Background The prospective payment system for the French short-stay hospitals creates a financial incentive to reduce length of stay. The potential impact of the resulting decrease in length of stay on the quality of healthcare is unknown. Readmission rates are valid outcome indicators for some...

This paper analyses the regulation of ambulatory care and its impact on physicians'careers, using a representative panel of 6; 016 French self-employed GPs over the years 1983 to 2004. The beginning of their activity is influenced by the regulated number of places in medical schools, named in...

Dans cet article, nous évaluons le positionnement des médecins généralistes en comparant leurs revenus à ceux de salariés situés dans le haut de la hiérarchie salariale : les cadres supérieurs. Les syndicats de médecins évoquent régulièrement la durée des études de médecine, les...

In many areas of health care financing, there is controversy over the sources of cost variability and about the respective roles of inefficiency versus legitimate heterogeneity. This paper proposes a payment system that creates incentives to increase hospital efficiency when hospitals are...

L’efficacité-coût des EHPAD en France est étudiée en appliquant plusieurs méthodes d’analyse de frontière : estimation sur données en coupe par maximisation de vraisemblance et modèle de données de panel à erreurs composées. La robustesse des résultats est testée par comparaison...

Les principes des méthodes économétriques présentés avec un commentaire visant à donner l'intuition des raisonnements effectués. Les notions introduites sont systématiquement illustrées d'exemples d'applications économétriques.

This work takes the perspectives of economics and public health to study issues related to the quality of hospital care.The first chapter introduces the concept of quality of care in economics and public health. We show that the two fields use similar definitions of the concept but explore...

High prices and insufficient quality of care are observed in nursing homes in France. Reforms are currently under discussion, but governments are facing a dilemma : any measure of price cut is likely to affect quality and any improvement in quality would probably be inflationary. This work...

Hospital heterogeneity is a major issue in defining a reimbursement system. If hospitals are heterogeneous, it is difficult to distinguish which part of the differences in costs is due to cost containment efforts and which part cannot be reduced, because it is due to other unobserved sources of...