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Les dépenses de santé des Français : une maladie d'amour?

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  • Bruno Ventelou

Abstract

[fre] Les dépenses de santé des Français croissent plus vite que le PIB, ce qui ne manque pas de poser un problème, manifeste au terme de chaque année budgétaire, à l'équilibre comptable du système de protection sociale. L'analyse microéconomique identifie de multiples raisons à la dérive des dépenses, liées principalement à des lacunes informationnelles entre les acteurs de la relation médicale (le patient, le soignant et l'assureur maladie) : elle plaide pour des réformes structurelles, attentives aux incitations économiques effectivement fournies par le système de santé. L'examen comparé des systèmes de santé étrangers montre que la France ne fait pas exception pour ses difficultés de contrôle de l'évolution de la dépense de santé. Cependant, on peut s'interroger sur la logique des réformes qui ont été appliquées ou qui sont proposée actuellement : elles s'avèrent orientées bien plus vers des mesures de contingentement quantitatif et de contrôle a posteriori que vers la recherche des mutations qualitatives internes au secteur et nécessaires à son bon fonctionnement. [eng] Health care expenditures in France : ailments of love ?. Bruno Ventelou. In France, health care expenditures increase faster than GDP, which is a recurrent dilemma for the public finance balance of the social protection system. Microeconomic analysis identifies several reasons for such an evolution, linked to informational problems (informational asymmetries between the patient, the physician and the insurance). Microeconomic also provides a large array of incentives and mechanism designs in case of informational asymmetries, and then, inclines in favour of « structural reforms » in order to obtain an efficient health system. Comparative study of health care systems abroad shows that France is not isolated with regard to its difficulties in controlling health expenditures. Nevertheless, economists could be surprised by the reforms implemented in France : they tend to be more oriented toward a (short term) quantitative rationing mechanism rather than toward a (long term) qua- litative and structural response to the existing deficiencies of the health care sector. JEL codes : I10, I11, I18

Suggested Citation

  • 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.
    • Handle: RePEc:prs:rvofce:ofce_0751-6614_1999_num_71_1_1560
    DOI: 10.3406/ofce.1999.1560
    Note: DOI:10.3406/ofce.1999.1560
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    1. Lise Rochaix & Stéphane Jacobzone, 1997. "L'hypothèse de demande induite : un bilan économique," Économie et Prévision, Programme National Persée, vol. 129(3), pages 25-36.
    2. Lise Rochaix, 1997. "Asymétries d'information et incertitude en santé : les apports de la théorie des contrats," Économie et Prévision, Programme National Persée, vol. 129(3), pages 11-24.
    3. Jacques Chaperon & Lise Rochaix, 1996. "Les réformes du service national de santé britannique : la fin d'un mythe ?," Économie et Statistique, Programme National Persée, vol. 291(1), pages 87-102.
    4. Joseph P. Newhouse, 1977. "Medical-Care Expenditure: A Cross-National Survey," Journal of Human Resources, University of Wisconsin Press, vol. 12(1), pages 115-125.
    5. Robert G. Evans, 1974. "Supplier-Induced Demand: Some Empirical Evidence and Implications," International Economic Association Series, in: Mark Perlman (ed.), The Economics of Health and Medical Care, chapter 10, pages 162-173, Palgrave Macmillan.
    6. 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.
    7. Mark V. Pauly, 1974. "Overinsurance and Public Provision of Insurance: The Roles of Moral Hazard and Adverse Selection," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 88(1), pages 44-62.
    8. Jean-Jacques Laffont & Jean Tirole, 1993. "A Theory of Incentives in Procurement and Regulation," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262121743, December.
    9. 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.
    10. Blomqvist, A. G. & Carter, R. A. L., 1997. "Is health care really a luxury?," Journal of Health Economics, Elsevier, vol. 16(2), pages 207-229, April.
    11. Weisbrod, Burton A, 1991. "The Health Care Quadrilemma: An Essay on Technological Change, Insurance, Quality of Care, and Cost Containment," Journal of Economic Literature, American Economic Association, vol. 29(2), pages 523-552, June.
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    1. Nicolas Couderc & Bruno Ventelou & Vincent Touzé, 2001. "Politiques de santé dans un modèle macroéconomique," Post-Print hal-03428452, HAL.
    2. repec:hal:spmain:info:hdl:2441/4303 is not listed on IDEAS

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    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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