Advanced Search
MyIDEAS: Login to save this article or follow this journal

Les différences d'état de santé en France : inégalités des chances ou reflet des comportements à risques ?

Contents:

Author Info

  • Alain Trannoy
  • Sandy Tubeuf
  • Florence Jusot

Abstract

Deux méthodes sont généralement envisagées pour l'évaluation des politiques de santé. L'approche coût-bénéfice s'appuie sur la somme des consentements individuels à payer : elle respecte les préférences individuelles mais elle donne une priorité aux préférences des plus riches car leurs consentements à payer sont en général plus élevés. L'approche coût-efficacité sélectionne les politiques assurant le gain le plus élevé en matière de santé globale, à coût total donné. Elle n'avantage pas les individus à revenu élevé, mais elle peut avoir d'autres effets indésirables : par exemple favoriser le traitement d'une affection bénigne qui profitera au plus grand nombre par rapport à une affection grave touchant peu de personnes. Une variante de l'analyse coût-bénéfice évite ces différents écueils. Elle consiste à pondérer les consentements à payer par des coefficients qui varient en sens inverse d'un indicateur de bien-être individuel combinant revenu et état de santé. L'indicateur choisi est le revenu équivalent santé : il s'agit du revenu effectif de l'individu diminué du montant auquel il serait prêt à renoncer pour être en parfaite santé. À revenu donné, il décroit donc quand la santé se détériore. Contrairement à des indices d'utilité subjective, il a l'avantage de ne s'appuyer que sur les préférences ordinales des individus. Cette approche est mise en œuvre à l'aide d'une enquête conduite sur un échantillon représentatif de la population française. Compte tenu de leurs contraintes financières, les personnes à bas revenu accordent moins d'importance relative à leur état de santé. Mais les coefficients obtenus permettent néanmoins de surpondérer les individus les moins favorisés cumulant faible revenu, mauvaise santé et forte préférence pour l'amélioration de cette santé. Ces coefficients sont ensuite mobilisables pour l'évaluation de toute politique pour laquelle on connaitrait les con

(This abstract was borrowed from another version of this item.)

Download Info

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
File URL: http://dx.doi.org/doi:10.3406/estat.2012.10016
Download Restriction: no

File URL: http://www.persee.fr/articleAsPDF/estat_0336-1454_2012_num_455_1_10016/estat_0336-1454_2012_num_455_1_10016.pdf?mode=light
Download Restriction: no

Bibliographic Info

Article provided by Programme National Persée in its journal Economie et statistique.

Volume (Year): 455 (2012)
Issue (Month): 1 ()
Pages: 37-51

as in new window
Handle: RePEc:prs:ecstat:estat_0336-1454_2012_num_455_1_10016

Note: DOI:10.3406/estat.2012.10016
Contact details of provider:
Web page: http://www.persee.fr/web/revues/home/prescript/revue/estat

Related research

Keywords:

Other versions of this item:

Find related papers by JEL classification:

References

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
as in new window
  1. Ahlburg, Dennis, 1998. "Intergenerational Transmission of Health," American Economic Review, American Economic Association, vol. 88(2), pages 265-70, May.
  2. Trannoy, Alain & Tubeuf, Sandy & Jusot, Florence & Devaux, Marion, 2008. "La santé des seniors selon leur origine sociale et la longévité de leurs parents," Economics Papers from University Paris Dauphine 123456789/264, Paris Dauphine University.
  3. Trannoy, A & Tubeuf, S & Jusot, F & Devaux, M, 2008. "Inequality in Opportunities in Health in France: A first pass," Health, Econometrics and Data Group (HEDG) Working Papers 08/24, HEDG, c/o Department of Economics, University of York.
  4. Anne Case & Angela Fertig & Christina Paxson, 2004. "The Lasting Impact of Childhood Health and Circumstance," Working Papers 246, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
  5. Janet Currie & Mark Stabile, 2003. "Socioeconomic Status and Child Health: Why Is the Relationship Stronger for Older Children?," American Economic Review, American Economic Association, vol. 93(5), pages 1813-1823, December.
  6. Silja Göhlmann & Christoph M. Schmidt & Harald Tauchmann, 2010. "Smoking initiation in Germany: the role of intergenerational transmission," Health Economics, John Wiley & Sons, Ltd., vol. 19(2), pages 227-242.
  7. Jusot, Florence & Tubeuf, Sandy, 2011. "Social health inequalities among older Europeans : the contribution of social and family background," Economics Papers from University Paris Dauphine 123456789/5401, Paris Dauphine University.
  8. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1.
  9. S. Balia & AM. Jones, 2004. "Mortality, Lifestyle and Socio-Economic Status," Working Paper CRENoS 200416, Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia.
  10. Pedro Rosa Dias, 2009. "Inequality of opportunity in health: evidence from a UK cohort study," Health Economics, John Wiley & Sons, Ltd., vol. 18(9), pages 1057-1074.
  11. Melchior, Maria & Lert, France & Martin, Magali & Ville, Isabelle, 2006. "Socioeconomic position in childhood and in adulthood and functional limitations in midlife: Data from a nationally-representative survey of French men and women," Social Science & Medicine, Elsevier, vol. 63(11), pages 2813-2824, December.
  12. FLEURBAEY, Marc & SCHOKKAERT, Erik, . "Unfair inequalities in health and health care," CORE Discussion Papers RP -2141, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  13. Lindeboom, Maarten & Llena-Nozal, Ana & van der Klaauw, Bas, 2006. "Parental Education and Child Health: Evidence from a Schooling Reform," IZA Discussion Papers 2516, Institute for the Study of Labor (IZA).
  14. Becker, Gary S & Murphy, Kevin M, 1988. "A Theory of Rational Addiction," Journal of Political Economy, University of Chicago Press, vol. 96(4), pages 675-700, August.
  15. Adda, Jerome & Chandola, Tarani & Marmot, Michael, 2003. "Socio-economic status and health: causality and pathways," Journal of Econometrics, Elsevier, vol. 112(1), pages 57-63, January.
  16. Paul Contoyannis & Andrea M Jones, . "Socioeconomic Status, Health and Lifestyle," Discussion Papers 01/19, Department of Economics, University of York.
  17. Silvia Balia & Andrew M. Jones, 2011. "Catching the habit: a study of inequality of opportunity in smoking‐related mortality," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 174(1), pages 175-194, January.
  18. Shorrocks, A F, 1982. "Inequality Decomposition by Factor Components," Econometrica, Econometric Society, vol. 50(1), pages 193-211, January.
  19. Gourieroux, Christian & Monfort, Alain & Renault, Eric & Trognon, Alain, 1987. "Generalised residuals," Journal of Econometrics, Elsevier, vol. 34(1-2), pages 5-32.
  20. Jusot, Florence & Cambois, Emmanuelle, 2011. "Contribution of lifelong adverse experiences to social health inequalities : findings from a population survey in France," Economics Papers from University Paris Dauphine 123456789/5398, Paris Dauphine University.
  21. Pedro Rosa Dias & Andrew M. Jones, 2007. "Giving equality of opportunity a fair innings," Health Economics, John Wiley & Sons, Ltd., vol. 16(2), pages 109-112.
Full references (including those not matched with items on IDEAS)

Citations

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:prs:ecstat:estat_0336-1454_2012_num_455_1_10016. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Equipe PERSEE).

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.