Les priorités de la prise en charge financière des soins. Une approche par la philosophie du besoin
The concept of need plays an essential role in defining legitimate health inequalities. The debate on equity in healthcare policy has so far evolved independently of the philosophical discussions of need. This article draws on moral and political philosophy in order to develop a conception of need that goes beyond the current dichotomy between universal lists and individual preferences. We build on Wiggins’ and Hamiltons’ insights in an attempt to further develop an institutionalist health economics. Our contribution suggests that (against mainstream economics and the dominant trends imported from moral philosophy) needs must be determined by explicitly political processes of negotiation and conventions. We propose an institutionalist approach to needs that emphasises the role of social processes in creating and consolidating specific and situated healthcare needs.
|Date of creation:||2010|
|Date of revision:|
|Contact details of provider:|| Postal: 200 Avenue de la République, Bât. G - 92001 Nanterre Cedex|
Web page: http://economix.fr
More information through EDIRC
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Mireille Elbaum, 2007. "Protection sociale et solidarité en France. Évolutions et questions d'avenir," Revue de l'OFCE, Presses de Sciences-Po, vol. 0(3), pages 559-622.
- Mooney, Gavin, 1998. ""Communitarian claims" as an ethical basis for allocating health care resources," Social Science & Medicine, Elsevier, vol. 47(9), pages 1171-1180, November.
- FLEURBAEY, Marc & SCHOKKAERT, Erik, .
"Unfair inequalities in health and health care,"
CORE Discussion Papers RP
2141, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
- Fabrice Etilé & Carine Milcent, 2006.
"Income-related reporting heterogeneity in self-assessed health: evidence from France,"
PSE Working Papers
- Fabrice Etilé & Carine Milcent, 2006. "Income-related reporting heterogeneity in self-assessed health: evidence from France," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 965-981.
- Fabrice Etilé & Carine Milcent, 2006. "Income-related reporting heterogeneity inself-assessed health: Evidence from France," Post-Print halshs-00754133, HAL.
- Hélène Huber, 2008.
"Decomposing the causes of inequalities in health care use: A micro-simulations approach,"
Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers)
- Huber, Hélène, 2008. "Decomposing the causes of inequalities in health care use: A micro-simulations approach," Journal of Health Economics, Elsevier, vol. 27(6), pages 1605-1613, December.
- Williams, Alan & Cookson, Richard, 2000. "Equity in health," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 35, pages 1863-1910 Elsevier.
- Culyer, A. J., 1995. "Need: The idea won't do--But we still need it," Social Science & Medicine, Elsevier, vol. 40(6), pages 727-730, March.
- Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
- Samuel Bowles, 1998. "Endogenous Preferences: The Cultural Consequences of Markets and Other Economic Institutions," Journal of Economic Literature, American Economic Association, vol. 36(1), pages 75-111, March.
- Mooney, Gavin, 2005. "Communitarian claims and community capabilities: furthering priority setting?," Social Science & Medicine, Elsevier, vol. 60(2), pages 247-255, January.
- Fox, N.J. & Ward, K.J. & O'Rourke, A.J., 2005. "The 'expert patient': empowerment or medical dominance? The case of weight loss, pharmaceutical drugs and the Internet," Social Science & Medicine, Elsevier, vol. 60(6), pages 1299-1309, March.
- Geoffrey M. Hodgson, 2008. "An institutional and evolutionary perspective on health economics," Cambridge Journal of Economics, Oxford University Press, vol. 32(2), pages 235-256, March.
- Brouwer, Werner B.F. & Culyer, Anthony J. & van Exel, N. Job A. & Rutten, Frans F.H., 2008. "Welfarism vs. extra-welfarism," Journal of Health Economics, Elsevier, vol. 27(2), pages 325-338, March.
- Culyer, A J, 1989. "The Normative Economics of Health Care Finance and Provision," Oxford Review of Economic Policy, Oxford University Press, vol. 5(1), pages 34-58, Spring.
- Hodgson, Geoffrey M., 2009. "Towards an alternative economics of health care," Health Economics, Policy and Law, Cambridge University Press, vol. 4(01), pages 99-114, January.
- repec:cpm:opuscl:15 is not listed on IDEAS
- Hurley, Jeremiah, 2000. "An overview of the normative economics of the health sector," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 2, pages 55-118 Elsevier.
- Jan, Stephen, 1998. "A holistic approach to the economic evaluation of health programs using institutionalist methodology," Social Science & Medicine, Elsevier, vol. 47(10), pages 1565-1572, November.
- Amartya Sen, 2002. "Why health equity?," Health Economics, John Wiley & Sons, Ltd., vol. 11(8), pages 659-666.
When requesting a correction, please mention this item's handle: RePEc:drm:wpaper:2010-2. 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: (Valérie Mignon)
If references are entirely missing, you can add them using this form.