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ESPS SURVEY
HEALTH, HEALTH CARE AND INSURANCE SURVEY
Biannual survey

ORGANIZATIONS IN CHARGE OF THE SURVEY

  • Irdes
  • Cnamts - National Health Insurance Fund for Salaried Workers (statistics department)

SURVEY'S FOCUS

  • Self perceived health status
  • Public coverage and private supplementary health insurance
  • Visits to a physician
  • Consumption of medical goods and services
  • Care and services administered by non-physician clinicians
  • Hospitalization
  • Reasons for not seeking care and opinions about health

PRINCIPAL CHARACTERISTICS

Surveys dates

1988, 1989, 1990, 1991, 1992, 1993, 1994, 1995, 1996, 1997, 1998, 2000, 2002, 2004, 2006.
The survey is undertaken in two waves (spring and fall).

Scope of the survey

  • ESPS 1996-1997-1998-2000-2002-2004: Households including at least one beneficiary of one of the main national health insurance funds (for salaried workers, farmers, or the self-employed), and who live in France (overseas territories excluded).
  • ESPS 1994-1995: Households including at least one beneficiary of either the national health insurance fund for salaried workers or the fund for the self-employed, and who live in France (overseas territories excluded).
  • ESPS 1993-1992-1991: Households including at least one beneficiary of the national health insurance fund for salaried workers.
  • ESPS 1990: Households including at least one beneficiary of the national health insurance fund for salaried workers, and who live in continental France (overseas territories excluded).
  • ESPS 1988-1989: Households including at least one beneficiary of the national health insurance fund for salaried workers, and who did not live in the Greater Paris region or in certain other specified départements (the département is a geographic subdivision of a region).

Sampling frame

Beneficiaries’ files, and files on administered care furnished by the national health insurance funds for salaried workers, farmers, and the self-employed.

Method

  • Addition of a household questionnaire for individuals from the Epas (Echantillon permanent d’assurés sociaux), which is an ongoing sample monitored by the national health insurance fund for salaried workers.
  • Until 1997, 25% of individuals in the Epas were surveyed each year; since 1998, half of the Epas’ population is surveyed every other year.
  • The principal questionnaire (socio-demographic data on the household to which the randomly chosen beneficiary belongs) is answered by phone (4 calls). For those with unlisted numbers or without phones, interviewers make two house calls to conduct the survey.
  • Self-administred questionnaires (supplementary health insurance, health and medical goods, recourse to a treatment center for the handicapped or disabled) are mailed to the sample population (or handled by interviewers for people with unlisted phone numbers or no phone).

QUESTIONNAIRES

Questionnaires of Health, health care and insurance survey (ESPS) (in French)

PUBLICATIONS IN ENGLISH

Social determinants of overweight among immigrants in Spain and France.
Dourgnon P., Moullan Y., The IMI Working Papers Series 116, University of Oxford: International Migration Institute, 10/07/2015, 49 p.
On imi site

Measuring Age-related Frailty in the General Population: a Comparison of the ESPS and SHARE Surveys
Sirven N. (Irdes), In collaboration with Rochereau T. (Irdes)
Issues in Health Economics (Questions d'économie de la santé) n░ 199. 2014/06.

Wage differences according to health status in France.
Ben Halima M.A., Rococo E., Social Science & Medicine, vol 120, 2014/11, 260-268.
On ScienceDirect site


Towards an Information System on Health Care Costs, Public and Complementary Health Insurance Reimbursements, and Out-of-pocket Payments
Dourgnon P., Evrard I., Guillaume S.
Issues in Health Economics (Questions d'économie de la santé) n° 194. 2014/01.

Deductibles and the Demand for Prescription Drugs: Evidence from French Data
Kambia-Chopin B. (Ministère de la Santé et des services sociaux du Québec ; Irdes), Perronnin M. (Irdes ; LEDa-LEGOS, Université Paris I)
Working paper n° 54. 2013/02
Abstract

CMU-C Beneficiaries Self-report more Illness than the Rest of the Population.
Results of the ESPS 2006-2008 surveys

Allonier C. (Irdes), Boisguérin B. (Drees), Le Fur P. (Irdes)
Issues in Health Economics (Questions d'économie de la santé) n° 173. 2012/02.

Complementary Health Insurance in France: Wide-Scale Diffusion but Inequalities of Access Persist
Perronnin M., Pierre A., Rochereau T. (Irdes)
Issues in Health Economics (Questions d'économie de la santé) n° 161. 2011/01

Disability and Social Security Reforms: The French Case
Behaghel L. (Paris School of Economics, Inra), Blanchet D. (Insee-D3E),
Debrand T. (Irdes), Roger M. (Paris School of Economics, Inra, Insee-D3E)
Document de travail n° 38. 2011/02
Abstract
Published in...

Effort or Circumstances: Does the Correlation Matter for Inequality of Opportunity in Health?
Jusot F. (Université Paris-Dauphine, LEDA-LEGOS, Irdes), Tubeuf S. (Université de Leeds, Academic Unit of Health Economics), Trannoy A. (EHESS, Greqam-Idep)
Working paper Irdes n° 33. 2010/07.

