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La pertinence des pratiques d’hospitalisation : une analyse des écarts départementaux de prostatectomies

Listed author(s):
  • Zeynep Or

    ()

    (IRDES Institute for research and information in health economics)

  • Dorian Verboux

    ()

    (Équipe de Recherches sur l'Utilisation des Données Individuelles-Temporelles en Économie (ERUDITE) Université Paris-Est)

Cet article analyse les variations territoriales de pratiques de prostatectomies en France. Nous recourons à une modélisation multiniveaux permettant de distinguer la variabilité liée à deux niveaux géographiques : le département et la région. Nos résultats montrent que les taux de prostatectomies standardisés (pour 100 000 hommes) varient de manière significative entre les départements. Les écarts interdépartementaux sont expliqués notamment par la densité d’urologues libéraux dans le département ainsi que par l’offre de soins hospitaliers (disponibilité des lits de chirurgie et de personnels soignants), au niveau régional, une fois contrôlé par le revenu et les taux de mortalité par départements.

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File URL: http://www.irdes.fr/recherche/documents-de-travail/059-la-pertinence-des-pratiques-d-hospitalisation-une-analyse-des-ecarts-departementaux-de-prostatectomies.pdf
File Function: First version, 2014
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Paper provided by IRDES institut for research and information in health economics in its series Working Papers with number DT59.

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Length: 20 pages
Date of creation: Apr 2014
Date of revision: Apr 2014
Handle: RePEc:irh:wpaper:dt59
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