IDEAS home Printed from https://ideas.repec.org/a/cai/recosp/reco_602_0521.html
   My bibliography  Save this article

Inégalités de recours aux soins en Europe. Quel rôle attribuable aux systèmes de santé ?

Author

Listed:
  • Zeynep Or
  • Florence Jusot
  • Engin Yilmaz

Abstract

This study examines the impact of health system characteristics on social inequi-ties in health care use in Europe, using data from national surveys in 13 European countries. Multilevel logistic regression models are estimated to separate the individual level determinants of generalist and specialist use from the health system level and country specific factors. The results suggest that beyond the division between public and private funding and cost-sharing arrangements in health system, the role given to the general practitioners and/or the organization of the primary care might be essential for reducing social inequities in health care utilisation. Classification JEL : I12 ; I18 ; O 57

Suggested Citation

  • Zeynep Or & Florence Jusot & Engin Yilmaz, 2009. "Inégalités de recours aux soins en Europe. Quel rôle attribuable aux systèmes de santé ?," Revue économique, Presses de Sciences-Po, vol. 60(2), pages 521-543.
  • Handle: RePEc:cai:recosp:reco_602_0521
    as

    Download full text from publisher

    File URL: http://www.cairn.info/load_pdf.php?ID_ARTICLE=RECO_602_0521
    Download Restriction: free

    File URL: http://www.cairn.info/revue-economique-2009-2-page-521.htm
    Download Restriction: free

