Lettre d'information de l'Irdes

Enquête Phedre

L'enquête Prestation de compensation du handicap : exécution dans la durée et reste à charge (Phedre), fruit d'une collaboration entre la Drees et l'Irdes et soutenue par la CNSA, est sur le terrain depuis le 20 janvier 2020.
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Rencontres de géographie de la santé

La deuxième édition des Rencontres de géographie de la santé, dont l'Irdes est l'un des partenaires, aura lieu à Rennes les 11 et 12 juin 2020. Ces rencontres sont ouvertes à l'ensemble des personnes intéressées par les liens entre santé et territoire quel que soit leur profil (« jeunes » chercheurs comme confirmés, étudiants en master, doctorants, post-doctorants, acteurs institutionnels, associatifs, élus, membres de la société civile, etc.) et leur discipline (géographie, aménagement, anthropologie, sociologie…).
Appel à communication jusqu'au 20 mars 2020
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Access to State Medical Aid by Undocumented Immigrants in France: First Findings of the 'Premiers Pas' Survey

Jusot F. (Paris-Dauphine University, PSL, Leda-Legos, IRDES), Dourgnon P. (IRDES), Wittwer J. (University of Bordeaux, Bordeaux Population Health (INSERM U1219), EMOS Team), Sarhiri J. (IRDES)
Issues in Health Economics (Questions d'économie de la santé), n° 245. 2019/11

France decided many years ago to grant access to healthcare services for undocumented immigrants when it introduced a scheme known as Aide Médicale Gratuite (Free Medical Care) and, since 2000, the State Medical Aid (AME) scheme. The existence of this kind of scheme does not guarantee, on its own, that all of the eligible persons neither access the scheme, nor make use of it. In this paper we analysed access to State Medical Aid and its determinants based on data from the 'Premiers Pas' survey, which was carried out in 2019 on a sample of undocumented immigrants.
Only 51% of those eligible actually take up State Medical Aid. Almost half of undocumented immigrants who state that they suffer from pathologies requiring treatment, such as diabetes or infectious diseases, have no health insurance, neither State Medical Aid, nor any other health insurance. Access to State Medical Aid is slightly higher amongst the 10% who declared that one of their reasons for migration was health. There, is however, relatively little correlation between coverage by State Medical Aid and health conditions, aside from muscular-skeletal troubles. Access to State Medical Aid primarily increases with length of stay in France. These results suggest that most of the migrants are not familiar with the State Medical Aid scheme and were not all able to fully grasp a complex scheme. Even among those living in France for five years or more, 35% are not covered by State Medical Aid.
This third Questions d'économie de la Santé ("Issues in Health Economics"), which focuses on undocumented immigrants access to State Medical Aid, is part of a series of three articles. The first article addresses the history of the health coverage of undocumented immigrants in France and provides an overview of the evidence on the State Medical Aid scheme. The second article describes the methodology and the sample of the 'Premiers Pas' survey.

A Study of Undocumented Immigrants' Access to Health Coverage and Care in France: The 'Premiers Pas' Survey

Dourgnon P. (IRDES), Guillaume S. (IRDES), Jusot F. (Paris-Dauphine University, PSL, Leda-Legos, IRDES), Wittwer J. (University of Bordeaux, Bordeaux Population Health (INSERM U1219), EMOS Team)
Issues in Health Economics (Questions d'économie de la santé), n° 244. 2019/11

Very little is known about State Medical Aid (Aide Médicale de l'état, AME), the health insurance programme for undocumented immigrants in France. What are the social, economic, and health characteristics of undocumented immigrants covered by State Medical Aid? Who are those who do not take up and for what reasons? Does State Medical Aid (AME) provide insured individuals with effective access to healthcare services? Recent debate about a possible reform of State Medical Aid was only based on scant and sometimes biased information.
The ‘Premier Pas' survey aimed to shed light on these questions. It was conducted in 2019 with 1,223 respondents in 63 sites and organisations, in inner Paris and the Bordeaux conurbation. In this paper we provide a description of the survey sampling and protocol, the data collection, and a description of the sample's structure.
This second issue of Questions d'économie de la Santé (‘Issues in Health Economics') on undocumented immigrants' access to State Medical Aid, based on the 'Premiers Pas' survey, is part of a series. The first outlines the history of this population's rights in France and presented an overview of the information and lack of information about the State Medical Aid scheme. The third is devoted to an analysis of the take-up of State Medical Aid.

