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carine milcent
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Cet ouvrage relatif à l'économie de la santé et des systèmes de santé aborde les concepts clé de
l'économie et leur application au champ de l'économie de la santé. Les concepts économiques sont
expliqués et documentés à l'aide de nombreux exemples et exercices corrigés en économie de la
santé. L'objectif est de comprendre les politiques publiques en santé.
Ce manuel étudie ainsi :
- les principes de l'intervention de l'État (la demande et les besoins de santé...) ;
- la notion de bien et son caractère public et privé (spécificités des biens en économie, notion
de bien privé et bien public...) ;
- la construction du système de santé, ses objectifs, son évolution future au regard des
nouvelles technologies (comprendre les contraintes de l'offre, les tensions, l'offre de bien sur
le marché, les choix de production des produits de santé, le traitement des données, etc.) ;
- les différents modes de tarification et la place de la concurrence ;
- la notion de qualité (qualité en soins, etc.) ;
- une analyse d'autres système de santé (Chine, Etats-Unis...). -
Competition between hospitals Does it Endanger Quality of Care ?
Brigitte Dormont, Carine Milcent
- 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.
