Suchergebnisse

Résumé Les assurances complémentaires pèsent de plus en plus dans le paysage de la protection sociale. Dans ce contexte, identifier les préférences individuelles en matière de couverture complémentaire devient une question cruciale, aussi bien pour les organismes complémentaires que pour les pouvoirs publics. Cet article utilise la base de données d'un important assureur santé français et profite des variations interdépartementales exogènes du niveau des primes pour estimer la sensibilité de la demande d'assurance complémentaire au montant de la prime et au contexte local d'offre de soins. Nos résultats montrent que le poids de la contrainte budgétaire semble prépondérant dans le processus de décision de l'assuré. Dès lors, toute augmentation brutale du niveau des primes aurait des conséquences graves en matière de couverture.

The main objective of this study is to analyse the effect of the professional environment on sick leaves. The professional context is approximated by the sector of activity. The database used - Hygie (2005-2008) - allows taking individual heterogeneity into account thanks to the longitudinal dimension. Sick leave probability is estimated through a fixed effects logit model and the duration (number of days absent due to sickness) is estimated through a fixed effects Poisson model. The results show that sectors of activity differ in sick leave duration rather than in the occurrence. Indeed, taking into account individual heterogeneity and differences in health status and wages reduces the variability in sick leave probability between sectors by half. On the other hand, the sector remains decisive in explaining sick leave durations. This residual variability may refer to unobserved differences in working conditions, in the generosity of daily sick pay benefits or in job insecurity.

The main objective of this study is to analyse the effect of the professional environment on sick leaves. The professional context is approximated by the sector of activity. The database used - Hygie (2005-2008) - allows taking individual heterogeneity into account thanks to the longitudinal dimension. Sick leave probability is estimated through a fixed effects logit model and the duration (number of days absent due to sickness) is estimated through a fixed effects Poisson model. The results show that sectors of activity differ in sick leave duration rather than in the occurrence. Indeed, taking into account individual heterogeneity and differences in health status and wages reduces the variability in sick leave probability between sectors by half. On the other hand, the sector remains decisive in explaining sick leave durations. This residual variability may refer to unobserved differences in working conditions, in the generosity of daily sick pay benefits or in job insecurity.

Le phénomène de diffusion de l'hôpital vers la ville pourrait expliquer pourquoi des firmes pharmaceutiques concèdent certains médicaments à des prix de vente très faibles aux établissements de santé, espérant augmenter les parts de marché ambulatoires de leur produit. À ce jour, aucune étude empirique n'a testé l'existence de ce phénomène. Cet article vise à quantifier l'influence des consommations de médicaments des centres hospitaliers universitaires (CHU) sur le marché pharmaceutique ambulatoire alentour en 2008 pour neuf classes pharmacologiques concurrentielles. Deux sources de données sont mobilisées : le recueil de la DREES sur les médicaments dans les établissements de santé et le Système national d'information interrégimes de l'Assurance maladie (SNIIRAM). Pour tenir compte de l'influence simultanée existant entre ces deux marchés, des variables instrumentales ont été utilisées. Notre analyse confirme une influence des achats de médicaments des CHU sur les quantités consommées en ambulatoire, cet effet variant selon les classes. Nos résultats suggèrent que la régulation des dépenses de médicaments devrait être pensée globalement et non en séparant l'hôpital et la ville.

The main objective of this study is to analyze the effect of the professional environment on sick leaves. It is important in order to identify the potential policies to implement to control health expenditures (e.g. through the improvement of working conditions). This professional context is approximated by the Business sector. The database used - Hygie (2005-2008) - allows taking into account individual heterogeneity thanks to the longitudinal dimension. Sick leave probability is estimated through an individual fixed effects logit model and the duration (number of sickness absence days) is estimated through a fixed effects Poisson model. The results show that Business sector differ in sick leave duration rather than in the occurrence. Indeed, taking into account differences in health status and wages reduces the variability in sick leave probability between sectors by half. On the other hand, the sector remains decisive in explaining sick leave durations. This residual variability may refer to unobserved differences in working conditions, in the generosity of sick pay benefits or in job insecurity. These results may call into question the financing of sick leaves, which contrary to accidents at work and professional diseases, only depends on social security contributions.

The main objective of this study is to analyze the effect of the professional environment on sick leaves. It is important in order to identify the potential policies to implement to control health expenditures (e.g. through the improvement of working conditions). This professional context is approximated by the Business sector. The database used - Hygie (2005-2008) - allows taking into account individual heterogeneity thanks to the longitudinal dimension. Sick leave probability is estimated through an individual fixed effects logit model and the duration (number of sickness absence days) is estimated through a fixed effects Poisson model. The results show that Business sector differ in sick leave duration rather than in the occurrence. Indeed, taking into account differences in health status and wages reduces the variability in sick leave probability between sectors by half. On the other hand, the sector remains decisive in explaining sick leave durations. This residual variability may refer to unobserved differences in working conditions, in the generosity of sick pay benefits or in job insecurity. These results may call into question the financing of sick leaves, which contrary to accidents at work and professional diseases, only depends on social security contributions.

En 2010, le marché des antihypertenseurs représentait en valeur plus de 2 milliards d'euros, soit près de 10 % du marché total du médicament en ville. Entre 1980 et 2010, ce marché a connu une croissance annuelle moyenne de +5,2 % par an. L'objectif de cet article est d'analyser l'évolution de la consommation d'antihypertenseurs en France sur une période longitudinale de trente ans. Cette analyse cherche à décomposer l'évolution des dépenses d'antihypertenseurs, en mettant en évidence l'impact de l'évolution des prix, des quantités et de la structure de consommation. Les résultats font apparaître une tendance à la diminution des prix, contrebalancée par une forte augmentation des volumes, qui inclut des modifications profondes de la structure de consommation des antihypertenseurs. Ces tendances observées peuvent être mises en parallèle avec les différents mécanismes de régulation des dépenses pharmaceutiques qui se sont succédé sur la période considérée.