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Irdes Newsletter

Every quarter, find the latest health economics news at Irdes: publications, seminars, interviews, detailed figures and documentation tools.

Every month find the French Newsletter




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).


Next participation of Irdes Researchers in International Conferences

Irdes news

Follow us

Irdes has moved into new locals in the 19th, near Buttes-Chaumont: 21-23, rue des Ardennes - 75019 Paris


International Workshop "Cancer and Labour Market Outcomes", Paris, 28-29 September 2015

International workshop co-organised by the CEE (Centre d'études de l'emploi - Employment Studies Centre), IRDES and Erudite (équipe de recherche sur l'utilisation des données individuelles en lien avec la théorie économique, Université Paris-Est Créteil - Research Group on the use of personal data on line with economic theory, University Paris-Est Créteil).

Harkness Fellowship

Julien Mousquès, research director at Irdes, has been awarded the Harkness Fellowship in Health Care Policy and Practice for 2015-2016.

More information on the Commonwealth Fund website

Recent Publications

Irdes publishing

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.

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?

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?

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?

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.

Irdes researchers' publications in other venues

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

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

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

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

3 questions to...

... Catherine Sermet on the occasion of the publication of Issues in Health Economics (204), December 2014: "Polypharmacy: Definitions, Measurement and Stakes involved. Review of the Literature and Measurement tests", written with Marlène Monégat

  • Why measuring polypharmacy? What are the different definitions of polypharmacy emphasized by this literature review?
  • What indicators should be used and under what circumstances?
  • Which are the databases available to analyze polypharmacy?


... Yasser Moullan on the occasion of the publication of Issues in Health Economics (203), November 2014: "The International Migration of Doctors: Impacts and Political Implications", written in collaboration with Yann Bourgueil

  • Why focus on international migration of doctors? How was the study conducted and which database did you use?
  • Could you give an overview of these international migrations ? From where do doctors emigrate and towards which countries? In what proportions?
  • What is the impact of these migrations on the countries of origin, both economically and on health indicators?


International Networks and Projects

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

Next Letter: July, 2015

Newsletter realized by C. Banchereau, A.Evans and A. Marek, diffusionS.Bequignon and S.Chriqui, graphical and technical design A. Sirvain, web development J. Harrouin

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