3 questions to…

… Jonas Poucineau, Damien Bricard and Paul Dourgnon, following the publication of the Issues in Health Economics (259), June 2021: "Expectable Effects on Poverty Reduction of the Health System Reforms Introduced in the National Strategy for the Prevention and Reduction of Poverty"

1. What policies are you studying in this literature review?
2. How can these health policies reduce poverty?
3. Which foreign experiences best inform the policies that will be implemented in France?
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Charts

Readmission rates for older adults hospitalized for heart failure who also have diabetes

IRDES events, conferences and seminars

European Health Policy Group

The European Health Policy Group, of which Zeynep Or - Research Director at IRDES - is a member of the scientific committee, is organizing a webinar on 3 December 2021 entitled: "Digital Health Care: Challenges, Opportunities and Lessons Learnt."
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8^th IRDES-DAUPHINE Workshop on Applied Health Economics and Policy Evaluation

The 8^th IRDES-DAUPHINE Workshop on Applied Health Economics and Policy Evaluation will take place in Paris, France, on 23-24 June 2022. The workshop is organized by IRDES in collaboration with the University Dauphine PSL.
 Call for paper

IRDES publishing

Expectable Effects on Poverty Reduction of the Health System Reforms Introduced in the National Strategy for the Prevention and Reduction of Poverty
Conceptual Framework and Literature Review

Poucineau J., Bricard D., Dourgnon P. (IRDES)
Issues in Health Economics (Questions d'économie de la santé), 259, June 2021

What are the consequences of health policies on the economic and social situation of individuals? Based on a literature review on French and foreign programmes and policies, we set forth a conceptual framework for the analysis of the effects on poverty of several health policies embedded in the National Strategy for the Prevention and Reduction of Poverty (Stratégie Nationale de Prévention et de Lutte Contre la Pauvreté) and the healthcare stakeholders’ national consultation (Ségur de la Santé). Within this framework, healthcare influences poverty via two causality channels. On the one hand, the improvement of the financial accessibility of healthcare reduces healthcare costs that are likely to lead to individuals fall into or remaining in poverty. On the other hand, the improvement in access to healthcare, and thus individuals’ health status, has an impact on individual’s educational level, access to employment, and income, over the life cycle.
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Does a Health Shock Modify Tobacco Consumption?

Marsaudon A. (IRDES), Rochaix L. (University of Paris 1, Hospinnomics (PSE-AP-HP))
Issues in Health Economics (Questions d'économie de la santé), 257, April 2021

Smoking caused almost 75,000 deaths in France in 2015, killing half of all regular smokers. It is also responsible for 90% of lung cancer cases, and increases the risk of developing a serious form of cardiovascular disease and of contracting chronic obstructive pneumopathy (Bonaldi et al., 2019). To lower the incidence of these diseases, various anti-smoking campaigns have contributed to reducing average tobacco consumption over recent years. However, some parts of the population, in particular unemployed persons and low-income individuals, are still reluctant to change their smoking habits significantly and over the long term (Beck et al., 2015). (…) In this context, it is important to better understand the factors that foster reducing tobacco consumption. (…) Using the longitudinal data from the Gazel cohort, our results indicate that smokers having such health shock reduce their tobacco consumption more than other smokers. Furthermore, this reduction is maintained up to five years after the health shock. We also show that heavy smokers reduce their tobacco consumption more than occasional smokers.
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Impact of competition on the quality of hospital care: the example of breast cancer surgery in France / Impact de la concurrence sur la qualité des soins hospitaliers : l'exemple de la chirurgie du cancer du sein en France

Or Z. (Irdes), Touré M. (Irdes), Rococo E. (Union diaconale du Var, Isped), Bonastre J. (Institut Gustave Roussy, Inserm-CESP)
IRDES Working Papers (Documents de travail de l'Irdes), 85, September 2021
IN FRENCH

