Advanced Search
MyIDEAS: Login

Santé, environnement et consommations médicales. Discussion autour d'un modèle

Contents:

Author Info

  • Alain Letourmy
Registered author(s):

    Abstract

    [fre] L'évaluation de l'impact sanitaire global de la consommation médicale constitue un problème controversé qu'il est utile d'aborder à travers la formulation de l'estimation d'un modèle économétrique. On construit celui-ci à partir d'hypothèses simples tirées de la littérature socio-économique ou épidérniologique et on l'adapte ensuite à un contexte empirique particulier, celui des départements français en 1968, en représentant l'état de santé d'une population par ses conditions de mortalité. L'estimation du modèle met en avant le rôle du mode de vie, et plus généralement de l'environnement, dans la formation du niveau de mortalité d'un département, à laquelle ne participent pratiquement pas les soins médicaux. Simultanément, la consommation de soins paraît surtout dépendre de l'infrastructure médicale disponible. On discute ensuite quelques points critiques inhérents à la démarche suivie, notamment la représentation de l'état de santé par la mortalité. On parvient enfin à promouvoir une conception plus complète du problème d'évalution des effets des soins dans laquelle s'intègrent les résultats du présent modèle, et à proposer une approche renouvelée — moins technique — des questions de santé. [eng] Health, environment al factors and medical care. . The overall évaluation of the effectiveness of medical care represents a controversial matter, which can be usefully dealt with by means of an cconometric model. The formulation of the model is based on simple assumptions, drawn from socio-economie and epidemiological studies ; its Framework is fitted to specifie data, that give a cross-sectional description of french " departements " in 1968 ; heatth status is represented by mortality data. The estimation stresses on environmental factors as determinants of the mortality level, which is practically not influenced by medical care. Simultaneously the main determinants of medical care seem to be the available medical facilities. Then, some critical points of the empirical investigation are discussed, especially the use of mortality level as health status index. Finally a more complete conception of health problems is suggested, particularly about the evaluation of the effectiveness of medical care ; the results found in the model appear to justify this new — and less technical — approach.

    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://www.persee.fr/web/revues/home/prescript/article/reco_0035-2764_1976_num_27_3_408268
    Download Restriction: Data and metadata provided by Persée are licensed under a Creative Commons "Attribution-Noncommercial-Share Alike 3.0" License http://creativecommons.org/licenses/by-nc-sa/3.0/

    File URL: http://www.persee.fr/articleAsPDF/reco_0035-2764_1976_num_27_3_408268/reco_0035-2764_1976_num_27_3_408268.pdf?mode=light
    Download Restriction: Data and metadata provided by Persée are licensed under a Creative Commons "Attribution-Noncommercial-Share Alike 3.0" License http://creativecommons.org/licenses/by-nc-sa/3.0/

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Bibliographic Info

    Article provided by Programme National Persée in its journal Revue économique.

    Volume (Year): 27 (1976)
    Issue (Month): 3 ()
    Pages: 402-432

    as in new window
    Handle: RePEc:prs:reveco:reco_0035-2764_1976_num_27_3_408268

    Note: DOI:10.2307/3501046
    Contact details of provider:
    Web page: http://www.persee.fr/web/revues/home/prescript/revue/reco

    Related research

    Keywords:

    References

    No references listed on IDEAS
    You can help add them by filling out this form.

    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:reveco:reco_0035-2764_1976_num_27_3_408268. 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.