Functional Motor and Organic Limitations: Significant Disparities Between the French Départements

Espagnacq M., Sermet C., Regaert C., Daniel F. (IRDES)

Questions d'économie de la santé (Issues in Health Economics) n° 276 - March 2023

QES n° 276

Functional motor and organic limitations are defined as a restriction in the ability of individuals to perform certain functions such as locomotion, prehension, flexibility, digestion, continence, and so on. The identification of people with severe functional motor or organic limitations presented in this article was conducted using the "Feasibility of the identification of disabled persons" (Faisabilité d’Identification des Personnes en Situation de Handicap, FISH) indicator, constructed from data from the National Health Data System (Système National des Données de Santé, SNDS). Obtained from an administrative source that already contains data relating to the reimbursement of medical expenses by the French National Health Insurance System (Assurance maladie), and which is free from the declarative bias of surveys, this indicator uses data that is available continuously and over a long period, relating to the entire population, regardless of age or place of residence, thus making it possible to increase knowledge of the populations suffering from impaired personal autonomy. This study is also the first to offer a comparison between the départements - covering all age groups and places of residence - of the risk of disability following these types of limitations.
The population with functional motor or organic limitations identified by the indicator was slightly larger than the declarative sources (14% compared with 12%, representing around 10 million people). Although, on the whole, the population suffering from these limitations mainly consisted of elderly women, this indicator also identified a young, predominantly male population that had not been identified in surveys. This indicator also highlighted departmental disparities that increased with age.

See also Questions d'économie de la santé n° 276 in French: Des disparités de limitations motrices ou organiques importantes entre les départements.

See also Report n° 587 in French: Faisabilité d'identification des personnes à risque de handicap (Fish) à partir des données du Système national des données de santé (SNDS). Méthodologie générale et résultats de l'algorithme sur les limitations motrices ou organiques