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

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  • Yannick L'Horty
  • Alain Quinet
  • Frédéric Rupprecht

Abstract

[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.

Suggested Citation

  • Yannick L'Horty & Alain Quinet & Frédéric Rupprecht, 1997. "Expliquer la croissance des dépenses de santé : le rôle du niveau de vie et du progrès technique," Économie et Prévision, Programme National Persée, vol. 129(3), pages 257-268.
  • Handle: RePEc:prs:ecoprv:ecop_0249-4744_1997_num_129_3_5878
    Note: DOI:10.3406/ecop.1997.5878
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    References listed on IDEAS

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    1. 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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    Cited by:

    1. Gaël Dupont & Éric Heyer & Xavier Timbeau & Bruno Ventelou, 2001. "L'impact macroéconomique des réformes du secteur de santé français," Revue de l'OFCE, Presses de Sciences-Po, vol. 76(1), pages 117-138.
    2. Faridah Djellal & Camal Gallouj & FaÏz Gallouj, 2004. "De l’hôpital fonction de production à l’hôpital service complexe et nœud de réseau : les différentes facettes de l’innovation hospitalière," Post-Print halshs-01114049, HAL.
    3. Bartosz Przywara, 2010. "Projecting future health care expenditure at European level: drivers, methodology and main results," European Economy - Economic Papers 2008 - 2015 417, Directorate General Economic and Financial Affairs (DG ECFIN), European Commission.
    4. Thomas Barnay & Olivier Damette, 2012. "What drives Health Care Expenditure in France since 1950?," Working Papers hal-00717435, HAL.
    5. Boyer, Robert, 2015. "L’essor du secteur de la santé annonce-t-il un modèle de développement anthropogénétique ?," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    6. Faridah Djellal & Faïz Gallouj, 2007. "Innovation in hospitals: a survey of the literature," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 8(3), pages 181-193, September.
    7. Thomas Barnay & Olivier Damette, 2012. "What drives Health Care Expenditure in France since 1950? A time-series study with structural breaks and nonlinearity approaches," Working Papers halshs-00856117, HAL.
    8. Mtiraoui, Abderraouf, 2015. "The action of public power and Economic Development: Application to the health sector in the MENA region
      [Action du pouvoir public et développement économique: Application au secteur de la santé da
      ," MPRA Paper 62604, University Library of Munich, Germany.
    9. Frédéric Rupprecht & Bruno Tissot & Frédéric Chatel, 1998. "Le système de santé allemand : vers une plus grande responsabilisation de l'ensemble des acteurs," Économie et Statistique, Programme National Persée, vol. 318(1), pages 17-40.
    10. Y. TAMSAMANI, Yasser, 2017. "L’évolution des dépenses de santé au Maroc : une analyse des déterminants démographiques et macro-économiques
      [The Evolution of the Health Expenditures in Morocco: A Demographics and Macroeconomics
      ," MPRA Paper 83996, University Library of Munich, Germany, revised 18 Jan 2018.
    11. Éric Delattre & Brigitte Dormont, 2000. "Induction de la demande de soins par les médecins libéraux français. Étude micro-économétrique sur données de panel," Économie et Prévision, Programme National Persée, vol. 142(1), pages 137-161.
    12. E. Delattre & B. Dormont, 2000. "Testing for supplier-induced demand behavior : A panel data study on French physicians," THEMA Working Papers 2000-42, THEMA (THéorie Economique, Modélisation et Applications), Université de Cergy-Pontoise.
    13. repec:spo:wpecon:info:hdl:2441/1648 is not listed on IDEAS
    14. Bruno Ventelou, 1999. "Les dépenses de santé des Français : une maladie d'amour?," Revue de l'OFCE, Programme National Persée, vol. 71(1), pages 247-280.
    15. Philippe Ulmann, 2004. "Est-il possible (souhaitable) de maîtriser les dépenses de santé ?," Revue d'Économie Financière, Programme National Persée, vol. 76(3), pages 19-37.

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