QES n° 168 The Effects of Welfare State Intervention on the Living Condition of Europeans Aged 50 and Over
SHARELIFE, the third wave of the Survey of Health, Ageing, and Retirement in Europe (SHARE), interviewed senior citizens aged 50 and over on their life histories from childhood to the present day...

QES n° 166 Relationship between Perceived Labour Market Rewards and the Health of Senior Workers
According to Siegrist’s effort-reward imbalance (ERI) model, the feeling that one’s laboureffort is inadequately rewarded generates a psychological risk factor with an adverse effect on health...

QES n° 167 Analysis of the Impact of Drug Delisting in France between 2002 and 2011
Between 2002 and 2011, the continuous increase in pharmaceutical expenditures prompted the public authorities to delist drugs with low therapeutic values...

QES n° 165 Do Individuals Using the 21 Health Care Centres Participating in the EPIDAURE-CDS Study Have a Lower Socio-Economic Status?
The exploratory project EPIDAURE-CDS aims at analysing the specificity of 21 polyvalent health care centers (HCC) in the supply of health care and evaluating their role in the reduction of health inequalities, notably in terms of access to primary care...

QES n° 164 Travel Distances and Travel Times to Nearest Health Care in Metropolitan France
Access to medical care has become a central issue in the current context of major hospital sector reforms and the anticipated decline in the number of physicians on the French territory...

QES n° 163 Do the Transformations in Health Care Supply Correspond to General Medical Care Users’ Concerns?
Primary care supply is currently undergoing significant changes, notably in general medicine...

QES n° 159 Arammis Microsimulation Model Contribution: an Analysis of the Redistributive Effects of an OOP Maximum on Ambulatory Care Expenditures
In France, although the Compulsory Health Care Insurance scheme reimburses a large part of health expenditures, patients may still be faced with high out-of-pocket payments (difference between actual health expenditure and the amount reimbursed)...

QES n° 152 Asthma Patients’ Ambulatory Care Expenditures in 2006
In France, asthma patients’ total ambulatory medical expenditures is one and a half times higher than for non-asthmatics, according to data matching of IRDES’ “Health, Health Care and Insurance” survey (ESPS) with Health Insurance claims...

QES n° 132 Complementary Health Insurance in France in 2006: Access is Still Unequal Results of the 2006 French Health, Health Care and Insurance Survey (ESPS 2006)
In 2006, more than 9 out of 10 people in France reported being covered by complementary health insurance. Of those not covered, more than one in two reported financial difficulties...

QES n° 162 Take-up Rate of a Subsidising Scheme for Acquiring a Complementary Health Insurance in France: Key Findings from a Social Experiment in Lille
The subsidising scheme for acquiring a complementary health insurance (ACS), introduced in 2005, aimed at targeting households with an income level situated just above the eligibility threshold for Universal Complementary Health Insurance (CMU-C)...

QES n° 150 Who Took out Additional Supplementary Health Insurance? A dynamic Analysis of Adverse-Selection
According to economic theory, individuals choose their insurance cover levels in virtue of anticipated health expenditures...

QES n° 160 The Health of Older Workers in Europe: Results of SHARE 2006
An ageing population and the extension of working life are confronting most countries with the challenge of healthy ageing...

QES n° 158 Has the Introduction of Mandatory Deductibles Modified Patients’ Prescription Drug Purchasing Behaviour?
Introduced on January 1st 2008, the 0.5€ deductible levied on every prescription drug package purchased was an incentive measure essentially aimed at regulating individuals’ drug consumption...

QES n° 161 Complementary Health Insurance in France: Wide-Scale Diffusion but Inequalities of Access Persist
In the context of ever increasing health expenditures and the recent increment in the share of health expenditures no longer reimbursed by the Statutory Health Insurance scheme, widescale diffusion of complementary health insurance (CHI) has become a major determinant in maintaining low income and high care need populations’ access to health care...

Working paper n° 40
Social Capital and Health of Older Europeans
This research uses a time-based approach of the causal relationship (Granger-like) between health and social capital for older people in Europe. We use panel data from waves 1 and 2 of SHARE (the Survey of Health, Ageing, and Retirement in Europe) for the analysis...

