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Pourquoi les systèmes de santé sont-ils organisés différemment ?


  • Michel Grignon


National health systems organize and regulate two types of public policies : first, as any social policy would, they transfer income, from rich to poor and healthy to sick, as well as from patients to health care providers. Second, they regulate the production and delivery of health, an essentially private but hard-to-monitor output. Health systems thus understandably vary from one country to the next according to objective factors such as income inequality as well as subjective ones such as aversion for inequality. This article is a first step toward modeling these choices made by different countries on the organization of their health system. Theoretical models are surveyed and the choice of dependent variable to capture the organization of a health care system is discussed. Classification JEL : I11, I18, H42, H51

Suggested Citation

  • Michel Grignon, 2009. "Pourquoi les systèmes de santé sont-ils organisés différemment ?," Revue économique, Presses de Sciences-Po, vol. 60(2), pages 545-558.
  • Handle: RePEc:cai:recosp:reco_602_0545

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    Cited by:

    1. Grignon Michel, 2012. "Roadblocks to Reform: Beyond the Usual Suspects," Centre for Health Economics and Policy Analysis Working Paper Series 2012-01, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.

    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H42 - Public Economics - - Publicly Provided Goods - - - Publicly Provided Private Goods
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health


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