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Rationalisation de l'offre de soins en chirurgie. Réduction des surcapacités et réallocation sectorielle


  • Benoît Dervaux
  • Kristiaan Kerstens
  • Hervé Leleu
  • Jean-Claude Berthlemy


[fre] Rationalisation de l'offre de soins en chirurgie. Réduction des surcapacités et réallocation sectorielle Dans cette étude, nous tentons d'apporter un éclairage quantitatif au débat sur la réorganisation de l'offre de soins chirurgicaux. Nous recourons à un modèle de réallocation sectorielle pour déterminer la structure optimale de l'offre permettant de satisfaire les besoins de la population en tenant compte des caractéristiques des plateaux techniques ainsi que des contraintes d'accessibilité et d'accueil des urgences. À partir d'une description très précise de l'activité et de l'équipement de tous les secteurs opératoires de la région Nord/Pas-de-Calais, tant publics que privés, nous procédons à l'estimation d'une fonction de production sectorielle en utilisant une méthodologie non paramétrique. Nous mettons en évidence d'importantes surcapacités au niveau régional notamment en ce qui concerne les salles de technicité faible ou moyenne. [eng] Reorganising surgical care supply: an industry reallocation model This study contributes to the debate on the reorganisation of the supply of surgical care. Using models allowing for a reallocation of outputs within industry we attempt to plan current demands and to determine the optimal structure of supply, while guaranteeing accessibility restrictions and taking into account the heterogeneity in equipment among surgery units. Using detailed census information on all Nord/Pas-de-Calais surgery units, we compute an industry production function using a non parametric methodology. The study first demonstrates the importance of overcapacities at this regional level, especially for surgery rooms of below average or average level of equipment.

Suggested Citation

  • Benoît Dervaux & Kristiaan Kerstens & Hervé Leleu & Jean-Claude Berthlemy, 1999. "Rationalisation de l'offre de soins en chirurgie. Réduction des surcapacités et réallocation sectorielle," Revue Économique, Programme National Persée, vol. 50(3), pages 645-655.
  • Handle: RePEc:prs:reveco:reco_0035-2764_1999_num_50_3_410110

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    References listed on IDEAS

    1. Guillaumont, Patrick & Jeanneney, Sylviane Guillaumont & Brun, Jean-Francois, 1999. "How Instability Lowers African Growth," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 8(1), pages 87-107, March.
    2. Berthelemy, Jean-Claude & Varoudakis, Aristomene, 1996. "Economic Growth, Convergence Clubs, and the Role of Financial Development," Oxford Economic Papers, Oxford University Press, vol. 48(2), pages 300-328, April.
    3. Sekkat, Khalid & Varoudakis, Aristomene, 2000. "Exchange rate management and manufactured exports in Sub-Saharan Africa," Journal of Development Economics, Elsevier, vol. 61(1), pages 237-253, February.
    4. Dhaneshwar Ghura & Michael T. Hadjimichael, 1996. "Growth in Sub-Saharan Africa," IMF Staff Papers, Palgrave Macmillan, vol. 43(3), pages 605-634, September.
    5. Sachs, Jeffrey D & Warner, Andrew M, 1997. "Sources of Slow Growth in African Economies," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 6(3), pages 335-376, October.
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