QES n° 157 Group Practice Dynamics Among Private General Practitioners from 1998 to 2009
Based on the Inpes 1998, 2003 and 2009 General Practitioners’ Health Barometer surveys conducted on representative national samples, this joint Inpes/Irdes study analyses group practice trends, its characteristics and evolution among private general practitioners...

QES n° 153 Lifestyles: a Channel of Intergenerational Transmission of Health Inequalities?
Health insurance reduces financial risk and plays an important role in low income households’ access to care....

Working paper n° 38
Disability and Social Security Reforms: The French Case
The French pattern of early transitions out of employment is basically explained by the low age at “normal” retirement and by the importance of transitions through unemployment insurance and early-retirement schemes before access to normal retirement...

Working paper n° 37
Disparities in Regular Health Care Utilisation in Europe
Despite common recommendations and quasi universal health care coverage in all European countries, there are large differences in the utilisation patterns of different health services. Little comparative information is available on different types of health service utilisation...

Working paper n° 35
Subscribing to Supplemental Health Insurance in France: A Dynamic Analysis of Adverse Selection
Adverse selection, which is well described in the theoretical literature on insurance, remains relatively difficult to study empirically. The traditional approach, which focuses on the binary decision of “covered” or “not”, potentially misses the main effects because heterogeneity may be very high among the insured...

Working paper n° 34
Out-of-Pocket Maximum Rules under a Compulsory Health Care Insurance Scheme: A Choice between Equality and Equity
Using the microsimulation model ARAMMIS, this study attempts to measure the impacts of introducing an out-of-pocket (OOP) maximum threshold, or a safety net threshold, on consumer copayments for health care financed by the abolition of the Long-term Illness Regime (ALD) in France...

QES n° 154 Lifestyles: a Channel of Intergenerational Transmission of Health Inequalities?
In France, several recent studies have highlighted inequalities of opportunity in health directly related to social background. In order to better understand the long-term effects of childhood living conditions, specific questions were introduced in the Health, health care and insurance survey conducted by IRDES in 2006...

QES n° 156 Drug-prescription Management in Patients with Multiple Chronic Conditions
In a context where the prevalence of chronic diseases is constantly rising, drug-related risks confronting patients suffering from multiple chronic conditions (MCC) remains poorly documented...

QES n° 155 Employer-sponsored Complementary Health Insurance: Variable Situations According to Company
Preliminary results from IRDES new wave of the Employer-sponsored Complementary Health Insurance survey (PSCE) conducted in 2009 reveals that over two in five establishments (excluding the public services and agricultural sectors) offer their employees a complementary health insurance (CHI) scheme...

Working paper n° 33
Effort or Circumstances: Does the Correlation Matter for Inequality of Opportunity in Health?
This paper proposes a method to quantify the contribution of inequalities of opportunities and inequalities due to differences in effort to be in good health to overall health inequality...

QES n° 147 An Exploratory Evaluation of Multidisciplinary Primary Care Group Practices in Franche-Comté and Bourgogne.
The creation of maisons de santé pluridisciplinaires, grouping together first-contact medical and paramedical private practitioners providing a multidisciplinary healthcare service, is expanding throughout France...

QES n° 148 Pathways to Retirement in Europe: Individual Determinants and the Role of Social Protection.
In Europe, the pathways to retirement are determined by individual factors such as age, gender, education level and health status, and contextual factors such as family and professional environments...

QES n° 149 Is there a Relationship between Volume of Activity and Quality of Care in French Hospitals?
Concentration of certain procedures in high-volume hospitals is increasingly being presented as a means of improving the quality of care. However, until now no study has verified the link between volume of activity and quality of the care in France...

Document de travail / Working paper n° 30
Monitoring Health Inequalities in France: A Short Tool for Routine Health Survey to Account for LifeLong Adverse Experiences.
Conventional health surveys focus on current health and social context but rarely address past experiences of hardship or exclusion. However, recent research shows how such experiences contribute to health status and social inequalities...