IDEAS home Printed from https://ideas.repec.org/p/hal/wpaper/hal-01256505.html
   My bibliography  Save this paper

Privatisation de la santé en Europe. Un outil de classification des réformes

Author

Listed:
  • Christine André

    (CNRS-L - National Council for Scientific Research = Conseil national de la recherche scientifique du Liban [Lebanon])

  • Philippe Batifoulier

    (CEPN - Centre d'Economie de l'Université Paris Nord - UP13 - Université Paris 13 - USPC - Université Sorbonne Paris Cité - CNRS - Centre National de la Recherche Scientifique)

  • Mariana Jansen-Ferreira

    (Université de Sao Paulo (USP) et PUC-SP - Université de Sao Paulo (USP) et PUC-SP)

Abstract

Les systèmes de santé européens ont été soumis à de nombreuses réformes depuis une trentaine d'années. La privatisation en constitue une tendance majeure que l'on retrouve dans tous les pays. Mais le concept de privatisation revêt plusieurs dimensions qu'il convient de préciser pour effectuer une comparaison internationale. On propose dans une première partie de caractériser la privatisation selon deux critères : le champ d'application (financement et délivrance du soin) et le caractère « externe » ou « interne » de la privatisation. Dans une seconde partie est menée une analyse empirique systématique des privatisations dans les systèmes de santé de quatorze pays européens depuis 1980. Une cartographie des processus de privatisation est enfin proposée qui fait ressortir les différences dans la hiérarchisation des formes de privatisation selon les pays.

Suggested Citation

  • Christine André & Philippe Batifoulier & Mariana Jansen-Ferreira, 2016. "Privatisation de la santé en Europe. Un outil de classification des réformes," Working Papers hal-01256505, HAL.
    • Handle: RePEc:hal:wpaper:hal-01256505
    Note: View the original document on HAL open archive server: https://sorbonne-paris-nord.hal.science/hal-01256505
    as

