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