Biannual survey



  • CNAM - National Health Insurance Fund (statistics department)


  • Self perceived health status
  • Public coverage and private supplementary health insurance
  • Visits to a physician
  • Consumption of medical goods and services
  • Care and services administered by non-physician clinicians
  • Hospitalization
  • Reasons for not seeking care and opinions about health


Surveys dates

1988, 1989, 1990, 1991, 1992, 1993, 1994, 1995, 1996, 1997, 1998, 2000, 2002, 2004, 2006.
The survey is undertaken in two waves (spring and fall).

Scope of the survey

  • ESPS 1996-1997-1998-2000-2002-2004: Households including at least one beneficiary of one of the main national health insurance funds (for salaried workers, farmers, or the self-employed), and who live in France (overseas territories excluded).
  • ESPS 1994-1995: Households including at least one beneficiary of either the national health insurance fund for salaried workers or the fund for the self-employed, and who live in France (overseas territories excluded).
  • ESPS 1993-1992-1991: Households including at least one beneficiary of the national health insurance fund for salaried workers.
  • ESPS 1990: Households including at least one beneficiary of the national health insurance fund for salaried workers, and who live in continental France (overseas territories excluded).
  • ESPS 1988-1989: Households including at least one beneficiary of the national health insurance fund for salaried workers, and who did not live in the Greater Paris region or in certain other specified départements (the département is a geographic subdivision of a region).

Sampling frame

Beneficiaries' files, and files on administered care furnished by the national health insurance funds for salaried workers, farmers, and the self-employed.


  • Addition of a household questionnaire for individuals from the Epas (Echantillon permanent d'assurés sociaux), which is an ongoing sample monitored by the national health insurance fund for salaried workers.
  • Until 1997, 25% of individuals in the Epas were surveyed each year; since 1998, half of the Epas' population is surveyed every other year.
  • The principal questionnaire (socio-demographic data on the household to which the randomly chosen beneficiary belongs) is answered by phone (4 calls). For those with unlisted numbers or without phones, interviewers make two house calls to conduct the survey.
  • Self-administred questionnaires (supplementary health insurance, health and medical goods, recourse to a treatment center for the handicapped or disabled) are mailed to the sample population (or handled by interviewers for people with unlisted phone numbers or no phone).


Questionnaires of Health, health care and insurance survey (ESPS) (in French)


PE n° 2051

Social heterogeneity in self-reported health status and the measurement of inequalities in health.
Jusot F., Tubeuf S., Devaux M., Sermet C., In Perceived Health and Adaptation in Chronic Disease. Guillemin F., Leplège A., Briançon B., Spitz E., Coste J., Eds. Londres : Routledge, 2017, 175-195.

Frailty, polypharmacy, and potentially inappropriate medications in old people: findings in a representative sample of the French population.
Herr M., Sirven N., Grondin H., Pichetti S., Sermet C., European Journal of Clinical Pharmacology, En ligne : 11/06/2017, 1 -8. Vol 73, Issue 9, 2017/09, 1165–1172.

Gatekeeping and the utilization of physician services in France: Evidence on the Médecin traitant reform.
Dumontet M., Buchmueller T., Dourgnon P., Jusot F., Wittwer J. , Health Policy, vol 121, Issue 6, 2017/06, 675-682.
(Catégorie 2 - CNRS 2016/05) - (Cat. A - Hcérès 2017/01)

The Likely Effects of Employer-Mandated Complementary Health Insurance on Health Coverage in France.
Pierre A., Jusot F., Health Policy, Online 5 January 2017, 2017/03, vol 121, Issue 3, 321-328.
(Catégorie 2 - CNRS 2016/05) - (Cat. A - Hcérès 2017/01)
 Science direct

Social determinants of overweight among immigrants in Spain and France.
Dourgnon P., Moullan Y., The IMI Working Papers Series 116, University of Oxford: International Migration Institute, 10/07/2015, 49 p.
 Sur le site imi

Wage differences according to health status in France.
Ben Halima M.A., Rococo E., Social Science & Medicine, vol 120, 2014/11, 260-268.

Deductibles and the Demand for Prescription Drugs: Evidence from French Data
Kambia-Chopin B. (Ministère de la Santé et des services sociaux du Québec ; Irdes), Perronnin M. (Irdes ; LEDa-LEGOS, Université Paris I)
Document de travail n° 54. 2013/02

Disability and Social Security Reforms: The French Case
Behaghel L. (Paris School of Economics, Inra), Blanchet D. (Insee-D3E),Debrand T. (Irdes), Roger M. (Paris School of Economics, Inra, Insee-D3E)
Document de travail n° 38. 2011/02.