Providing Healthcare Coverage to Undocumented Immigrants in France. What We Know, and What We Don't, about State Medical Aid (AME)

Wittwer J. (University of Bordeaux, Bordeaux Population Health (INSERM U1219), EMOS Team), Raynaud D. (IRDES), Dourgnon P. (IRDES), Jusot F. (Paris-Dauphine University, PSL, Leda-Legos, IRDES)
Issues in Health Economics (Questions d'économie de la santé), n° 243. 2019/11

Since its implementation in 2000, State Medical Aid (Aide Médicale de l'état, AME), a public health insurance programme for undocumented immigrants, has provoked intense debate. Some underscore the need to protect a vulnerable population and the universality of the right to healthcare coverage in France, while others perceive the scheme as an abuse of the social protection system that encourages illegal immigration. In a context of severe financial constraints on the healthcare system, issues relating to the legitimacy, cost, and effectiveness of State Medical Aid (AME) are becoming pressing. However, information about illegal immigrants access and use of the scheme has for a long time been incomplete. The ‘Premier Pas' project, conducted by the University of Bordeaux and the Institute for Research and Information in Health Economics (Institut de Recherche et Documentation en économie de la Santé, IRDES), aimed to study undocumented immigrants' access to State Medical Aid and healthcare utilisation in France.
Three Questions d'économie de la Santé (‘Issues in Health Economics') present: a description of the context and issue of the coverage of undocumented immigrants in France; a description of the ‘Premier Pas' survey conducted with people eligible for State Medical Aid; and, lastly, the first findings of the survey on their access to State Medical Aid. This first article looks back at the history of undocumented immigrants' rights to healthcare in France and provides an overview of the information — and need for information — about the scheme.

Adherence to Medical Follow-up Recommendations Reduces Hospital Admissions: Evidence from Diabetic Patients in France

Bussière C., Sirven N., Rapp T., Sevilla-Dedieu C., Health Economics. On line : 21/01/2020, 1-15.
(Catégorie 1 - CNRS) - (Cat. A - Hcéres)

Analyse des données scientifiques : effets de l'exposition des enfants et des jeunes aux écrans. Rapport du Haut Conseil de la santé publique (HCSP)

Avec la contribution de Duché P., Billette-de-Villemeur A., Com-Ruelle L., Halley des Fontaines V., et al. (Groupe de travail). Paris : HCSP, 2020/01, 84p.

Avis relatif aux effets de l'exposition des enfants et des jeunes aux écrans. Avis du Haut Conseil de la santé publique (HCSP)

Avec la contribution de Duché P., Billette-de-Villemeur A., Com-Ruelle L., Halley des Fontaines V., et al. (Groupe de travail). Paris : HCSP, 2019/12, 21p.

Difficultés et adaptation des médecins généralistes face à l'offre de soins locale

Chaput H., Monziols M., Ventelou B., Zaytseva A., Chevillard G., Mousquès J. et al., Etudes et Résultats (Drees), n° 1140, 01/2020. 1-5.

Le dispositif statistique de surveillance et de recherche sur la santé de l'enfant. état des lieux et propositions. Rapport du HCSP

Aujard Y., Billette de Villemeur A., Colson S., Com-Ruelle L. et al. (Groupe de travail). Paris : HCSP, 2019/11, 128p.

Evaluation of Children's Participation in a National Dental Programme in France

Bas A.C., Azogui-Lévy S. Community Dentistry and Oral Epidemiology. 2019/08, vol. 47, n° 4, 291-298.

La pertinence de soins en France : dossier thématique. Avant-propos

Com-Ruelle L., Julienne, K. (coor.), Revue française des affaires sociales, n° 3, 2019/12, 5-9.

... Marie-Odile Safon et Véronique Suhard, documentalistes à l'Irdes

• Comment fonctionne aujourd'hui la Documentation ? A quels réseaux participe-t-elle ?
• Qui sont vos principaux utilisateurs ?
• Quels sont les derniers produits documentaires qui ont été le plus téléchargés ?

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 Accéder à l'intégralité de la rubrique « Vu sur d'autres sites » du mois de février 2020

• Accès et recours aux soins
• Alcool - Tabac
• Comparaisons internationales
• Dépenses de santé
• Etat de santé
• Géographie de la santé
• Handicap
• Inégalités de santé
• Médicaments
• Migrations
• Nouvelles technologies de l'information et de la communication (NTIC)
• Organisation du système de santé et des soins
• Pathologies
• Pratique médicale
• Prévention santé
• Professions de santé
• Protection sociale
• Psychiatrie et santé mentale
• Santé et travail
• Soins primaires
• Vieillissement et dépendance - Personnes âgées
  

 Accéder à l'intégralité des sélections 2007-2020 de la rubrique « Vu sur d'autres sites ».