There is debate about the impact of hospital competition on quality of care. On the one hand, economic theory suggests that when prices are regulated, the quality of care increases in competitive markets. On the other hand, economies of scale and the existence of a positive relationship between volume of activity and quality of care argue in favor of concentration of hospital care supply. Using individual data from the Programme de medicalisation des systèmes d'information (PMSI, French national hospital database) over two years (2005 and 2012), we monitor the evolution of competition between hospitals performing breast cancer surgery in France. We use the practice of two innovative surgical techniques as a measure of quality of care: breast reconstruction.
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Medical practices in primary care. A qualitative study of nurses, care givers and home care workers / Pratiques médicales en soins primaires. Etude qualitative auprès d’infirmières, d’aides-soignantes et d’aides à domicile

Suchier M., Michel L. (IRDES)
IRDES Reports (Rapports de l'Irdes), 584, November 2021
IN FRENCH

While the health crisis has brought into sharp focus the importance of home care for people with chronic diseases or loss of autonomy, this qualitative sociological survey, conducted in 2020, offers a glimpse into the daily lives of three professional groups (home care workers, caregivers and nurses) involved in home care, who are rarely in the spotlight.
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International Comparison of Specialist Care Organization: Innovations in Five Countries
The United States: Innovating Hospital Services at the University of North Carolina Medical Center

Michel L., Or Z. (IRDES)
IRDES Reports (Rapports de l'Irdes), 581, Case studies series 1-4b. October 2021

Under pressure of increasing demand for healthcare from an ageing population with multiple chronic conditions, France, as other countries, seeks to advance care coordination across primary, hospital and long-term care sectors. Specialists play an essential role in treating patients with chronic conditions, but little attention is given to their organization out of hospitals, and their role in enhancing care coordination and patient-centered care provision.
In order to investigate different ways in which specialists are working out of hospital to integrate primary and social care, we carried out case studies in five countries (England, Germany, Italy, the Netherlands, and the United States). (…) The two case studies in this report describe the innovative services provided by the University of North Carolina Medical Center in the US southern Atlantic state of North Carolina. The first example concerns the investment in teamwork in genital and urology clinic, for improving care for cancer patients, while the second focuses on an initiative that aimed to improve care coordination of patients with chronic renal insufficiency by integrating treatments provided in the hospital and private dialysis centres.
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International Comparison of Specialist Care Organization: Innovations in Five Countries
Germany: Interdisciplinary Ambulatory Healthcare Centers in Berlin Area (MVZs)

Michel L., Or Z. (IRDES)
IRDES Reports (Rapports de l'Irdes), 583, Case studies series 1-5b. October 2021

Under pressure of increasing demand for healthcare from an ageing population with multiple chronic conditions, France, as other countries, seeks to advance care coordination across primary, hospital and long-term care sectors. Specialists play an essential role in treating patients with chronic conditions, but little attention is given to their organization out of hospitals, and their role in enhancing care coordination and patient-centered care provision.
In order to investigate different ways in which specialists are working out of hospital to integrate primary and social care, we carried out case studies in five countries (England, Germany, Italy, the Netherlands, and the United States). (…) This case study on the organization of specialized medicine in Germany presents three MVZs (Medizinische Versorgungszentren), interdisciplinary ambulatory healthcare centers in Berlin area.
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International Comparison of Specialist Care Organization: Innovations in Five Countries
England: Pioneer Integrated Care Teams in Geriatric and Respiratory Services

Michel L., Or Z. (IRDES)
IRDES Reports (Rapports de l'Irdes), 579, Case studies series 1-3b. July 2021

Under pressure of increasing demand for healthcare from an ageing population with multiple chronic conditions, France, as other countries, seeks to advance care coordination across primary, hospital and long-term care sectors. Specialists play an essential role in treating patients with chronic conditions, but little attention is given to their organization out of hospitals, and their role in enhancing care coordination and patient-centered care provision.
In order to investigate different ways in which specialists are working out of hospital to integrate primary and social care, we carried out case studies in five countries (England, Germany, Italy, the Netherlands, and the United States). (…) This case study looks at the organization and functioning of two pioneer integrated care teams models in England where hospital specialists work closely with primary and long-term care providers and provide services outside hospital.
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Other IRDES researcher's publications (in English)

