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La mobilité des patients et les modèles de création de demande : le cas du Québec

Listed author(s):
  • Contandriopoulos, A. P.

    (Université de Montréal)

  • Dionne, G.

    (Université de Montréal)

  • Tessier, G.

    (Université de Montréal)

In this paper, we analyse the effects of the inequality in the distribution of medical resources on the use of elective surgeries taking into account the mobility of the patients between geographical areas. In the first part of the paper, we present a theoretical model which analyses the effects of patients' mobility on a private market of chirurgical services and, then, we adapt this model to a regime of public health insurance. In the empirical part of the paper, we discuss shortly the main results in the literature and we present some preliminary results using data from the province of Quebec. Dans ce texte nous analysons les conséquences de l’inégalité dans la distribution des ressources médicales sur l’utilisation des interventions chirurgicales électives en tenant compte de la mobilité des patients. Après avoir présenté un modèle théorique qui permet d’analyser l’influence de la mobilité des patients dans un marché privé d’interventions chirurgicales, nous adaptons ce modèle à un contexte d’assurance-maladie généralisée. Dans la partie empirique de notre travail nous discutons brièvement des principaux résultats que l’on retrouve dans la littérature et nous présentons quelques résultats empiriques préliminaires en utilisant des données du Québec.

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Article provided by Société Canadienne de Science Economique in its journal L'Actualité économique.

Volume (Year): 59 (1983)
Issue (Month): 4 (décembre)
Pages: 729-752

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Handle: RePEc:ris:actuec:v:59:y:1983:i:4:p:729-752
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  1. Joseph P. Newhouse & Charles E. Phelps, 1976. "New Estimates of Price and Income Elasticities of Medical Care Services," NBER Chapters,in: The Role of Health Insurance in the Health Services Sector, pages 261-320 National Bureau of Economic Research, Inc.
  2. Jan Paul Acton, 1976. "Demand for Health Care among the Urban Poor, with Special Emphasis on the Role of Time," NBER Chapters,in: The Role of Health Insurance in the Health Services Sector, pages 163-214 National Bureau of Economic Research, Inc.
  3. Victor R. Fuchs, 1978. "The Supply of Surgeons and the Demand for Operations," NBER Working Papers 0236, National Bureau of Economic Research, Inc.
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