Every quarter, find the latest health economics
news at Irdes: publications, seminars, interviews, detailed
figures and documentation tools.
Every month find the
French Newsletter
Spotlights
Charts
Documentation
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Doc
Veille: Keep an Eye on Health Economics Literature
Produced by Irdes documentation centre,
Doc Veille, a bimonthly publication, presents by theme
the latest articles and reports in health economics:
both peer-reviewed and grey literature.
Selected
for You: Books, Links and Papers of the Month
Updated monthly, this section presents a
selection of books, websites and working papers
published by world-wide universities and research
institutes specialised in Health Economics and related
domains.
Health
Address Book
This directory presents a selection of
the major French health and healthcare institutions
which provide information to the public (last update:
October 2014).
Getting
Information on Public Health in France and in Europe
Do you need information on public health
in France and in European countries? This document
provides a selection of the major bibliographical and
statistical resources on public health and related
issues in France and in other industrialised nations
(last update: October 2014).
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Forthcoming
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Next participation of Irdes Researchers
in International Conferences
- Mohamed
Ali Ben Halima will attend the
3rd
Annual International Conference on Health &
Medical Sciences, Athens, Greece, May
4-7, 2015
- Yann
Bourgueil will attend the Canadian Association
for Health Services and Policy Research: 2015
CAHSPR Conference, in Montréal, May
26-28, 2015
- Charlène
Le Neindre and Véronique
Lucas-Gabrielli will attend the 16th
International Medical Geography Symposium (IMGS
2015), in Vancouver (Canada), July
5-10, 2015
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Irdes news
Recent Publications
Irdes publishing
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Polypharmacy:
Definitions, Measurement and Stakes involved. Review
of the Literature and Measurement Tests
Issues in Health Economics (204),
December 2014
Marlène Monégat, Catherine
Sermet
In collaboration with Marc Perronnin and
Emeline Rococo
Polypharmacy, defined by the World Health
Organisation as 'the practice of administering multiple
medications concurrently or the administration of an
excessive number of medications' is frequent among the
elderly as they often suffer from chronic diseases with
concomitant pathologies. If polypharmacy is legitimate
in some cases, it can also be inappropriate and in all
cases carries the risk of adverse effects or drug
interactions. In an ageing society such as ours,
polypharmacy is a major public health issue in terms of
the quality and efficiency of care and also health
expenditures. It is thus essential to examine the
definitions and measurement of polypharmacy.
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The
International Migration of Doctors: Impacts and
Political Implications
Issues in Health Economics (203),
November 2014
Yasser
Moullan (University of Oxford, International
Migration Institute, Irdes)
In collaboration with Yann
Bourgueil (Irdes)
If the international migration of doctors
has been part of the "brain drain" debate, few studies
have focused on the question in depth due to statistical
data limitations. An innovative data source based on
foreign-trained doctors over the period 1991 to 2004,
made it possible to draw up an overview of the migration
flow of doctors, to study its impact and draw economic
policy implications.
What effects do these migrations have on
the origin countries both from an economic point of view
and in terms of health indicators? What lines of action
or public policies can be envisaged in the face of
emigration? What form of international cooperation can
be envisaged in terms of health professionals'
international mobility? What are the impacts on the
receiving countries' in terms of health profession
regulation policies?
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Long-Stay
Psychiatric Hospitalisation: Analysis and Determinants
of Territorial Variability
Issues in Health Economics (202), October
2014
Magali
Coldefy, Clément
Nestrigue (Irdes)
Long-stay psychiatric hospitalisation (lasting a year or
over, over a continuous period or not, and associated
with a period of hospitalisation the preceding year)
concerned almost 12,700 patients in 2011. Although it
only represents 0.8% of hospitalisations in the active
patient file, it nevertheless represents a quarter of
the total number of hospital days and a quarter of
hospital beds. When there are no therapeutic indications
to warrant hospitalisation and in the context of reduced
hospital capacity and average hospital stays, and the
development of ambulatory psychiatric care, prolonged
hospitalisation raises a number of questions.
Using the Medical Information Database
for Psychiatry (Rim-P, Recueil d'informations
médicalisées en psychiatrie) and numerous
medical-administrative databases, this study aims to
answer several questions: what are the characteristics
of long-stay psychiatric inpatients? How to explain
territorial variations in the use of long-stay
hospitalisation? What role is played by the organisation
of care supply, medical-social care supply and the
socioeconomic context in these disparities?
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Hospital
Activity, Productivity and Quality of Care before and
after T2A
Issues in Health Economics (186), April
2013
Julia Bonastre, Florence Journeau (IGR,
Institut Gustave Roussy), Clément
Nestrigue, Zeynep
Or (Irdes)
The activity-based funding (T2A) is used
since 2004-2005, for financing acute hospital care in
public and private hospitals with an objective to
improve the efficiency of individual providers and the
hospital sector as a whole. To date, however, the impact
of T2A on hospital activity, productivity and quality of
care has only been partially evaluated in France. This
study provides new data and analyses for answering
different questions: has the introduction of T2A
contributed to increasing productivity of hospital
sector? How has the production structure/casemix
of different hospitals been modified? How has the
quality of care been affected?
