Irdes Newsletter

Institutionalisation Favours Access to Health Care for Disabled Persons Aged under 60 in France. Exploitation of the Health and Disability Households and Institutions Survey (2008-2009)

Issues in Health Economics (207), March 2015

Anne Penneau, Sylvain Pichetti, Catherine Sermet

The Health and Disability Households (HSM, 2008) and Institutions (HSI, 2009) survey, conducted by the DREES and INSEE, made it possible to compare the use of health care services between people with disabilities living at home and those living in institutions for three types of routine care (dental, ophthalmological and gynaecological care) and four types of preventive care (screening against breast cancer, colorectal cancer, cervical cancer and vaccination against hepatitis B).

Moreover, if disabled persons' access to health care is well documented for those living at home, it is less well documented for those living in institutions. The rare studies comparing access to health care between these two populations have been focused on dental care and have shown that life in an institution appears to increase the probability of having access to the care in question. Does this result concerning dental care also apply to other types of health care?

Variable Care Modalities for Schizophrenic Disorders in Health Care Facilities in 2011

Issues in Health Economics (206), February 2015

Magali Coldefy, Clément Nestrigue

Schizophrenia, a severe and debilitating mental disorder, affects around 1 to 2% of the adult population in France; approximately 400,000 people (HAS, 2007). By nature, not only is it one of the severest psychiatric disorders in terms of suffering for those affected and their families, but also one of the most costly for society: early-onset, often developing into a chronic disorder leading to frequent hospitalisations,  the intensity of treatments, and a high level of disability leading to difficulties maintaining a job. 

Based on data supplied by the Medical Information System for Psychiatry (Rim-P), the aim of this study is to extend knowledge on the treatment of this disorder in French health care facilities. After presenting the characteristics of patients monitored and treated in these facilities, differences in the modalities of care provided are observed according to type of health care facility. These are as varied as the different phases of this complex disorder requiring a wide range of care modalities: from full-time hospitalisation to a range of part-time and outpatient care.

From Compulsory Psychiatric Hospitalisation to Compulsory Treatment: First Results Following the Institution of the Law of July 5^th 2011

Issues in Health Economics (205), January 2015

Magali Coldefy, Tonya Tartour, in collaboration with Clément Nestrigue

This study presents the first results in the year following the enactment of the law and its deployment in France, and explores its impact on patient care. It is essentially focused on two sections of the law: the introduction of individual care plans and SPI. The aim of the study is to describe changes in involuntary psychiatric care following the implementation of the law, and to measure psychiatric activity by answering several questions: how can changes in the use of involuntary psychiatric care be characterised? To what extent do health establishments use the new legal procedures? What are the contents of an individual care plan? Which patients benefit from it? Has this reform improved access to continuity of care for patients with psychiatric disorders that can temporarily alter their awareness of the disorder or the need for psychiatric treatment?

Forms of Primary Care Teams - A Typology of Multidisciplinary Group Practices, Health Care Networks and Health Care Centers Participating in the Experiments of New Mechanisms of Remuneration (ENMR)

Issues in Health Economics (201), September 2014

Anissa Afrite, Julien Mousquès

What are the characteristics of primary care teams in France (multidisciplinary group practices (MGP), health care networks (HCN) and health care centers (HCC)) involved in the Experiments of New Mechanisms of Remuneration (ENMR) in terms of size, human resources, equipment and information systems? What are their organisational and functional characteristics in terms of care supply, coordination and multi-professional cooperation?

This fourth publication evaluating the primary care teams participating in the ENMR proposes an analysis of their structural, organisational and functional characteristics based on a survey conducted among 147 sites for the period 2008-2012. The sites were grouped together on the basis of factorial analyses and classifications resulting in five clusters: two HCC clusters, grouping salaried practitioners, and three MGP and HCN clusters grouping self-employed practitioners.

