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Expliquer la croissance des dépenses de santé : le rôle du niveau de vie et du progrès technique

  • Yannick L'Horty
  • Alain Quinet
  • Frédéric Rupprecht

[fre] Expliquer la croissance des dépenses de santé : le rôle du niveau de vie et du progrès technique par Yannick L'Horty, Alain Quinet et Frédéric Rupprecht Afin d'expliquer la progression des dépenses de santé en France sur longue période, on procède en premier lieu à un survol des études empiriques existantes en traitant plus particulièrement deux questions : la santé est-elle un bien supérieur ? Dans quelle mesure des facteurs d'offre et en particulier le progrès technique médical, contribuent-il à l'accroissement des dépenses de soins ? Dans un deuxième temps, on estime une fonction de dépenses de santé sur séries temporelles en France entre 1970 et 1995. Les dépenses de santé apparaissent très sensibles à l'évolution du niveau de vie, mesuré par le PIB par tête qui expliquerait près des deux cinquièmes de leur progression. L'élasticité prix des dépenses de santé en France s'avère également assez élevée même lorsque l'on prend en compte la prise en charge de ces dépenses par le système de protection sociale. Le progrès technique médical exerce également une influence significative. Les conditions démographiques et le vieillissement de la population n'auraient eu qu'une influence marginale. [eng] Explaining Health Expenditure Growth: the Effect of Standard of Living and Technical Progress by Yannick L'Horty, Alain Quinet and Frédéric Rupprecht The aim of this paper is to explain health expenditures growth in France since 1970. In a first section, we survey empirical studies and deal with two major issues : is income elasticity of health greater than one ? What is the impact of supply factors, like medical technical progress ? In a second section, we estimate an health expenditure function using French data between 1970 and 1995. Health expenditures grow with the standard of living measured with GNPper capita, and that effect could explain more than two fifth of health expenditures growth since 1970. Price elasticity is high, even if we take into account financing with French Social Security system. Medical technical progress has also a strong impact. The aging of population has a minor effect.

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Article provided by Programme National Persée in its journal Économie & prévision.

Volume (Year): 129 (1997)
Issue (Month): 3 ()
Pages: 257-268

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Handle: RePEc:prs:ecoprv:ecop_0249-4744_1997_num_129_3_5878
Note: DOI:10.3406/ecop.1997.5878
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  1. Newhouse, Joseph P., 1987. "Cross national differences in health spending what do they mean?," Journal of Health Economics, Elsevier, vol. 6(2), pages 159-162, June.
  2. Buchmueller, Thomas C. & Feldstein, Paul J., 1997. "The effect of price on switching among health plans," Journal of Health Economics, Elsevier, vol. 16(2), pages 231-247, April.
  3. Feldstein, Martin S, 1973. "The Welfare Loss of Excess Health Insurance," Journal of Political Economy, University of Chicago Press, vol. 81(2), pages 251-280, Part I, M.
  4. Gerdtham, Ulf-G. & Sogaard, Jes & Andersson, Fredrik & Jonsson, Bengt, 1992. "An econometric analysis of health care expenditure: A cross-section study of the OECD countries," Journal of Health Economics, Elsevier, vol. 11(1), pages 63-84, May.
  5. Feldstein, Martin S, 1977. "Quality Change and the Demand for Hospital Care," Econometrica, Econometric Society, vol. 45(7), pages 1681-1702, October.
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