Assessment of asthma control and its socio-economic determinants.
Afrite A., Allonier C., Com-Ruelle L., “2nd European Public Health Conference - Human ecology and public health. Lodz, 25-28 novembre 2009”. The European Journal of Public Health, Oral presentations: abstracts, vol. 19, Suppl 1, 2009/01, pp. 60-61.
On European Journal of Public Health site

Monitoring Health Inequalities in France: A Short Tool for Routine Health Survey to Account for LifeLong Adverse Experiences
Cambois E. (Ined), Jusot F. (Université Paris-Dauphine, Leda-Legos, Ined, Irdes)
Working paper n° 30. 2010/03
Abstract

The preferred doctor scheme : A political reading of a French experiment of Gate-keeping, Dourgnon P., Naiditch M., Health Policy, in press, 2009/10, 1-6
Abstract

An empirical investigation of heterogeneity in time preferences and smoking behaviors. Grignon M., Journal of Socio-Economics, Volume 38, Issue 5, 2009/10, Pages 739-751
Abstract

The preferred doctor scheme: A political reading of a French experiment of Gate-keeping
Naïditch M. (Denis Diderot University, Irdes), Dourgnon P. (Irdes)
Working paper n° 22, 2009/03

Dynamic Estimation of Health Expenditure: A new approach for simulating individual expenditure
Albouy V. (Insee), Davezies L. (Insee), Debrand T. (Irdes)
Working paper n° 20, 2009/01

Private Supplementary health insurance : Retirees' demand. Franc C., Perronnin M., Pierre A., The Geneva Papers, vol 33, n°4. 2008/10, 610-626.
Abstract

Access to psycho-social resources and health: exploratory findings from a survey of the French population. Jusot F., Grignon M., Dourgnon P., Health Economics Policy and Law, 2008/10, vol 3, n°4, 365-391.
Abstract

Job loss from poor health, smoking and obesity : a national prospective survey in France. Jusot F., Khlat M., Rochereau T., Sermet C., Journal of Epidemiology and Community Health, n°4, vol 62, 2008/04, 332-337.
Full text on the JECH's site

The 2006 Health, Health Care and Insurance Survey, a panel for health policies analysis, public health and health economics research. Allonier C., Dourgnon P., Rochereau T., 2008/04
Questions d'Úconomie de la santÚ n° 131

Private supplementary health insurance: retirees' demand
Franc C. (Cermes, Inserm U750, CNRS UMR 8169, EHESS), Perronnin M. (Irdes), Pierre A. (Irdes)
Working paper n° 9, 2008/04

Alcohol consumption in France: one more glass of French paradox.
Com-Ruelle L., Dourgnon P., Jusot F., Lengagne P., 2008/01
Questions d'Úconomie de la santÚ n° 129

Delisting of mucolytics and expectorants: what is the impact on general practitioners’ prescribing?
Devaux M., Grandfils N., Sermet C., 2007/12
Questions d'Úconomie de la santÚ n° 128

Bad health strongly increases the risk of becoming unemployed or inactive
Jusot F., Khlat M., Rochereau T., Sermet C. September 2007
Questions d'Úconomie de la santÚ n° 125

Introducing Gate Keeping in France: first assessment of the preferred doctor scheme reform
Dourgnon P., Guillaume S., Naiditch M., Ordonneau C., 2007/07
Questions d'Úconomie de la santÚ n° 124

Sickness and injury leave in France : moral hazard or strain?
Grignon M. (McMaster University), Renaud T. (Irdes).
Working paper n° 4, 2007/02

Does free supplementary health insurance help the poor to access health care? Evidence from France.
Grignon M., Perronnin M., Lavis J.N., Chepa working Paper series n░ 06-02, Hamilton, ON. McMaster University, 2006, 37 p.
Full text on the McMaster University site

Does free complementary health insurance help the poor to access health care? Evidence from France.
Grignon M., Perronnin M., Lavis J.N., Health Economics,vol 17, n°2, 2008/02, 203-219
Full text on the Wiley Interscience site

Psychosocial resources and social health inequalities in France : Exploratory findings from a general population survey. Jusot F., Grignon M., Dourgnon P., Sedap Research Paper n°189, Hamilton, ON: McMaster University, Program for Research on Social and Economic Dimensions of an Aging Population (SEDAP), 2007/05, 36 p.
Full text on the McMaster University site

Health, Health Care and Insurance Survey 2004: First results
Allonier C., Guillaume S., Rochereau T., 2006/07
Questions d'Úconomie de la santÚ n° 110

Comparability of health surveys in Europe : France, United Kingdom, Russia, Poland, Czech Republic, Germany, Greece, Italy, Spain and Sweden."Indicators of active life expectancy" - Project International Longevity Centre, Barnay T., Jusot F., Rochereau T., Sermet C., Irdes/ILC, 2005/02/28.
Report
Appendix

Changes in inequalities in access to ambulatory care over the last decade in France : How much and why ? Couffinhal A., Dourgnon P., Tubeuf S., In : Ecuity III Workshop. Les inégalités sociales de santé. Helsinki : Stakes. National Research and Development Centre for Welfare and Health, 2004, 13 pages.

The impact of price on young people's smoking behaviour.Grignon M., Pierrard B., Extracts from the 4th European Conference of Health Economics, Paris, 7-10 July 2002, Journal d’Economie Médicale, 2004/05, vol 22, n° 3, 119-130

Access to physician services : does supplemental insurance matter ? Evidence from France. Buchmueller T.C., Couffinhal A., Grignon M., Perronnin M., Nber Working Paper Series n° 9238, Cambridge : NBER, 2002/10, 33 pages.

Health care systems in eight countries : trends and challenges - France. Paris V., Polton D., Sandier S., Thomson S., In : The European Observatory on Health Care Systems, 2002/04, pp. 31-45
Full text on the WHO site

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August 31st, 2015