Disinvestment and Value-Based Purchasing Strategies for Pharmaceuticals: An International Review. Bonny Parkinson, Catherine Sermet, Fiona Clement, Steffan Crausaz, Brian Godman, Sarah Garner, Moni Choudhury, Sallie-Anne Pearson, Rosalie Viney, Ruth Lopert, Adam G. Elshaug. Pharmacoeconomics. 1-20 vol 33, Issue 9, 2015/09, 905-924

Belgium. Cartier T., Ryssaert L., Bourgueil Y., In Building Primary Care in a Changing Europe – Case Studies, Dionne S. Kringos, Wienke G.W. Boerma, Allen Hutchinson, Richard B. Saltman (Eds), Observatory Studies Series ; 40. Copenhague : Office des Publications du Bureau Régional de l'Europe, 2015/05, Chapter 2, 9-17

France. Cartier T., Bourgueil Y., In Building Primary Care in a Changing Europe – Case Studies, Dionne S. Kringos, Wienke G.W. Boerma, Allen Hutchinson, Richard B. Saltman (Eds), Observatory Studies Series ; 40. Copenhague : Office des Publications du Bureau Régional de l'Europe, 2015/05, Chapter 9, 77-87

Switzerland. Cartier T., Senn N., Cornuz J., Bourgueil Y., In Building Primary Care in a Changing Europe – Case Studies, Dionne S. Kringos, Wienke G.W. Boerma, Allen Hutchinson, Richard B. Saltman (Eds), Observatory Studies Series ; 40. Copenhague : Office des Publications du Bureau Régional de l'Europe, 2015/05, Chapter 29, 275-283

Entry Time Effects and Follow-On Drug Competition. Luiz Flavio Andrade, Catherine Sermet, Sylvain Pichetti, European Journal of Health Economics, 2014/12, 1-16

Are New Moodels Needed to Optimize the Utilization of New Medicines to Sustain Healthcare systems? Godman B, Malmström RE, Diogene E, Gray A, Jayathissa S, Timoney A, Acurcio F, Alkan A, Brzezinska A, Bucsics A, Campbell SM, Czeczot J, de Bruyn W, Eriksson I, Yusof FA, Finlayson AE, Fürst J, Garuoliene K, Guerra Júnior A, Gulbinovič J, Jan S, Joppi R, Kalaba M, Magnisson E, McCullagh L, Miikkulainen K, Ofierska-Sujkowska G, Pedersen HB, Selke G, Sermet C, Spillane S, Supian A, Truter I, Vlahović-Palčevski V, Vien LE, Vural EH, Wale J, Władysiuk M, Zeng W, Gustafsson LL. Expert Review of Clinical Pharmacology, vol 8, n°1, 2015/01, 77-94

Social Participation and Health: A Cross-Country Investigation among Older Europeans. Nicolas Sirven, Caroline Berchet, Howard Litwin. In Social capital as a health resource in later life: the relevance of context, Fredrica Nyqvist, Anna K. Forsman (Eds), International Perspectives on Aging, vol 11, 2015, 177-190

... Anne Penneau, Sylvain Pichetti and Catherine Sermet on the occasion of the publication of Issues in Health Economics (207), March 2015: "Institutionalisation Favours Access to Health Care for Disabled Persons Aged under 60 in France"

• What were your motivations for undertaking this study?
• What are the specificities of your approach compared to other studies about health care of disabled people?
• Do differences in access to health care or prevention of disabled persons always be in favor of people living in institutions?

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... Magali Coldefy and Clément Nestrigue, on the occasion of the publication of Issues in Health Economics (206), February 2015: "Variable Care Modalities for Schizophrenic Disorders in Health Care Facilities in 2011"

• Why did you choose to analyze schizophrenia rather than another mental disorder?
• What did the database Medical Information System for Psychiatry (Rim-P) allow you to study?
• What are the issues raised by the variability of care modalities for patients treated for schizophrenic disorders?

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The Joint Programming Initiative (JPI) “More Years, Better Lives – The Potential and Challenges of Demographic Change”

"The Joint Programming Initiative (JPI) 'More Years, Better Lives – The Potential and Challenges of Demographic Change' seeks to enhance coordination and collaboration between European and national research programmes related to demographic change. Currently 15 European countries and Canada are participating in the JPI 'More Years, Better Lives'".

Yann Bourgueil is a member of the JPI MYBL Scientific Advisory Board.

Wennberg International Conference (WIC)

Zeynep Or will attend the 6^th Annual WIC Conference that will be held at the Royal College of Surgeons in London (UK), on September 2-4, 2015.