    References listed on IDEAS

    as
    1. Romer, Paul M, 1986. "Increasing Returns and Long-run Growth," Journal of Political Economy, University of Chicago Press, vol. 94(5), pages 1002-1037, October.
    2. Benjamin Coriat & Fabienne Orsi & Cristina d'Almeida, 2006. "TRIPS and the international public health controversies: issues and challenges," Industrial and Corporate Change, Oxford University Press, vol. 15(6), pages 1033-1062, December.
    3. Mataria, Awad & Giacaman, Rita & Khatib, Rana & Moatti, Jean-Paul, 2006. "Impoverishment and patients' "willingness" and "ability" to pay for improving the quality of health care in Palestine: An assessment using the contingent valuation method," Health Policy, Elsevier, vol. 75(3), pages 312-328, February.
    4. Russell Davidson & Jean-Yves Duclos, 1997. "Statistical Inference for the Measurement of the Incidence of Taxes and Transfers," Econometrica, Econometric Society, vol. 65(6), pages 1453-1466, November.
    5. Farasat A. S. Bokhari & Yunwei Gai & Pablo Gottret, 2007. "Government health expenditures and health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 16(3), pages 257-273.
    6. Alok Bhargava & Dean T. Jamison & Lawrence J. Lau & Christopher J. L. Murray, 2006. "Modeling the effects of health on economic growth," World Scientific Book Chapters,in: Econometrics, Statistics And Computational Approaches In Food And Health Sciences, chapter 20, pages 269-286 World Scientific Publishing Co. Pte. Ltd..
    7. Wagstaff, Adam, 2002. "Inequality aversion, health inequalities and health achievement," Journal of Health Economics, Elsevier, vol. 21(4), pages 627-641, July.
    8. William Easterly & Tobias Pfutze, 2008. "Where Does the Money Go? Best and Worst Practices in Foreign Aid," Journal of Economic Perspectives, American Economic Association, vol. 22(2), pages 29-52, Spring.
    9. David Bloom & David Canning, 2003. "Health as Human Capital and its Impact on Economic Performance," The Geneva Papers on Risk and Insurance, The International Association for the Study of Insurance Economics, vol. 28, pages 304-315, April.
    10. Kalemli-Ozcan, Sebnem, 2002. "Does the Mortality Decline Promote Economic Growth?," Journal of Economic Growth, Springer, vol. 7(4), pages 411-439, December.
    11. N. Gregory Mankiw & David Romer & David N. Weil, 1992. "A Contribution to the Empirics of Economic Growth," The Quarterly Journal of Economics, Oxford University Press, vol. 107(2), pages 407-437.
    12. Khaleghian, Peyvand & Gupta, Monica Das, 2005. "Public management and the essential public health functions," World Development, Elsevier, vol. 33(7), pages 1083-1099, July.
    13. Ernst R. Berndt & Rachel Glennerster & Michael R. Kremer & Jean Lee & Ruth Levine & Georg Weizsäcker & Heidi Williams, 2007. "Advance market commitments for vaccines against neglected diseases: estimating costs and effectiveness," Health Economics, John Wiley & Sons, Ltd., vol. 16(5), pages 491-511.
    14. Abu-Zaineh, Mohammad & Mataria, Awad & Luchini, Stéphane & Moatti, Jean-Paul, 2008. "Equity in health care financing in Palestine: The value-added of the disaggregate approach," Social Science & Medicine, Elsevier, vol. 66(11), pages 2308-2320, June.
    15. Ramses H. Abul Naga & Karine Lamiraud, 2008. "Catastrophic Health ExpenditureandHousehold Well-Being," STICERD - Distributional Analysis Research Programme Papers 098, Suntory and Toyota International Centres for Economics and Related Disciplines, LSE.
    16. Akashi, Hidechika & Yamada, Takako & Huot, Eng & Kanal, Koum & Sugimoto, Takao, 2004. "User fees at a public hospital in Cambodia: effects on hospital performance and provider attitudes," Social Science & Medicine, Elsevier, vol. 58(3), pages 553-564, February.
    17. Nicolas Couderc & Nicolas Drouhin & Bruno Ventelou, 2006. "SIDA et croissance économique : le risque d'une « trappe épidémiologique »," Revue d'économie politique, Dalloz, vol. 116(5), pages 697-715.
    18. Gupta, Sanjeev & Verhoeven, Marijn & Tiongson, Erwin R., 2002. "The effectiveness of government spending on education and health care in developing and transition economies," European Journal of Political Economy, Elsevier, vol. 18(4), pages 717-737, November.
    19. Nicolas Couderc & Bruno Ventelou, 2005. "AIDS, Economic Growth and the Epidemic Trap in Africa," Oxford Development Studies, Taylor & Francis Journals, vol. 33(3-4), pages 417-426.
    20. Knowles, Stephen & Owen, P. Dorian, 1995. "Health capital and cross-country variation in income per capita in the Mankiw-Romer-Weil model," Economics Letters, Elsevier, vol. 48(1), pages 99-106, April.
    21. Kalemli-Ozcan, Sebnem, 2003. "A stochastic model of mortality, fertility, and human capital investment," Journal of Development Economics, Elsevier, vol. 70(1), pages 103-118, February.
    22. Fabio Pammolli & Laura Magazzini & Luigi Orsenigo, 2002. "The intensity of competition after patent expiry in pharmaceuticals. A cross-country analysis," Revue d'Économie Industrielle, Programme National Persée, vol. 99(1), pages 107-131.
    23. Cisse, Boubou & Luchini, Stephane & Moatti, Jean Paul, 2007. "Progressivity and horizontal equity in health care finance and delivery: What about Africa?," Health Policy, Elsevier, vol. 80(1), pages 51-68, January.
    24. Clive Bell & Shantayanan Devarajan & Hans Gersbach, 2006. "The Long-Run Economic Costs of aids: A Model with an Application to South Africa," World Bank Economic Review, World Bank Group, vol. 20(1), pages 55-89.