Achieving Higher Performing Primary Care through Patient Registration: A Review of Twelve High-Income Countries.
Marchildon G.P., Brammli-Greenberg S., Dayan M., De Belvis A.G., Gandré C., Isaksson D., Kroneman M., Neuhner-Jehle S., Saunes I.S., Thomas S., Vrangbæk K., Quentin W. Health Policy. en ligne : 06/09/2021
(Catégorie 2 - CNRS) - (Cat. A - Hcérès)

Balancing Financial Incentives during COVID-19: A Comparison of Provider Payment Adjustments Across 20 Countries.
Waitzberg R., Gerkens S., Dimova A., Bryndová L., Vrangbæk K., Jervelund S.S., Okkels Birk H., Rajan S., Habicht T., Tynkkynen L.K., Keskimäki I., Or Z., Gandré C., Winkelmann J., Ricciardi W., De Belvis A.G., Poscia A., MorsellaA., Slapšinskaitė A., Miščikienė L., Kroneman M., De Jong J., Tambor M., Sowada C., Scintee S.G., Vladescu C., Albreht T., Bernal-Delgado E., Angulo-Pueyo E., Estupiñán-Romero F., Janlöv N., Mantwill S., Van Ginneken E., Quentin W., Health Policy, en ligne : 6 octobre 2021,1-23.
(Catégorie 2 - CNRS) - (Cat. A - Hcérès)

Economic Vulnerability and Unmet Healthcare Needs among the Population Aged 50 + Years during the COVID-19 Pandemic in Europe.
Arnault L., Jusot F., Renaud T. European Journal of Ageing, en ligne : 05/09/2021, 1-15.

Impact of Ed-LinQ: A Public Policy Strategy to Facilitate Engagement between Schools and the Mental Health Care System in Queensland, Australia.
Salvador-Carulla L., Fernandez A., Sarma H., Mendoza J., Wands M., Gandré C., Chevreul K., Lukersmith S. International Journal of Environmental Research and Public Health, 2021/08, vol. 18, n° 15. 1-15.

Tackling the COVID-19 Pandemic: Initial Responses in 2020 in Selected Social Health Insurance Countries in Europe.
Schmidt A.E., Merkur S., Haindl A., Gerkens S., Gandré C., Or Z., Groenewegen P., Kroneman M., De Jong J., Albreht T., Vracko P., Mantwill S., Hernández-Quevedo C., Quentin W., Webb E., Winkelmann J., Health Policy, en ligne : 29/09/2021, 1-9
(Catégorie 2 - CNRS) - (Cat. A - Hcérès)

Characteristics of Clinical Trials Launched Early in the COVID-19 Pandemic in the US and in France.
Raimond V., Mousquès J., Avorn J., Kesselheim A.S. Journal of Law, Medicine & Ethics, 2021, vol. 49, n° 1, 139-151.

Differences in Health Care Spending and Utilization Among Older Frail Adults in High-Income Countries: ICCONIC Hip Fracture Persona.
Papanicolas I., Figueroa J.F., Schoenfeld A.J., Riley K., Abiona O., Arvin M., Atsma F., Bernal-Delgado E., Bowden N., Blankart C.R., Deeny S., Estupiñán-Romero F., Gauld R., Haywood P., Janlov N., Knight H., Lorenzoni L., Marino A., Or Z., Penneau A., et al., Health Services Research, en ligne 14/08/2021.
(Catégorie 2 - CNRS) - (Cat. A - Hcérès)