    Download full text from publisher

    File URL: https://sorbonne-paris-nord.hal.science/hal-01256505/document
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. repec:dau:papers:123456789/447 is not listed on IDEAS
    2. Or, Zeynep & Cases, Chantal & Lisac, Melanie & Vrangbæk, Karsten & Winblad, Ulrika & Bevan, Gwyn, 2010. "Are health problems systemic? Politics of access and choice under Beveridge and Bismarck systems," Health Economics, Policy and Law, Cambridge University Press, vol. 5(3), pages 269-293, July.
    3. repec:dau:papers:123456789/7000 is not listed on IDEAS
    4. Philippe Batifoulier & Jean-Paul Domin & Maryse Gadreau, 2008. "Mutation du patient et construction d'un marché de la santé. L'expérience française," Revue française de socio-Economie, La découverte, vol. 0(1), pages 27-46.
    5. Schut, Frederik T. & van de Ven, Wynand P. M. M., 2011. "Effects of purchaser competition in the Dutch health system: is the glass half full or half empty?," Health Economics, Policy and Law, Cambridge University Press, vol. 6(1), pages 109-123, January.
    6. Saltman, Richard B., 2002. "Regulating incentives: the past and present role of the state in health care systems," Social Science & Medicine, Elsevier, vol. 54(11), pages 1677-1684, June.
    7. Isabelle Joumard & Christophe André & Chantal Nicq, 2010. "Health Care Systems: Efficiency and Institutions," OECD Economics Department Working Papers 769, OECD Publishing.
    8. Wagstaff, Adam & van Doorslaer, Eddy & van der Burg, Hattem & Calonge, Samuel & Christiansen, Terkel & Citoni, Guido & Gerdtham, Ulf-G & Gerfin, Mike & Gross, Lorna & Hakinnen, Unto, 1999. "Equity in the finance of health care: some further international comparisons1," Journal of Health Economics, Elsevier, vol. 18(3), pages 263-290, June.
    9. Philippe Batifoulier, 2014. "Capital santé. Quand le patient devient client," Post-Print hal-01335674, HAL.
    10. Peter Scherer & Marion Devaux, 2010. "The Challenge of Financing Health Care in the Current Crisis: An Analysis Based on the OECD Data," OECD Health Working Papers 49, OECD Publishing.
    11. Eddy van Doorslaer & Cristina Masseria, 2004. "Income-Related Inequality in the Use of Medical Care in 21 OECD Countries," OECD Health Working Papers 14, OECD Publishing.
    12. David M. Cutler, 2002. "Equality, Efficiency, and Market Fundamentals: The Dynamics of International Medical-Care Reform," Journal of Economic Literature, American Economic Association, vol. 40(3), pages 881-906, September.
    13. Kees van Gool & Mark Pearson, 2014. "Health, Austerity and Economic Crisis: Assessing the Short-term Impact in OECD countries," OECD Health Working Papers 76, OECD Publishing.
    14. Zeynep Or & Florence Jusot & Engin Yilmaz, 2009. "Inégalités de recours aux soins en Europe. Quel rôle attribuable aux systèmes de santé ?," Revue économique, Presses de Sciences-Po, vol. 60(2), pages 521-543.
    15. Unknown, 2005. "Forward," 2005 Conference: Slovenia in the EU - Challenges for Agriculture, Food Science and Rural Affairs, November 10-11, 2005, Moravske Toplice, Slovenia 183804, Slovenian Association of Agricultural Economists (DAES).
    16. Angeli, Federica & Maarse, Hans, 2012. "Mergers and acquisitions in Western European health care: Exploring the role of financial services organizations," Health Policy, Elsevier, vol. 105(2), pages 265-272.
    17. Elizabeth Docteur & Howard Oxley, 2003. "Health-Care Systems: Lessons from the Reform Experience," OECD Health Working Papers 9, OECD Publishing.
    18. Diane Lequet-Slama, 2004. "Régulation des systèmes de santé : quelques expériences étrangères de réformes en Europe," Revue d'Économie Financière, Programme National Persée, vol. 76(3), pages 39-53.
    19. Philippe Batifoulier & Jean-Paul Domin & Maryse Gadreau, 2007. "La gouvernance de l'assurance maladie au risque d'un Etat social marchand," Post-Print halshs-00202861, HAL.
    20. Brekke, Kjell Arne & Kverndokk, Snorre, 2009. "Health inequality in Nordic welfare states - more inequality or the wrong measures?," HERO Online Working Paper Series 2009:4, University of Oslo, Health Economics Research Programme.
    21. Elofsson, Stig & Undén, Anna-Lena & Krakau, Ingvar, 1998. "Patient charges -- a hindrance to financially and psychosocially disadvantage groups seeking care," Social Science & Medicine, Elsevier, vol. 46(10), pages 1375-1380, March.
    22. Mark Hellowell & Allyson M. Pollock, 2009. "The Private Financing Of Nhs Hospitals: Politics, Policy And Practice," Economic Affairs, Wiley Blackwell, vol. 29(1), pages 13-19, March.
    23. Jörg Huffschmid, 2009. "Finance as Driver of Privatisation," Palgrave Macmillan Books, in: Marica Frangakis & Christoph Hermann & Jörg Huffschmid & Károly Lóránt (ed.), Privatisation against the European Social Model, chapter 4, pages 49-60, Palgrave Macmillan.
    24. Wagstaff, Adam & van Doorslaer, Eddy, 1992. "Equity in the finance of health care: Some international comparisons," Journal of Health Economics, Elsevier, vol. 11(4), pages 361-387, December.
    25. Cutler, David, 2002. "Equality, Efficiency, and Market Fundamentals: The Dynamics of International Medical Care Reform," Scholarly Articles 2640584, Harvard University Department of Economics.
    26. Grazia Ietto-Gillies, 2008. "On quasi-markets and privatizations in public services," International Review of Applied Economics, Taylor & Francis Journals, vol. 22(3), pages 387-395.
    27. Howard Oxley & Maitland MacFarlan, 1994. "Health Care Reform Controlling Spending and Increasing Efficiency," OECD Economics Department Working Papers 149, OECD Publishing.
    28. Le Grand, Julian, 1991. "Quasi-markets and Social Policy," Economic Journal, Royal Economic Society, vol. 101(408), pages 1256-1267, September.
    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. Ana Carolina Cordilha, 2020. "How Financialization Reshapes Public Health Care Systems : The Case of Assurance Maladie," Working Papers hal-02525884, HAL.
    2. Luzuriaga, María José, 2023. "Health system privatization, the pandemic and deprivatization under discussion," Revista CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), April.
    3. Philippe Batifoulier & Denis Abecassis & Nicolas da Silva & Victor Duchesne & Léonard Moulin, 2016. "L’utilité sociale de la dépense publique," Working Papers hal-01421197, HAL.

