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Recouvrement des coûts et demande de soins dans les PED

  • Jean-Paul Moatti
  • Stéphane Luchini
  • Boubou Cissé
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    [fre] Boubou Cissé Stéphane Luchini Jean-Paul Moatti Recouvrement des coûts et demande de soins dans les PED Suite à la crise financière qui a durement frappé les pays en développe- ment dès le début des années 1980, l'instauration du recouvrement des coûts d'accès aux soins (politique de tarification des prestations de services de santé) a été proposée à ces pays en 1985 puis en pratique exigée par la Banque mondiale à partir de 1987. Depuis lors, il y a eu de nombreuses controverses autour de l'impact de œs systèmes de recouvrement des coûts sur l'accès aux soins et l'utilisation des services de santé. Le but de cet article est de procéder à l'analyse de ces écrits afin de faire le point sur les constats et les interrogations suggérés par ces études passées et en cours, et dégager de nouvelles pistes de recherche pour une meilleure analyse théorique et empirique de la demande de soins dans les PED. [eng] Cost Recovery and Health Care Demand in Developing Countries Further to the 1980s financial crisis which has sorely stroked the developing countries, the establishment of the cost recovery scheme (user fees) has been proposed to these countries in 1985, and in practise demand from the World Bank from 1987. Since then, there has been many controversies about the impact of the introduction of user fees on access to health care and utilisation of health services. The purpose of this work is to analyse these writings in other to take stock of the findings and questions suggested by these past and on the way studies, and propose new research tracks for a better theoretical and empirical analysis of health care demand in developing countries.

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    Article provided by Programme National Persée in its journal Revue française d'économie.

    Volume (Year): 18 (2004)
    Issue (Month): 4 ()
    Pages: 111-149

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    Handle: RePEc:prs:rfreco:rfeco_0769-0479_2004_num_18_4_1537
    Note: DOI:10.3406/rfeco.2004.1537
    Contact details of provider: Web page: http://www.persee.fr/web/revues/home/prescript/revue/rfeco

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