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Tarification hospitalière et pratique médicale. La pratique de la césarienne en France

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  • Carine Milcent

    (PJSE - Paris-Jourdan Sciences Economiques - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - INRA - Institut National de la Recherche Agronomique - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique, PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement)

  • Julie Rochut

    (PJSE - Paris-Jourdan Sciences Economiques - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - INRA - Institut National de la Recherche Agronomique - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique, PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, IEMS - Institut d'économie et de management de la santé - UNIL - Université de Lausanne = University of Lausanne)

Abstract

Cette étude examine les effets du mode de financement des établissements hospitaliers sur la pratique de la césarienne en France en 2003. Nous exploitons la structure hiérarchique des données afin de mieux prendre en compte les différents facteurs influençant la pratique de la césarienne. Nos résultats montrent que les établissements privés, financés à l'acte, pratiquent significativement plus d'accouchements par césarienne que les établissements du service public, financés par enveloppe globale. La structure du personnel hospitalier a également un impact important sur la pratique ; plus le nombre d'obstétriciens par lit est important, plus la probabilité de recours à la césarienne est grande. De plus, nous constatons une différence de pratique non négligeable entre régions françaises.

Suggested Citation

  • Carine Milcent & Julie Rochut, 2009. "Tarification hospitalière et pratique médicale. La pratique de la césarienne en France," PSE-Ecole d'économie de Paris (Postprint) halshs-00754395, HAL.
    • Handle: RePEc:hal:pseptp:halshs-00754395
    DOI: 10.3917/reco.602.0489
    Note: View the original document on HAL open archive server: https://pjse.hal.science/halshs-00754395
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    1. Daniele Fabbri & Chiara Monfardini, 2008. "Style of practice and assortative mating: a recursive probit analysis of Caesarean section scheduling in Italy," Applied Economics, Taylor & Francis Journals, vol. 40(11), pages 1411-1423.
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    Cited by:

    1. Weeks, William B. & Jardin, Marie & Paraponaris, Alain, 2015. "Characteristics and patterns of elective admissions to for-profit and not-for-profit hospitals in France in 2009 and 2010," Social Science & Medicine, Elsevier, vol. 133(C), pages 53-58.
    2. Weeks, William B. & Paraponaris, Alain & Ventelou, Bruno, 2014. "Geographic variation in rates of common surgical procedures in France in 2008–2010, and comparison to the US and Britain," Health Policy, Elsevier, vol. 118(2), pages 215-221.
    3. Ahcène Zehnati & Marwân-al-Qays Bousmah & Mohammad Abu-Zaineh, 2021. "Public–private differentials in health care delivery: the case of cesarean deliveries in Algeria," International Journal of Health Economics and Management, Springer, vol. 21(3), pages 367-385, September.
    4. Alex Proshin & Alexandre Cazenave‐Lacroutz & Lise Rochaix, 2023. "Impact of tariff refinement on the choice between scheduled C‐section and normal delivery: Evidence from France," Health Economics, John Wiley & Sons, Ltd., vol. 32(7), pages 1397-1433, July.

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    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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