of living measured with GNPper capita, and that effect could explain more than two fifth of health expenditures growth since 1970. Price elasticity is high, even if we take into account financing with French Social Security system. Medical technical progress has also a strong impact. The aging of population has a minor effect. [fre] Expliquer la croissance des dépenses de santé : le rôle du niveau de vie et du progrès technique par Yannick L'Horty, Alain Quinet et Frédéric Rupprecht . Afin d'expliquer la progression des dépenses de santé en France sur longue période, on procède en premier lieu à un survol des études empiriques existantes en traitant plus particulièrement deux questions : la santé est-elle un bien supérieur ? Dans quelle mesure des facteurs d'offre et en particulier le progrès technique médical, contribuent-il à l'accroissement des dépenses de soins ? Dans un deuxième temps, on estime une fonction de dépenses de santé sur séries temporelles en France entre 1970 et 1995. Les dépenses de santé apparaissent très sensibles à l'évolution du niveau de vie, mesuré par le PIB par tête qui expliquerait près des deux cinquièmes de leur progression. L'élasticité prix des dépenses de santé en France s'avère également assez élevée même lorsque l'on prend en compte la prise en charge de ces dépenses par le système de protection sociale. Le progrès technique médical exerce également une influence significative. Les conditions démographiques et le vieillissement de la population n'auraient eu qu'une influence marginale.

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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: 257-268

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Handle: RePEc:prs:ecoprv:ecop_0249-4744_1997_num_129_3_5878

Note: DOI:doi:10.3406/ecop.1997.5878
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Web page: http://www.persee.fr/web/revues/home/prescript/revue/ecop

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References

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  1. Feldstein, Martin S, 1973. "The Welfare Loss of Excess Health Insurance," Journal of Political Economy, University of Chicago Press, vol. 81(2), pages 251-80, Part I, M.
  2. Feldstein, Martin S, 1977. "Quality Change and the Demand for Hospital Care," Econometrica, Econometric Society, vol. 45(7), pages 1681-1702, October.
  3. Buchmueller, Thomas C. & Feldstein, Paul J., 1997. "The effect of price on switching among health plans," Journal of Health Economics, Elsevier, vol. 16(2), pages 231-247, April.
  4. Newhouse, Joseph P., 1987. "Cross national differences in health spending what do they mean?," Journal of Health Economics, Elsevier, vol. 6(2), pages 159-162, June.
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Cited by:
  1. Philippe Ulmann, 2004. "Est-il possible (souhaitable) de maîtriser les dépenses de santé ?," Revue d'Économie Financière, Programme National Persée, vol. 76(3), pages 19-37.
  2. E. Delattre & B. Dormont, 2000. "Testing for supplier-induced demand behavior : A panel data study on French physicians," THEMA Working Papers 2000-42, THEMA (THéorie Economique, Modélisation et Applications), Université de Cergy-Pontoise.
  3. Bartosz Przywara, 2010. "Projecting future health care expenditure at European level: drivers, methodology and main results," European Economy - Economic Papers 417, Directorate General Economic and Monetary Affairs (DG ECFIN), European Commission.
  4. R. Mahieu, 2000. "The determinants of health care expenditure: a macroeconomic approach," Documents de Travail de la DESE - Working Papers of the DESE g2000-01, Institut National de la Statistique et des Etudes Economiques, DESE.
  5. Bruno Ventelou & Gaël Dupont & Xavier Timbeau & Eric Heyer, 2001. "L'impact macroéconomique des réformes du secteur de santé français," Sciences Po publications info:hdl:2441/1648, Sciences Po.
  6. Thomas Barnay & Olivier Damette, 2012. "What drives Health Care Expenditure in France since 1950?," Working Papers hal-00717435, HAL.
  7. E Delattre & B. Dormont, 1999. "Induction de la demande de soins par les médecins libéraux français. Etude microéconométrique sur données de panel," THEMA Working Papers 99-21, THEMA (THéorie Economique, Modélisation et Applications), Université de Cergy-Pontoise.
  8. Thomas Barnay & Olivier Damette, 2012. "What drives Health Care Expenditure in France since 1950? A time-series study with structural breaks and nonlinearity approaches," Working Papers halshs-00856117, HAL.
  9. Faridah Djellal & Faïz Gallouj, 2007. "Innovation in hospitals: a survey of the literature," The European Journal of Health Economics, Springer, vol. 8(3), pages 181-193, September.

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