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IRDES Newsletter

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

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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.

Newsletters in Health Economics

IRDES' quarterly selection

IRDES news

Denis Raynaud has been appointed new Director of IRDES in October 2015

On October 21, 2015, Denis Raynaud was appointed director of IRDES by the new Administrative Board which met for the first time since IRDES was transformed into a public interest group (GIP).

Harkness Fellowship

Paul Dourgnon, research director at IRDES, has been awarded the Harkness Fellowship in Health Care Policy and Practice for 2016-2017.

More information on the Commonwealth Fund website

Recent Publications

IRDES publishing

The Consequences of a Traumatic Tetraplegia on forming a Union

Espagnacq M. (IRDES), Ravaud J.-F. (INSERM, IFRH)

Issues in Health Economics (212), September 2015

Understanding the links that can exist between a severe disability, such as tetraplegia, and marital status is especially difficult as the data on the subject is rare. The Tétrafigap surveys, conducted in 1995 and 2006, permit to study the medium and long term evolution of union-formation, by monitoring the same population of spinal cord injured tetraplegics over more than ten years. The aim is, first, to measure the impact of severe disabilities on couple formation and, second, to define the elements that influence the possibility of a union.
These injuries, often due to public highways or sports accidents, mainly concern a young male population, about 80% of men in their twenties at the time of the accident. In Tétrafigap cohort, over 60% of respondents were single at the time of the accident and 50% of them forming a union since. Starting a union after such trauma is no marginal phenomenon. The analysis of factors influencing the union formation has shown that socio-environmental elements have a much stronger influence on the probability of forming a union than elements referring to autonomy or to the clinical situation.

The Impact of Multiprofessional Group Practices on the Quality of General Practice
Results of the Evaluation of Multidisciplinary Group Practices (MGP), Health Care Networks (HCN) and Health Care Centers (HCC) Participating in Experiments with New Modes of Remuneration (ENMR)

Mousquès J. (IRDES), in collaboration with Daniel F. (IRDES)

Issues in Health Economics (211), July-August 2015

What are the impacts of multiprofessional group practice in the three types of health care facility - multidisciplinary group practices (MGP), health care networks (HCN) and health care centers (HCC) - having participated in the Experiments with New Modes of Remuneration (ENMR)? Have the quality of general practice and the efficiency of prescribing improved in ENMR sites compared with solo practices? Do notable differences between MGP, HCN and HCC emerge? Do the analyses show that ENMR has had an impact?
These questions are examined in the sixth publication in a series on the evaluation of multiprofessional group practices having participated in ENMR. The quality and efficiency of general practice in ENMR sites was compared with that of control sites over a period of four years from 2009 to 2012. The analyses concerned four main dimensions of general practice: the monitoring of type 2 diabetes patients, vaccination, screening and prevention, and the efficiency of prescribing.

Multiprofessional Group Practices Generate Gains in Terms of Productivity and Expenditures
Results of the Evaluation of Multidisciplinary Group Practices (MGP), Health Care Networks (HCN) and Health Care Centers (HCC) Participating in Experiments with New Modes of Remuneration (ENMR)

Mousquès J. (IRDES), in collaboration with Daniel F. (IRDES)

Issues in Health Economics (210), June 2015

What are the impacts of multiprofessional group practice in the three types of health care facility - multidisciplinary group practices (MGP), health care networks (HCN) and health care centers (HCC) - having participated in the Experiments with New Modes of Remuneration (ENMR) between 2010 and 2014? Are general practitioners working in ENMR sites more active and productive than the others? Do they have similar practice structures? Do their patients use the different categories of ambulatory care more or less frequently? Are their medical expenditures lower or higher? Are the results homogeneous or heterogeneous between the different types of sites participating in ENMR?
These questions are adressed in this fifth publication in a series evaluating multiprofessional group practices in health centers having participated in ENMR. The quantitative evaluation analyses measuring the impact of multiprofessional group practice on health care activities and services are based on a quasi experimental design.

Experience Rating, Incidence of Musculoskeletal Disorders and Related Absences
Results from a Natural Experiment

Lengagne P., Afrite A. (IRDES)

Working paper (69), October 2015

In many countries, the cost of workers' compensation insurance is borne by firms. The contributions paid by a given firm are linked to its past health costs of occupational injuries and illnesses. This experience rating scheme should encourage firms to invest in occupational prevention, thereby reducing the social costs of adverse occupational exposures. This paper provides results on whether firms respond to an increase in their contribution to occupational musculoskeletal disorder health costs by reducing the incidence of these diseases and related absences. Our identification strategy exploits a natural experiment in the French context in 2007. We use administrative data on establishments for the years 2004 to 2010. Estimations are based on a Difference-in-differences model. The key result is that in activity sectors with a high prevalence of occupational musculoskeletal disorders, which have experimented the highest contribution increase, this increase has induced a substantial diminution of the incidence of those diseases, related absence days and wage indemnities.

