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De l’aléa moral du patient aux inégalités d’accès aux soins

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  • Philippe Batifoulier

    (EconomiX - EconomiX - UPN - Université Paris Nanterre - CNRS - Centre National de la Recherche Scientifique)

Abstract

La théorie de l'aléa moral du patient a justifié l'existence d'un partage des coûts (ticket modérateur, forfait, franchise) de façon à réduire les dépenses sans détériorer l'état de santé. Cette politique a été largement adoptée par les politiques de santé et s'est durcie avec le temps. Cet article montre que le background théorique et empirique de cette conception est largement déficient et conduit à des effets pervers en accroissant les inégalités tout en activant des dépenses nouvelles.

Suggested Citation

  • Philippe Batifoulier, 2014. "De l’aléa moral du patient aux inégalités d’accès aux soins," Working Papers hal-04141361, HAL.
    • Handle: RePEc:hal:wpaper:hal-04141361
    Note: View the original document on HAL open archive server: https://hal.science/hal-04141361
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    References listed on IDEAS

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    More about this item

    Keywords

    Aléa moral du patient; partage des coûts; accès aux soins; inégalités; approche institutionnaliste;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • B52 - Schools of Economic Thought and Methodology - - Current Heterodox Approaches - - - Historical; Institutional; Evolutionary; Modern Monetary Theory;

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