Effort or Circumstances: Does the Correlation Matter for Inequality of Opportunity in Health?
Jusot F. (Université Paris-Dauphine, LEDA-LEGOS, Irdes), Tubeuf S. (Université de Leeds, Academic Unit of Health Economics), Trannoy A. (EHESS, Greqam-Idep)
Document de travail Irdes n° 33. 2010/07.

Assessment of asthma control and its socio-economic determinants.
Afrite A., Allonier C., Com-Ruelle L., “2nd European Public Health Conference - Human ecology and public health. Lodz, 25-28 novembre 2009”. The European Journal of Public Health, Oral presentations: abstracts, vol. 19, Suppl 1, 2009/01, pp. 60-61.
 European Journal of Public Health

Monitoring Health Inequalities in France: A Short Tool for Routine Health Survey to Account for LifeLong Adverse Experiences
Cambois E. (Ined), Jusot F. (Université Paris-Dauphine, Leda-Legos, Ined, Irdes)
Document de travail Irdes n° 30. 2010/03.

An empirical investigation of heterogeneity in time preferences and smoking behaviors.
Grignon M., Journal of Socio-Economics, vol 38, n°5, 2009/10

The preferred doctor scheme: A political reading of a French experiment of Gate-keeping
Naiditch M. (Université Denis Diderot, Irdes), Dourgnon P. (Irdes).
Document de travail Irdes n° 22. 2009/03.

The preferred doctor scheme: A political reading of a French experiment of Gate-keeping.
Dourgnon P., Naiditch M., Health Policy, 2009/10, 1-6. vol 94, n° 2, 2010/02, 129-134.

Dynamic Estimation of Health Expenditure: A new approach for simulating individual expenditure
Albouy V. (Insee), Davezies L. (Insee), Debrand T. (Irdes)
Document de travail Irdes n° 20. 2009/01.

Private Supplementary health insurance : Retirees' demand.
Franc C., Perronnin M., Pierre A., The Geneva Papers, vol 33, n°4. 2008/10, 610-626.

Access to psycho-social resources and health: exploratory findings from a survey of the French population.
Jusot F., Grignon M., Dourgnon P., Health Economics Policy and Law, 2008/10, vol 3, n°4, 365-391.

Job loss from poor health, smoking and obesity : a national prospective survey in France.
Jusot F., Khlat M., Rochereau T., Sermet C., Journal of Epidemiology and Community Health, n°4, vol 62, 2008/04, 332-337.

Sickness and injury leave in France : moral hazard or strain?
Grignon M., Renaud T.
Document de travail Irdes n° 4, 2007/02, 17 pages.

Does free supplementary health insurance help the poor to access health care ? Evidence from France.
Grignon M., Perronnin M., Lavis J.N., Chepa working paper series, n° 06-02 , Hamilton : McMaster University, 2006, 37 p.

Does free complementary health insurance help the poor to access health care? Evidence from France.
Grignon M., Perronnin M., Health Economics, 2008/02, Vol. 17, n° 2, 203-219.

Psychosocial resources and social health inequalities in France : Exploratory findings from a general population survey.
Jusot F., Grignon M., Dourgnon P., Sedap Research Paper n° 189, Hamilton, ON: McMaster University, Program for Research on Social and Economic Dimensions of an Aging Population (SEDAP), 2007/05, 36 p.
 Université McMaster

Comparability of health surveys in Europe : France, United Kingdom, Russia, Poland, Czech Republic, Germany, Greece, Italy, Spain and Sweden. (report + appendix )
"Indicators of active life expectancy” - Project International Longevity Centre, Barnay T., Jusot F., Rochereau T., Sermet C., Irdes/ILC, 2005/02/28, 56 pages.

Changes in inequalities in access to ambulatory care over the last decade in France : How much and why ?
Couffinhal A., Dourgnon P., Tubeuf S., In : Ecuity III Workshop. Les inégalités sociales de santé. Helsinki : Stakes. National Research and Development Centre for Welfare and Health, 2004, 13 pages.

The impact of price on young people's smoking behaviour / L'influence des prix sur le comportement tabagique des jeunes.
Grignon M., Pierrard B., Extracts from the 4th European Conference of Health Economics, Paris, 7-10 July 2002, Journal d'Economie Médicale, 2004/05, vol 22, n° 3, 119-130.

Access to physician services : does supplemental insurance matter ? Evidence from France.
Buchmueller T.C., Couffinhal A., Grignon M., Perronnin M., Nber Working Paper Series n° 9238, Cambridge : NBER, 2002/10, 33 pages.

Paris V., Polton D., Sandier S., Thomson S. In : Health care systems in eight countries : trends and challenges. The European Observatory on Health Care Systems, 2002/04, pp. 31-45.

More on the French site...