    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. repec:hal:cepnwp:hal-01256505 is not listed on IDEAS
    2. André, Christine, 2015. "Les systèmes de santé européens en longue période," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    3. Benning, Tim M. & Dellaert, Benedict G.C., 2013. "Paying more for faster care? Individuals' attitude toward price-based priority access in health care," Social Science & Medicine, Elsevier, vol. 84(C), pages 119-128.
    4. Grignon Michel, 2012. "Roadblocks to Reform: Beyond the Usual Suspects," Centre for Health Economics and Policy Analysis Working Paper Series 2012-01, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    5. Mikkers, Misja, 2016. "The Dutch Healthcare System in International Perspective," Other publications TiSEM 800704a0-24ee-4830-8659-2, Tilburg University, School of Economics and Management.
    6. Adam Wagstaff, 2010. "Social health insurance reexamined," Health Economics, John Wiley & Sons, Ltd., vol. 19(5), pages 503-517, May.
    7. repec:hal:cepnwp:hal-01421197 is not listed on IDEAS
    8. Adam Wagstaff, 2007. "Health systems in East Asia: what can developing countries learn from Japan and the Asian Tigers?," Health Economics, John Wiley & Sons, Ltd., vol. 16(5), pages 441-456, May.
    9. Philippe Batifoulier & Denis Abecassis & Nicolas da Silva & Victor Duchesne & Léonard Moulin, 2016. "L’utilité sociale de la dépense publique," Working Papers hal-01421197, HAL.
    10. Jones, Andrew M. & Rice, Nigel & Robone, Silvana & Dias, Pedro Rosa, 2011. "Inequality and polarisation in health systems' responsiveness: A cross-country analysis," Journal of Health Economics, Elsevier, vol. 30(4), pages 616-625, July.
    11. Cacace, Mirella, 2007. "The changing public/private mix in the American Health Care System," TranState Working Papers 58, University of Bremen, Collaborative Research Center 597: Transformations of the State.
    12. Böhm, Katharina & Schmid, Achim & Götze, Ralf & Landwehr, Claudia & Rothgang, Heinz, 2012. "Classifying OECD healthcare systems: A deductive approach," TranState Working Papers 165, University of Bremen, Collaborative Research Center 597: Transformations of the State.
    13. Hai Zhong, 2010. "On decomposing the inequality and inequity change in health care utilization: change in means, or change in the distributions?," International Journal of Health Economics and Management, Springer, vol. 10(4), pages 369-386, December.
    14. Nikolaos Grigorakis & Christos Floros & Haritini Tsangari & Evangelos Tsoukatos, 2017. "Combined social and private health insurance versus catastrophic out of pocket payments for private hospital care in Greece," International Journal of Health Economics and Management, Springer, vol. 17(3), pages 261-287, September.
    15. Mads Leth Felsager Jakobsen & Thomas Pallesen, 2017. "Performance Budgeting in Practice: the Case of Danish Hospital Management," Public Organization Review, Springer, vol. 17(2), pages 255-273, June.
    16. Fleurbaey, Marc & Schokkaert, Erik, 2009. "Unfair inequalities in health and health care," Journal of Health Economics, Elsevier, vol. 28(1), pages 73-90, January.
    17. van Doorslaer, Eddy & Wagstaff, Adam & van der Burg, Hattem & Christiansen, Terkel & Citoni, Guido & Di Biase, Rita & Gerdtham, Ulf-G. & Gerfin, Mike & Gross, Lorna & Hakinnen, Unto, 1999. "The redistributive effect of health care finance in twelve OECD countries," Journal of Health Economics, Elsevier, vol. 18(3), pages 291-313, June.
    18. Erik Schokkaert & Jonas Steel & Carine Van de Voorde, 2017. "Out-of-Pocket Payments and Subjective Unmet Need of Healthcare," Applied Health Economics and Health Policy, Springer, vol. 15(5), pages 545-555, October.
    19. Hai Zhong, 2010. "The impact of missing data in the estimation of concentration index: a potential source of bias," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(3), pages 255-266, June.
    20. Parida Wubulihasimu & Werner Brouwer & Pieter van Baal, 2016. "The Impact of Hospital Payment Schemes on Healthcare and Mortality: Evidence from Hospital Payment Reforms in OECD Countries," Health Economics, John Wiley & Sons, Ltd., vol. 25(8), pages 1005-1019, August.
    21. Peter Zweifel & Harry Telser & Stephan Vaterlaus, 2006. "Consumer Resistance Against Regulation: The Case of Health Care," Journal of Regulatory Economics, Springer, vol. 29(3), pages 319-332, May.
    22. Adam Wagstaff & Marcel Bilger & Zurab Sajaia & Michael Lokshin, 2011. "Health Equity and Financial Protection : Streamlined Analysis with ADePT Software," World Bank Publications - Books, The World Bank Group, number 2306.

    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:hal:wpaper:hal-01256505. 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: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    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.