IDEAS home Printed from https://ideas.repec.org/a/prs/ecoprv/ecop_0249-4744_1997_num_129_3_5871.html
   My bibliography  Save this article

Âge, temps et normes : une analyse de la prescription pharmaceutique

Author

Listed:
  • Pierre-Jean Lancry
  • Valérie Paris

Abstract

[fre] Âge, temps et normes : une analyse de la prescription pharmaceutique par Pierre- Jean Lancry et Valérie Paris . La mise en place de politiques cohérentes de régulation des dépenses de santé nécessite la définition de variables de commande susceptibles de modifier les comportements des différents acteurs (patients, producteurs de biens et services médicaux, assurance maladie et tutelle). Au sein de la consommation médicale ambulatoire, le médicament joue un rôle très important. Premier poste de dépenses, associé essentiellement à l'activité des médecins généralistes, il a été, depuis très longtemps, l'objet de mesures spécifiques. Dans ce travail, nous nous intéressons aux principaux déterminants de la prescription pharmaceutique. Nous présentons une analyse économétrique à partir de données sur l'offre et la pratique professionnelle (âge, sexe, activité, lieu de formation, lieu d'exercice, etc.), sur la demande (âge, sexe, taux de mortalité, etc.) et sur les conditions de marché (densité médicale, activité moyenne dans la commune, secteur conventionnel, etc.). [eng] Age, Time and Standards: An Analysis of the Pharmaceutical Prescription by Pierre- Jean Lancry and Valérie Paris . The introduction of coherent policies to control health spending requires definition of regulating variables likely to alter the behaviour of the various players (patients, producers of medical goods and services, health insurance bodies and supervisory authorities). Medicines play a very substantial part in outpatient medical consumption. As the largest item of expenditure, mainly associated with the work of general practitioners, they have long been the subject of special measures. . In this work we focus on the determining factors of the pharmaceutical prescription. Using data on supply and professional practice (age, gender, occupation, place of training, practice locality, etc.), demand (age, gender, mortality rate, etc.) and market conditions (doctor density, average workload in the district, officially recognised sector, etc.).

Suggested Citation

  • Pierre-Jean Lancry & Valérie Paris, 1997. "Âge, temps et normes : une analyse de la prescription pharmaceutique," Économie et Prévision, Programme National Persée, vol. 129(3), pages 173-187.
    • Handle: RePEc:prs:ecoprv:ecop_0249-4744_1997_num_129_3_5871
    DOI: 10.3406/ecop.1997.5871
    Note: DOI:10.3406/ecop.1997.5871
    as

