| Titre | Comportements opportunistes des patients et des médecins : l'apport d'analyses par épisode de soins | |
|---|---|---|
| Auteur | Frédéric Rupprecht, Pascale Breuil-Genier | |
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Revue | Economie et prévision |
| Numéro | no 142, 2000/1 | |
| Rubrique / Thématique | Comportements stratégiques dans le systèmes de soins |
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| Page | 163-181 | |
| Résumé anglais |
Opportunistic Behaviour of Patients and Doctors: the Contribution of Analyses by Health Care Episode by Pascale Breuil-Genier and Frédéric Rupprecht
The "strategic" behaviours attributed to patients (adverse selection, moral hazard) and health care professionals (supply-induced demand) are not easily tested: although it is easy to find a link between health insurance and health care consumption, it is more difficult to single out the behavioural consequences of moral hazard and adverse selection. Similarly, a simultaneous increase in doctor density and in health care consumption may indeed be a consequence of induced demand (whereby doctors create the demand for their own services), but it may also result from an exogenous rise in health care needs combined with a simultaneous rise in the resources required to meet them. In an attempt to identify the determinants of patients' and doctors' behaviour more precisely, we analyse the series of consumption decisions taken for a given illness and a given patient by reconstructing health care episodes from the 1 99 1 -92 health survey. Our analysis shows that a patient' s decision to seek health care in case of sickness is strongly influenced by whether the patient possesses supplementary insurance coverage, but that this factor has no impact on the choice of the type of first consultation (general practitioner or specialist), nor on whether the patient subsequently seeks other consultations. The doctor density explains part of the choice between general practitioners and specialists for the initial consultation, but this variable has no impact on the number of first consultations, nor on whether the patient subsequently seeks other consultations. Source : Éditeur (via Persée) |
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| Article en ligne | http://www.persee.fr/web/revues/home/prescript/article/ecop_0249-4744_2000_num_142_1_5994 |