    25. Booysen, Frederik le R. & Arntz, Tanja, 2003. "The methodology of HIV/AIDS impact studies: a review of current practices," Social Science & Medicine, Elsevier, vol. 56(12), pages 2391-2405, June.
    26. Mills, Jeffrey A & Zandvakili, Sourushe, 1997. "Statistical Inference via Bootstrapping for Measures of Inequality," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 12(2), pages 133-150, March-Apr.
    27. Nancy T. Gallini, 2002. "The Economics of Patents: Lessons from Recent U.S. Patent Reform," Journal of Economic Perspectives, American Economic Association, vol. 16(2), pages 131-154, Spring.
    28. Ardeshir Sepehri & Robert Chernomas, 2001. "Are user charges efficiency- and equity-enhancing? A critical review of economic literature with particular reference to experience from developing countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(2), pages 183-209.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. repec:kap:ijhcfe:v:17:y:2017:i:2:d:10.1007_s10754-016-9207-3 is not listed on IDEAS
    2. Sabine Chaupain-Guillot & Olivier Guillot, 2015. "Health system characteristics and unmet care needs in Europe: an analysis based on EU-SILC data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(7), pages 781-796, September.
    3. Ondrej Blažo, 2011. "Svetová obchodná organizácia a ochrana hospodárskej súťaže," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 53-76.
    4. Cezary Tomasz Szyjko, 2011. "Future of the European social model," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzťahov, vol. 9(1), pages 84-96.
    5. Mária Fertaľová, 2011. "Čínsky model ekonomického rastu v procese hospodárskych reforiem," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 143-155.
    6. Martin Grešš, 2011. "Medzinárodná migrácia - súčasné trendy a ekonomické koncepcie," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 176-186.
    7. André, Christine, 2015. "Les systèmes de santé européens en longue période," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    8. Katarína Harajdová, 2011. "Dohovor o prepravnej zmluve v medzinárodnej cestnej nákladnej doprave z roku 1956 (CMR) a jeho zmeny," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 212-219.
    9. Marek Csabay, 2011. "K vybraným aspektom postavenia rozvojových štátov vo svetovom obchodnom systéme," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 156-164.
    10. Rita Ambrus & Ilona Kaufman, 2011. "Tax-saving, innovative incentives for small and medium-sized enterprises in Hungary," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzťahov, vol. 9(1), pages 77-83.
    11. Christine André & Philippe Batifoulier & Mariana Jansen-Ferreira, 2016. "Privatisation de la santé en Europe. Un outil de classification des réformes," CEPN Working Papers hal-01256505, HAL.
    12. Boris Mattoš, 2011. "Jednotná prezentácia štátu ako nástroj vonkajšej komunikácie krajiny - Česká republika," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 165-175.
    13. Szyjko Cezary Tomasz & Daniela Hrehová, 2011. "The European Community and the security challenges," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 187-198.
    14. Mária Bláhová, 2011. "Perspektívy smerovania angličtiny - jazyka medzinárodnej komunikácie - v kontexte vývoja ďalších svetových jazykov," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 110-120.
    15. Lukáš Tichý, 2011. "Porozumění energetickým vztahúm mezi EU a Ruskem," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 121-142.
    16. Jana Kovářová & Monika Mrlinová, 2011. "Quo vadis, Russia? The question that remains open," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 8-24.
    17. Jozef Portašík, 2011. "FOREX - historický vývoj, súčasný stav a perspektívy vývoja najväčšieho finančného trhu súčasnosti," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 199-211.
    18. Klaudia Pyteľová, 2011. "Medzinárodné finančné organizácie v kontexte všeobecného vymedzenia medzinárodného ekonomického práva," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 220-230.
    19. repec:hal:wpaper:hal-01256505 is not listed on IDEAS
    20. Veronika Fodorová, 2011. "Konštruktivistické perspektívy výskumu europeizácie," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 25-34.
    21. Emil Souleimanov, 2011. "Snahy o mírové řešení etnických konfliktů v Jížní Osetii a Abcházii v předvečer rusko-gruzínské války 2008," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 97-109.
    22. Michaela Štefančíková, 2011. "Bezpečnostné hrozby v kontexte meniaceho sa chápania bezpečnosti po rozpade bipolarity," Medzinarodne vztahy (Journal of International Relations), Ekonomická univerzita, Fakulta medzinárodných vzÅ¥ahov, vol. 9(1), pages 35-52.

    More about this item

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:cai:recosp:reco_602_0521. 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: (Jean-Baptiste de Vathaire). General contact details of provider: http://www.cairn.info/revue-economique.htm .

    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.

    We have no references for this item. You can help adding them by using 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 RePEc Author Service 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.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.