Analyse empirique des effets des réseaux de télémédecine sur les transferts de patients à l'aide d'un système panel avec auto-corrélation spatiale

The objective of the prospective payment is to restore the economic efficiency of the system of financing of hospitals. However, numerous works show that it also generates several undesirable effects as skimping strategies of selection of the patients which causes inflation of transfers between heterogeneous hospitals. This article aims at showing that TeleMedecine Networks (tmn) allow to control these transfers and to palliate this undesirable effect so. This tmn positive effect is highlighted by a panel system with space auto-correlation, applied to fluxes between the regions of France Métropolitaine. According to our estimations, networks developed during 1997-2002 had allowed to reduce the frequency of transfers significantly, 1,744 transfers all merged ghm avoided in 2000, among which 3,088 concerning Surgical ghm. Classification JEL : I10 ; I12 ; I18 ; C33 ; C51