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Workers
Compensation Insurance: Incentive Effects of
Experience Rating on Work-related Health and Safety
Working paper (64), December 2014
Pascale
Lengagne
This article examines Workers
Compensation Insurance experience rating premiums
setting, a common financial incentive tool existing in
several countries. Premiums paid by firms are experience
rated, which may encourage them to reduce work-related
injuries and disabilities. This article provides a
literature review on effects of experience rating on
work-related health and safety, and empirical results on
the French jurisdiction, using sectorial data from
industry and construction sectors in 2005. Results are
consistent with the hypothesis that this policy tool is
a lever that contributes to improve working conditions
and reduce work-related injuries rates.
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Irdes researchers' publications in other venues
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Overview and Future Challenges for
Primary Care, Wienke Boerma, Yann
Bourgueil, Thomas
Cartier, Toralf Hasvold, Allen Hutchinson, Dionne
Kringos, Madelon Kroneman. In Building primary care in
a changing Europe, Dionne S. Kringos,
Wienke G.W. Boerma, Allen Hutchinson, Richard B. Saltman
(Eds), Observatory Studies Series ; 38. Copenhague :
Publications World Health Organization Regional Office
for Europe, 2015/03, Chapter 5, 119-134
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Diversity of Primary Care Systems
Analysed, Dionne Kringos, Wienke Boerma, Yann
Bourgueil, Thomas
Cartier, Toni Dedeu, Toralf Hasvold, Allen
Hutchinson, Margus Lember, Marek Oleszczyk, Danica Rotar
Pavlic. In
Building primary
care in a changing Europe, Dionne S.
Kringos, Wienke G.W. Boerma, Allen Hutchinson, Richard
B. Saltman (Eds), Observatory Studies Series ; 38.
Copenhague : Publications World Health Organization
Regional Office for Europe, 2015/03, Chapter 4, 103-118
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Structure and Organization of Primary
Care, Margus Lember, Thomas
Cartier, Yann
Bourgueil, Toni Dedeu, Allen Hutchinson, Dionne
Kringos. In Building primary care in
a changing Europe, Dionne S. Kringos,
Wienke G.W. Boerma, Allen Hutchinson, Richard B. Saltman
(Eds), Observatory Studies Series ; 38. Copenhague :
Publications World Health Organization Regional Office
for Europe, 2015/03, Chapter 2, 41-66
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Compulsory
Private Complementary Health Insurance Offered by
Employers in France: Implications and Current Debate,
Carine Franc, Aurélie Pierre.
Health Policy,
Volume 119, Issue 2, Pages 111–116, 2015
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3 questions to...
International Networks and Projects
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The
European Health Interview Survey (EHIS)
In 2014, at the request of the French
Health and Social Affairs Ministry, the European Health
Interview Survey's questionnaire has been included in
the Health,
Health Care and Insurance French Survey (ESPS),
conducted by Irdes since 1988. Catherine
Sermet leads the EHIS project at Irdes.
EUNAM
- EU and North African Migrants: Health and Health
Systems
The European project EUNAM (EU and North
African Migrants: Health and Health Systems) aims at
establishing a research network on health and migration
in Europe by associating European research centres
(Germany, Italy, Sweden and France) with research
centres in four North African countries (Algeria, Egypt,
Tunisia and Morocco). The research platform is very
large which should permit a European comparison of
health status and health care use differences between
immigrant and local populations and, through the
collaboration with North African countries, allow a
better identification of health effects related to
country of origin and host country. Paul
Dourgnon is the French member of the EUNAM
project's team.
The Health Systems and
Policy Monitor (HSPM)
HSPM is an innovative platform that
provides a detailed description of health systems and
offers up-to-date information on reforms and changes
that are particularly policy relevant. Each country has
a dedicated page that provides systematic descriptions
of its health system and features up-to-date information
on ongoing health reforms and policies.
See the French Health System Page
The
European Health Policy Group (EHPG)
EHPG is an informal, collegial and
multidisciplinary network aiming to stimulate
international collaboration and learning through
meetings in the spring and autumn of each year for
comparative and multi-disciplinary analysis of structure
of, and changes to, European systems of health care. Zeynep Or is a
member of the organising committee.
Next
spring meeting, Krakow, Poland, 23 to 24 April, 2015,
on Evaluation of
Public Policies in Healthcare
The
Wenneberg International Collaborative
Zeynep
Or is a member of The
Wennberg International Collaborative which is a
research network committed to improving healthcare by
examining organizational and regional variation in
health care resources, utilization, and outcomes.
The 1st Annual
WIC Policy conference will be held at Villa
Elisabeth in Berlin, Germany on June 4-5, 2015
The 6th Annual
WIC conference will be held at the Royal
College of Surgeons in London, UK on September 2-4,
2015
The
Piperska Group
Catherine
Sermet is a member of The
Piperska Group which is a multidisciplinary
network of professionals who share the common vision of
enhancing the health of the public and the individual
patient in a sustainable way through exchanging ideas
and cooperation around the rational use of
pharmacological and related therapies.
Vision
and Mission: The Rational Use of Medicines, June 7,
2013
Next
meeting: Warsaw, Poland, May 11-13, 2015
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Next Letter: July, 2015
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