IRDES researchers' publications in other venues

Interventions Addressing Health Inequalities in European Regions: the AIR Project

Salmi L.R., Barsanti S., Bourgueil Y., Daponte A., Piznal E., Ménival S., Health Promotion International, on line le 26/10/2015, vol 32, n° 3, 2017/06, 430-441.

Generic Pregabalin; Current Situation and Implications for Health Authorities, Generics and Biosimilars Manufacturers in the Future

Godman B., Wilcock M., Martin A., Bryson S., Baumgärtel C., Bochenek T., de Bruyn W., Sović Brkičić L., D'Agata M., Fogele A., Coma Fusté A., Fraeyman J., Fürst J., Garuoliene K., Herholz H., Hoffmann M., Jayathissa S., Kwon H.-Y., Langner I., Kalaba M., Andersén Karlsson E., Laius O., Markovic-Pekovic V., Magnusson E., McTaggart S., Metcalfe S., Bak Pedersen H., Piessnegger J., Ringerud A.-M., .W Selke G., Sermet C., Schiffers K., Skiold P., Slabý J., Tomek D., Viksna A., Vitry A., Zara C., Malmström R.-E., Generics and Biosimilars Initiative Journal (GaBI Journal). vol 4, n°3, 2015/09, 125-135.

Medical Practice Variations in Mental Health and Addictions Care

Lin E., Or Z., Coldefy M., Urbanoski K., Seitz D., Carlisle C., Szatmari P., Kurdyak P. In Medical Practice Variations, Johnson A., Stukel T. (Eds), Health Services Research (Coll.), New York : Springer-Verlag, on line, 2015/07, 1-41.

3 questions to...

... Maude Espagnacq, on the occasion of the publication of Issues in Health Economics (212), September 2015: "The Consequences of a Traumatic Tetraplegia on forming a Union"

  • What are the main characteristics of the respondents to the survey? What are the particularities of the Tétrafigap surveys?
  • Have their marital status changed between their accident and 2006?
  • Which factors most influence the possibility of a union of people with traumatic tetraplegia?

Read the interview

... Denis Raynaud, new Director of IRDES since October 2015.
You are appointed Director of IRDES following its transformation into a public interest group (GIP).

  • Did this transformation generate changes?
  • What is your professional background?
  • What are your projects for IRDES?

Read the interview

International Networks

  • In 2016, IRDES will host for four months Ryozo Matsuda, professor of health policy at Ritsumeikan University in Japan, who will work on a comparative analysis of regional governance in France, England and Germany.
  • European Health Policy Group (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 multidisciplinary analysis of European systems of health care and their evolution.
    The objective of EHPG meetings is to learn about experience of other European countries and from perspectives of other disciplines. One objective of the meetings is to foster opportunities for collaboration between authors from different countries and different disciplines.
    Zeynep Or, who is in the scientific organisation committee, will attend the next EHPG meeting which will be hosted at the National Institute for Health and Welfare in Helsinki on 28 April and 29 April, 2016.
  • The Wennberg International Collaborative is a research network committed to improving healthcare by examining organizational and regional variations in health care resources, utilization, and outcomes. This is a global community of scholars interested in comparative measurement particularly across a country's regions and health care organizations. Our goal is to advance the understanding of the causes and consequences of unwarranted variations (i.e. variations in health care not explained by differences in population needs or preferences) around the world, leading to clinical improvement and policy change. IRDES is part of this network since its inception in 2010.
    The second annual Wennberg International Collaborative Spring Policy Meeting will be held 14-15 April, 2016 in Pisa, Italy. Theme: Reducing avoidable variation in Healthcare. A goal for regional strategies and actions.
    Zeynep Or will attend the meeting and present politics of variations in elderly care in France.
  • MED' HISS: Mediterranean Health Interviews Survey Studies: Long term exposure to air pollution and health surveillance
    The European Commission is engaged from many years in evaluating air pollution real impact on the human health and promoting effective measures to its reduction. Many studies have demonstrated an association between short-term exposure to air pollution and the occurrence of acute health events. However, less is known about the health effects of being chronically exposed to high air pollution levels, which is the current situation for a large part of the population in the Mediterranean area.
    The problems targeted by the MED'HISS project, selected in the Life + program, Environment Policy and Governance, Environment and Health, are to estimate long-term health effects of air pollution in four Mediterranean countries (France, Italy, Slovenia and Spain), providing new evidence to support EU legislation and implementing an epidemiological cheaper surveillance system to monitor these effects over time. The project started on the first of July 2013 in order to give the first results before the end of the project (June 2016).
    The French component of the MED'HISS project is led by Dr. Isabella Annesi-Maesano, director of research at the French National Institute of Health and Medical Research (INSERM), who heads the unit EPAR UMR-S 707.
    The IRDES, represented by Dr Laure Com-Ruelle, research director, is involved in the project by providing the ESPS databases matched with data from national health insurance medico- administrative databases, and by proposing its expertise and analysis.

Next Letter: April, 2016

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