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Prise en charge des personnes âgées dépendantes : quels enjeux économiques ?

Author

Listed:
  • Agnès Gramain

    (BETA - Bureau d'Économie Théorique et Appliquée - INRA - Institut National de la Recherche Agronomique - UNISTRA - Université de Strasbourg - UL - Université de Lorraine - CNRS - Centre National de la Recherche Scientifique)

  • Jérôme Wittwer

    (LEDa - Laboratoire d'Economie de Dauphine - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres)

Abstract

Depuis le début des années 1990, la question de la prise en charge des personnes âgées dépendantes et de son finan- cement a pris place dans l'agenda politique. Marqué en France par l'instauration de la prestation spécifique dépendance (PSD) en 1997, puis de l'Allocation personnalisée d'autonomie (APA) - entrée en vigueur le 1er janvier 2002 -, le débat s'oriente aujourd'hui sur la place à donner au financement privé, notamment via l'assurance-dépendance privée. Comme le rappelle Stéphane Le Bouler dans ce dossier, de nombreux rapports publics, publiés dans les dix dernières années, offrent une description détaillée de la situation actuelle et à venir en termes démographiques et épidémiologiques. La réalisation de l'en- quête Handicap-Incapacité-Dépendance (HID) en 1998-1999 a joué en la matière un rôle décisif. Ces rapports font également le point sur la place et les modalités d'intervention publique : ils mettent en lumière l'enchevêtrement des nombreux dispositifs mobilisés pour le finance- ment et la régulation, directs et indirects, de ce secteur. À l'issue de cet état des lieux, nous présentons les principales interrogations que soulève l'analyse économique concernant le financement collectif du coût de la dépendance. Elles portent sur la forme du financement public lui-même et sur la part laissée aux autres modes de financement que sont la solidarité familiale et l'assurance privée.

Suggested Citation

  • Agnès Gramain & Jérôme Wittwer, 2010. "Prise en charge des personnes âgées dépendantes : quels enjeux économiques ?," Post-Print halshs-00705568, HAL.
    • Handle: RePEc:hal:journl:halshs-00705568
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-00705568v1
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