    Download full text from publisher

    File URL: https://doi.org/10.3406/ecop.1997.5871
    Download Restriction: no
    File URL: https://www.persee.fr/doc/ecop_0249-4744_1997_num_129_3_5871
    Download Restriction: no
    File URL: https://libkey.io/10.3406/ecop.1997.5871?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Dionne, Georges & Doherty, Neil A, 1994. "Adverse Selection, Commitment, and Renegotiation: Extension to and Evidence from Insurance Markets," Journal of Political Economy, University of Chicago Press, vol. 102(2), pages 209-235, April.
    2. Huttin, Christine, 1994. "The use of prescription charges," Health Policy, Elsevier, vol. 27(1), pages 53-73, January.
    3. Victor R. Fuchs, 1972. "The Growing Demand for Medical Care," NBER Chapters, in: Essays in the Economics of Health and Medical Care, pages 61-68, National Bureau of Economic Research, Inc.
    4. Bengt Holmstrom, 1979. "Moral Hazard and Observability," Bell Journal of Economics, The RAND Corporation, vol. 10(1), pages 74-91, Spring.
    5. Mark Pauly, 1980. "Doctors and Their Workshops: Economic Models of Physician Behavior," NBER Books, National Bureau of Economic Research, Inc, number paul80-1.
    6. David Dranove & Mark A. Satterthwaite, 1992. "Monopolistic Competition When Price and Quality are Imperfectly Observable," RAND Journal of Economics, The RAND Corporation, vol. 23(4), pages 518-534, Winter.
    7. Ross, Stephen A, 1973. "The Economic Theory of Agency: The Principal's Problem," American Economic Review, American Economic Association, vol. 63(2), pages 134-139, May.
    8. Steven Shavell, 1979. "Risk Sharing and Incentives in the Principal and Agent Relationship," Bell Journal of Economics, The RAND Corporation, vol. 10(1), pages 55-73, Spring.
    9. Jones, K. & Johnston, R. J. & Pattie, C. J., 1992. "People, Places and Regions: Exploring the Use of Multi-Level Modelling in the Analysis of Electoral Data," British Journal of Political Science, Cambridge University Press, vol. 22(3), pages 343-380, July.
    10. Glenn M. MacDonald, 1984. "New Directions in the Economic Theory of Agency," Canadian Journal of Economics, Canadian Economics Association, vol. 17(3), pages 415-440, August.
    11. Barr, Nicholas, 1992. "Economic theory and the welfare state : a survey and interpretation," LSE Research Online Documents on Economics 279, London School of Economics and Political Science, LSE Library.
    12. Knapp, D.E. & Oeltjen, P.D., 1972. "Benefits-to-risks ratio in physician drug selection," American Journal of Public Health, American Public Health Association, vol. 62(10), pages 1346-1347.
    13. Victor R. Fuchs, 1968. "Supplement to NBER Report Three," NBER Books, National Bureau of Economic Research, Inc, number fuch68-2.
    14. Mark V. Pauly & Mark A. Satterthwaite, 1981. "The Pricing of Primary Care Physicians' Services: A Test of the Role of Consumer Information," Bell Journal of Economics, The RAND Corporation, vol. 12(2), pages 488-506, Autumn.
    15. Rochaix, Lise, 1989. "Information asymmetry and search in the market for physicians' services," Journal of Health Economics, Elsevier, vol. 8(1), pages 53-84, March.
    16. Fama, Eugene F, 1980. "Agency Problems and the Theory of the Firm," Journal of Political Economy, University of Chicago Press, vol. 88(2), pages 288-307, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Éric Delattre & Brigitte Dormont, 2000. "Induction de la demande de soins par les médecins libéraux français. Étude micro-économétrique sur données de panel," Économie et Prévision, Programme National Persée, vol. 142(1), pages 137-161.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Martin Gaynor, 1994. "Issues in the Industrial Organization of the Market for Physician Services," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 3(1), pages 211-255, March.
    2. Bengt Holmström, 1999. "Managerial Incentive Problems: A Dynamic Perspective," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 66(1), pages 169-182.
    3. Holmstrom, Bengt R. & Tirole, Jean, 1989. "The theory of the firm," Handbook of Industrial Organization, in: R. Schmalensee & R. Willig (ed.), Handbook of Industrial Organization, edition 1, volume 1, chapter 2, pages 61-133, Elsevier.
    4. Dionne, Georges & Harrington, Scott, 2017. "Insurance and Insurance Markets," Working Papers 17-2, HEC Montreal, Canada Research Chair in Risk Management.
    5. Lee, Janet, 2009. "Executive performance-based remuneration, performance change and board structures," The International Journal of Accounting, Elsevier, vol. 44(2), pages 138-162, June.
    6. Douglas, Evan J. & Shepherd, Dean A., 2000. "Entrepreneurship as a utility maximizing response," Journal of Business Venturing, Elsevier, vol. 15(3), pages 231-251, May.
    7. Eduard Marinov, 2016. "The 2016 Nobel Prize in Economics," Economic Thought journal, Bulgarian Academy of Sciences - Economic Research Institute, issue 6, pages 97-149.
    8. Fleckinger, Pierre & Martimort, David & Roux, Nicolas, 2023. "Should They Compete or Should They Cooperate? The View of Agency Theory," TSE Working Papers 23-1421, Toulouse School of Economics (TSE), revised Jan 2024.
    9. Dionne, Georges, 1998. "La mesure empirique des problèmes d’information," L'Actualité Economique, Société Canadienne de Science Economique, vol. 74(4), pages 585-606, décembre.
    10. Edward P. Lazear, 1995. "Personnel Economics," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262121883, December.
    11. Renee B. Adams & Benjamin E. Hermalin & Michael S. Weisbach, 2010. "The Role of Boards of Directors in Corporate Governance: A Conceptual Framework and Survey," Journal of Economic Literature, American Economic Association, vol. 48(1), pages 58-107, March.
    12. Sanjiva Prasad & Christopher J. Green & Victor Murinde, 2005. "Company Financial Structure: A Survey and Implications for Developing Economies," Chapters, in: Christopher J. Green & Colin Kirkpatrick & Victor Murinde (ed.), Finance and Development, chapter 12, Edward Elgar Publishing.
    13. Kishore Gawande & Alok K. Bohara, 2005. "Agency Problems in Law Enforcement: Theory and Application to the U.S. Coast Guard," Management Science, INFORMS, vol. 51(11), pages 1593-1609, November.
    14. Mirman, Leonard J. & Santugini, Marc, 2013. "Firms, shareholders, and financial markets," The Quarterly Review of Economics and Finance, Elsevier, vol. 53(2), pages 152-164.
    15. Bushman, Robert M. & Smith, Abbie J., 2001. "Financial accounting information and corporate governance," Journal of Accounting and Economics, Elsevier, vol. 32(1-3), pages 237-333, December.
    16. Hilmer, Michael, 2013. "Fiscal treatment of managerial compensation - a welfare analysis," VfS Annual Conference 2013 (Duesseldorf): Competition Policy and Regulation in a Global Economic Order 79703, Verein für Socialpolitik / German Economic Association.
    17. repec:eee:labchp:v:3:y:1999:i:pb:p:2373-2437 is not listed on IDEAS
    18. Gary J. Miller & Andrew B. Whitford, 2002. "Trust and Incentives in Principal-Agent Negotiations," Journal of Theoretical Politics, , vol. 14(2), pages 231-267, April.
    19. Henry Tosi, 2008. "Quo Vadis? Suggestions for future corporate governance research," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 12(2), pages 153-169, May.
    20. Mathias Erlei & Heike Schenk-Mathes, 2017. "Bounded Rationality in Principal-Agent Relationships," German Economic Review, Verein für Socialpolitik, vol. 18(4), pages 411-443, November.
    21. Chaney, Paul K. & Thakor, Anjan V., 1985. "Incentive effects of benevolent intervention : The case of government loan guarantees," Journal of Public Economics, Elsevier, vol. 26(2), pages 169-189, March.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:prs:ecoprv:ecop_0249-4744_1997_num_129_3_5871. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Equipe PERSEE (email available below). General contact details of provider: https://www.persee.fr/collection/ecop .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.