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Effect of a French Experiment of Team Work between General Practitioners and Nurses on Efficacy and Cost of Type 2 Diabetes Patients Care
Mousquès J., Bourgueil Y., Le Fur P., Yilmaz E.

Working paper n° 29. 2010/01

This study aims to assess the efficacy and the cost of a French team work experiment between nurses and GPs for the managing of type 2 diabetes patients. Our study was based on a case control study design in which we compare the evolution of process (standard follow-up procedures) and final outcomes (glycemic control), and the evolution of cost. The study is realized for two consecutive periods between type 2 diabetes patients followed within the team work experiment (intervention group) or by “standard” GPs (controlled group)...

Abstract and full text

 

Immigrants’ Access to Ambulatory Care in France
Dourgnon P., Jusot F., Sermet C., Silva J.
Issues in health economics n° 146. 2009/09 (December 2009 for the English version).

 

Immigrants have a lower rate of access to office-based medical practices (whether general practitioners or specialists) than the rest of the French population. This can be explained more by immigrants’ disadvantaged social conditions than differences in age, gender and health status between the two populations. This analysis remains valid whatever the region of origin with the exception of North Africa whose immigrant population has a higher GP consultation rate...

Abstract and full text

 

Fifty Years of Deinstitutionalisation Policy of Psychiatric Services in France: Persistent Inequalities in Terms of Resources and Organisation Between Psychiatric Sectors
Coldefy M., Le Fur P., Lucas-Gabrielli V., Mousquès J.
Issues in health economics n° 145. 2009/08 (November 2009 for the English version).

 

Fifty years after the mental health policy of deinstitutionalisation introduced psychiatric sectors in France, these elementary state-running psychiatric-caredelivering units are marked by considerable geographical disparities in the human and financial resources allocated, facilities and equipment capacity, and the degree of commitment to reaching the initial goals set in the policy...

Abstract and full text

 

Estimating French GPs Weekly Working Hours by Activity - A summary of available data
Le Fur P. in collaboration with Bourgueil Y. and Cases C.
Issues in health economics n° 144. 2009/07 (November 2009 for the English version).

 

... GPs thus declare working on average between 52 and 60 hours per week distributed in the following manner: 61% of their weekly working time is devoted to the provision of medical care in private practice activity, 19% to the provision of care outside private practice activity and 20% in activities other than those directly involving medical care...

Abstract and full text

 

Cost-of-Illness Studies: a Five-Country Methodological Comparison - Australia, Canada, France, Germany and the Netherlands
Heijink R., Renaud T.
Issues in health economics n° 143. 2009/06 (November 2009 for the english version).

 

In all five countries studied, health care expenditure (hospitals, physicians, dentists and prescribed medicines) is predominated by three major diagnostic categories: cardiovascular diseases, digestive diseases and mental disorders...

Abstract and full text

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January's selection...

CHART OF THE MONTH

Readmission and Mortality Rates at 30 Days and Short Stay Activity for Eight In-Hospital Treatments (France, 2006)

Chart: Readmission and mortality rates at 30 days and short stay activity for eight in-hospital treatments (France, 2006)






























Source: 2006 French Medical System Program (PMSI)

Adapted from the Questions d'économie de la santé n°149, What is the Link Between Volume of Hospital Activity and Quality of Care in France?

In 2006, 842 hospitals (public and private) carried out a colon cancer surgery in metropolitan France, with an average of 35 stays per hospital. Readmission and mortality rates at 30 days for colon cancer surgery are respectively, 26,1% and 3,7 %.

Chart of the month: historic

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January 26th, 2010