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Santé et développement durable. Proposition d'une grille de lecture de la contribution des politiques de santé au développement durable

  • TIZIO, Stéphane


    (LATEC - CNRS UMR 5118 - Université de Bourgogne)

économie du développement et économie de la santé ont évolué selon des dynamiques qui leurs sont propres. Les questions concernant le rôle de la santé dans les pays en développement, si elles n'ont pas eu autrefois le retentissement qu'elles revêtent aujourd'hui, ont malgré cela concerné un assez grand nombre de spécialistes. Les approches en termes de capital humain, de croissance endogène... tendent actuellement à reconnaître la santé et l'éducation comme des piliers du développement humain. Mais l'objectif de développement, qualifié depuis le rapport Bruntland, de "durable", fait-il place au développement des systèmes de santé ? L'objectif de ce papier est double : d'une part, il consiste à tenter une clarification du concept de développement durable en général et à identifier le(s) rôle(s) de la santé et des politiques sanitaires dans la poursuite de cet objectif. D'autre part, on tente d'évaluer les différents modèles de politique sanitaire à l'aune de la durabilité du développement. On propose alors une grille de lecture des politiques sanitaires qui permet d'un côté, d'identifier les conditions selon lesquelles les politiques sanitaires sont "durables" et qui, d'un autre côté, permet d'identifier les raisons des échecs des politiques passées et de mettre en doute la viabilité des réformes actuelles. / Development economics and health economics evolved according to dynamics which their are appropriate. The issues concerning the role of health in developing countries, if they had formerly no echo which they take on today, nevertheless concerned a rather big number of specialists. The approaches in terms of human capital, endogenous growth... tend today to recognise health and education as pillars of human development. But the objective of development, qualified since the Bruntland 's report, of "sustainable", does it give way to the development of health systems? The aim of this paper is double: on one hand, it consists in tempting a clarification of the concept of sustainable development generally, and in identifying the role (s) of health and health policies in the achievement of this objective. On the other hand, one tries to estimate the various models of health policies at the ell of the sustainability of the development. One proposes then a framework of health policies which allows on a side, to identify the conditions according to which health policies are "sustainable" and which, on another side, allows to identify the reasons of failures of the last policies and to question the viability of current reforms.

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Paper provided by LATEC, Laboratoire d'Analyse et des Techniques EConomiques, CNRS UMR 5118, Université de Bourgogne in its series LATEC - Document de travail - Economie (1991-2003) with number 2002-07.

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Length: 32 pages
Date of creation: Oct 2002
Date of revision:
Handle: RePEc:lat:lateco:2002-07
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  1. Strauss, J. & Thomas, D., 1995. "Health, Nutrition and Economic development," Papers 95-23, RAND - Labor and Population Program.
  2. Vining, Aidan R. & Globerman, Steven, 1999. "Contracting-out health care services: a conceptual framework," Health Policy, Elsevier, vol. 46(2), pages 77-96, January.
  3. Behrman, Jere R. & Deolalikar, Anil B., 1988. "Health and nutrition," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 1, chapter 14, pages 631-711 Elsevier.
  4. Ranis, G. & Ramirez, A. & Stewart, F., 1997. "Economic Growth and Human Development," Papers 787, Yale - Economic Growth Center.
  5. Lucas, Robert Jr., 1988. "On the mechanics of economic development," Journal of Monetary Economics, Elsevier, vol. 22(1), pages 3-42, July.
  6. Olsen, Edgar O. & Rogers, Diane Lim, 1991. "The welfare economics of equal access," Journal of Public Economics, Elsevier, vol. 45(1), pages 91-105, June.
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