Differences in Health Outcomes for High-Need High-Cost Patients Across High-Income Countries.
Papanicolas I., Riley K., Abiona O., Arvin M., Atsma F., Bernal-Delgado E., Bowden N., Blankart C.R., Deeny S., Estupiñán-Romero F., Gauld R., Haywood P., Janlov N., Knight H., Lorenzoni L., Marino A., Or Z., Penneau A., et al., Health Services Research, en ligne 11/08/2021.
(Catégorie 2 - CNRS) - (Cat. A - Hcérès)

International Comparison of Health Spending and Utilization Among People with Complex Multimorbidity.
Figueroa J.F., Papanicolas I., Riley K., Abiona O., Arvin M., Atsma F., Bernal-Delgado E., Bowden N., Blankart C.R., Deeny S., Estupiñán-Romero F., Gauld R., Haywood P., Janlov N., Knight H., Lorenzoni L., Marino A., Or Z., Penneau A., et al. Health Services Research, en ligne 05/08/2021.
(Catégorie 2 - CNRS) - (Cat. A - Hcérès)

An International Comparison of Long-Term Care Trajectories and Spending Following Hip Fracture.
Wodchis W.P., Or Z., Blankart C.R., Atsma F., Janlov N., Bai Y.Q., Penneau A., Arvin M., Knight H., Riley K., Figueroa J.F., Papanicolas I. Health Services Research, en ligne 11/08/2021.
(Catégorie 2 - CNRS) - (Cat. A - Hcérès)

Long-Term Care in France: The Loose Connection Between Pricing, Costs and Quality with Regional Inequalities.
Or Z., Penneau A. WKC Policy Series on Long-Term Care N° 2: France. 2021/08, 1-4.

Medically Underserved Areas: Are Primary Care Teams Efficient at Attracting and Retaining General Practitioners?
Chevillard G., Mousquès J., Social Science & Medicine, en ligne : 02/09/2021.
(Catégorie 1 - CNRS) - (Cat. A - Hcérès)

Pricing Long-Term Care for Older Persons.
Barber S. L., Van Gool K., Wise S., Woods M., Or Z., Penneau A., Milstein R., Ikegami N., Kwon S., Bakx P., Schut E., Wouterse B., Flores M., Lorenzoni L. Kobe : WHO Centre for Health Development, OECD. 2021/08, 360 p.

Within and Across Country Variations in Treatment of Patients with Heart Failure and Diabetes.
Or Z., Shatrov K., Penneau A., Wodchis W., Abiona O., Blankart C.R., Bowden N., Bernal-Delgado E., Knight H., Lorenzoni L., Marino A., Papanicolas I., Riley K., Pellet L., Estupiñán-Romero F., Van Gool K., Figueroa J.F. Health Services Research, en ligne 19/08/2021.
(Catégorie 2 - CNRS) - (Cat. A - Hcérès)

In the Wake of the Pandemic: Preparing for Long COVID.
Rajan S., Khunti K., Alwan N., Steves C., MacDermott N., Morsella A., Angulo E., Winkelmann J., Bryndová L., Fronteira I., Gandré C., Or Z., et al. European Observatory Policy Briefs 39. Copenhague: European Observatory on Health Systems and Policies, 2021, 26 p.

Watch on Health Economics Literature

Produced by the IRDES documentation centre, Watch on Health Economics Literature, a monthly publication, presents by theme the latest articles and reports in health economics: both peer-reviewed and grey literature.

- November 2021

- October 2021

- September 2021

- July-August 2021

English-French Glossary of Health Economics Terms

This new online edition of the English-French Glossary of terms, concepts and acronyms in health economics has been reviewed and expanded by the IRDES Publications and Documentation teams. In addition to terms from specialized Anglo-Saxon journals, this edition is based on the English translations of IRDES thematic syntheses, Issues in Health Economics, and on the keywords of the MeSH thesaurus (Medline). It also includes a thematic section that classifies the translated terms according to the disciplines involved (economics, sociology, geography, etc.). The translation of French Institutions on Public Health into English is now integrated into the part: Sigles - Institutions.

The Glossary is updated regularly.

Getting information on Public Health in France and Europe

Health Adress Book

Calendar of conferences and seminars