IDEAS home Printed from https://ideas.repec.org/
MyIDEAS: Login to save this article or follow this journal

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

  • Bruno Ventelou

[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 [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.

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

File URL: http://dx.doi.org/10.3406/ofce.1999.1560
Download Restriction: no

File URL: http://www.persee.fr/articleAsPDF/ofce_0751-6614_1999_num_71_1_1560/ofce_0751-6614_1999_num_71_1_1560.pdf?mode=light
Download Restriction: no

Article provided by Programme National Persée in its journal Revue de l'OFCE.

Volume (Year): 71 (1999)
Issue (Month): 1 ()
Pages: 247-280

as
in new window

Handle: RePEc:prs:rvofce:ofce_0751-6614_1999_num_71_1_1560
Note: DOI:10.3406/ofce.1999.1560
Contact details of provider: Web page: http://www.persee.fr/web/revues/home/prescript/revue/ofce

No references listed on IDEAS
You can help add them by filling out this form.

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

When requesting a correction, please mention this item's handle: RePEc:prs:rvofce:ofce_0751-6614_1999_num_71_1_1560. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Equipe PERSEE)

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.

This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.