Filtrer
brigitte dormont
-
Les dépenses de santé ; une augmentation salutaire ?
Brigitte Dormont
- Rue D'Ulm
- Cepremap
- 5 Mars 2009
- 9782728804191
Depuis le milieu du xxe siècle, les pays développés connaissent une augmentation continue des dépenses de santé et un formidable accroissement de la longévité.
Quel est le tien entre ces deux évolutions ? contrairement à une opinion répandue, te vieillissement ne joue qu'un rôle mineur dans la croissance des dépenses de santé. celle-ci résulte principalement de la dynamique du progrès médical : de nouveaux produits et de nouvelles procédures apparaissent continuellement, dont la diffusion alimente la consommation de soins. ces dépenses sont-elles justifiées ? doivent-elles continuer à progresser ? brigitte dormont montre que leur croissance soutenue peut correspondre à un optimum collectif.
Certes, le coût des soins augmente rapidement, mais leur efficacité aussi. une augmentation de la longévité, une baisse des handicaps et une amélioration de la qualité de la vie sont obtenues en contrepartie des dépenses de santé. et la valeur de ces gains en bien-être dépasse largement le coût des soins.
-
-
-
Competition between hospitals Does it Endanger Quality of Care ?
Carine Milcent, Brigitte Dormont
- Rue D'Ulm
- Cepremap
- 21 Novembre 2018
- 9782728806027
There is ongoing debate about the effect of ownership on hospital performance as regards efficiency and care quality. This paper proposes an analysis of the differences in productivity and efficiency between French public and private hospitals. In France, public and private hospitals do not only differ in their objectives. They are also subject to different rules as regards investments and human resources management. In addition, they were financed according to different payment schemes until 2004: a global budget system was used for public hospitals, while private hospitals were paid on a fee-for-service basis. Since 2004, a prospective payment system (PPS) with fixed payment per stay in a given DRG is gradually introduced for both private and public hospitals. Payments generally differ for the same DRG, depending on whether the stay occurred in a private or public hospital. By 2018, a convergence of payments between the private and public sector should be achieved. Pursuing such a convergence comes down to suppose that there are differences in efficiency between private and public hospitals, which would be reduced by the introduction of competition between these two sectors. The purpose of this paper is to compare the productivity of public and private hospitals in France. We try to assess the respective impacts, on productivity differences, of differences in efficiency, patient characteristics and production composition.
