Payer nuit gravement à la santé : une étude de l’impact du renoncement financier aux soins sur l’état de santé

Dourgnon, Paul; Jusot, Florence; Fantin, Romain

doi:10.4000/economiepublique.8851

Cited by 39 publications

(16 citation statements)

References 33 publications

(21 reference statements)

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“…The age at which women renounce to treatment, remains controversial in the literature. Our results confirmed those of Dourgnon (Dourgnon, Jusot and Fantin, 2012), Desprès (2011) and Bazin ( 2006) who noted a higher probability of renouncement to health care in women under 40 years of age. Bazin explained this fact by the lower income that women in this age group earned, which did not allow them to have access to the needed medical care.…”

Section: Factors Associated With Renounce-supporting

confidence: 91%

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Determinants of Health Care Renunciation among Women in Ivory Coast: Case of the District of Abobo Anonkoi-3

Kouamé¹,

Sackou-Kouakou²,

Tiadé³

et al. 2021

J HEALTH POLICY MANAGE

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Background: Health care renunciation aims to identify unmet care needs that a health condition would have justified. This behavior appears to be more common in women than in men. The objective of this work was to analyze the determinants of the health care renunciation among women in the city of Abidjan. Subjects and Method: We carried out a cross-sectional study from March to May 2019 in Anonkoi-3, a peri-urban district of the municipality of Abobo, in the north of the city of Abidjan. Questionnaires served to collect informations. Bivariate analyzes and a multiple logistic regression were used to measure the association between the different types of renunciation and the characteristics of women. Dependant variable was healthcare renunciation. Independent variables were socio-demographic, economic, health status characteristics and reasons for renouncing to health care. Results: The population sample consisted of 423 women (with mean age= 32; SD= 12 years). The renunciation on consultations with the general practitioner concerned, 72.34% of women. Regarding consultation with the specialist, the ophthalmologist (25.05%), the dentist (21.99%), and the gynecologist (14.89%) were those mostly renounced by the women. After consultation, 31.2% of them renounced to pursuing other treatment. They most often renounced to buying drugs from conventional medicine (19.62%) and preferred to use street drugs and traditional drugs (87.71%). All things being equal, women aged 28 to 38 (OR= 2.45; 95% CI= 1.31 to 4.68; p= 0.013), artisans and traders (OR= 3.22; 95% CI= 1.48 to 7.38; p= 0.004) and those in trade learning (OR= 2.42; 95% CI= 1.12 to 5.49; p= 0.028) significantly renouncing more on health care. Conclusion:In addition to financial reasons, the renunciation on health care can be explained by individual and social behaviors specific to individuals.

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Section: Factors Associated With Renounce-supporting

confidence: 91%

“…The fact that treatment are being renounced would contribute to the deteriorating state of health. The treatment, management of people who have renounced to treatment can extend over relatively long periods and incur significant costs (Allonier, Dourgnon and Rochereau, 2010;Dourgnon, Jusot and Fantin, 2012).…”

Section: Introductionmentioning

confidence: 99%

Determinants of Health Care Renunciation among Women in Ivory Coast: Case of the District of Abobo Anonkoi-3

Kouamé¹,

Sackou-Kouakou²,

Tiadé³

et al. 2021

J HEALTH POLICY MANAGE

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“…Access to care is here identified by the subjective assessment of unmet needs due to barriers to healthcare, which have been shown to be associated with the subsequent deterioration of health status and thus to provide relevant information to guide policy action (Allin et al 2010 ; Dourgnon et al 2012 ; Ko 2016 ). Subjective unmet needs can be defined as the gap between the amount of healthcare received by an individual and the amount of healthcare he/she desires based on his/her needs and preferences with regard to health and healthcare.…”

Section: Methodsmentioning

confidence: 99%

Economic vulnerability and unmet healthcare needs among the population aged 50 + years during the COVID-19 pandemic in Europe

2021

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This study investigated the effect of economic vulnerability on unmet needs during the first wave of the coronavirus disease 2019 (COVID-19) epidemic in Europe among adults aged 50 years and older using data from the regular administration of the Survey of Health, Ageing and Retirement in Europe (SHARE) and the specific telephone survey administered regarding COVID-19 (SHARE Corona Survey). It addressed three main research questions: Did people who were in difficult economic situations before the epidemic face more barriers to accessing healthcare than others? If so, to what extent can these discrepancies be attributed to initial differences in health status, use of care, income or education between vulnerable individuals and non-vulnerable individuals or to differential effects of the pandemic on these groups? Did the effect of economic vulnerability with regard to unmet needs during the pandemic differ across countries? Unmet healthcare needs are characterised by three types of behaviours likely to be induced by the pandemic: forgoing care for fear of contracting COVID-19, having pre-scheduled care postponed and being unable to obtain medical appointments or treatments when needed. Our results substantiate the existence of significant differences in accessing healthcare during the pandemic according to economic vulnerability and of cumulative effects of economic and medical vulnerabilities: the impact of economic vulnerability is notably stronger among those who were in poor health before the outbreak and thus the oldest individuals. The cross-country comparison highlighted heterogeneous effects of economic vulnerability on forgoing care and having care postponed among countries, which are not comparable to the initial cross-country differences in social inequalities in access to healthcare. Supplementary Information The online version contains supplementary material available at 10.1007/s10433-021-00645-3.

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“…In general terms, the probability of reliance on care and the number of visits to the doctor are significantly different, all things being equal (including monitoring the state of health), between socio-economic groups, both for general refusals and by type of care (Dourgnon et al 2012). This is easy to see with the help of descriptive statistics (Tab.…”

Section: A Policy Tool Reinforcing the Social Division Of Welfare Of The French Health Insurance Systemmentioning

confidence: 97%

In Between the Market and Public Health Insurance: A Place for Occupational Welfare in Europe?

Houssoy

Sol

Martin

2020

Private Health Insurance and the European Union

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There is a growing body of studies emphasising the multi-pillar configuration of protection against social risk in Europe, particularly in pension reform. In this chapter, we try to expand on this literature to find applicability beyond the sole case of pensions by looking at the case of occupational health insurance in France. In order to do so, we present a restatement of the pillar/provision perspective in order to apply it to a broader range of cases. We argue it is a powerful analytical tool provided it is complemented with a (non-exhaustive) list of perspectives widely used in studies on social policy and does not blunder into the pitfall of functionalism. The chapter focuses on crossing the pillar perspective with a finance and also a regime perspective. Following the seminal intuition of R. Titmuss, an important result yielded is that the overall structure of resources distribution of the whole welfare system can become highly anti-redistributive once occupational schemes and fiscal incentives are included in the analysis.

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Payer nuit gravement à la santé : une étude de l’impact du renoncement financier aux soins sur l’état de santé

Cited by 39 publications

References 33 publications

Determinants of Health Care Renunciation among Women in Ivory Coast: Case of the District of Abobo Anonkoi-3

Determinants of Health Care Renunciation among Women in Ivory Coast: Case of the District of Abobo Anonkoi-3

Economic vulnerability and unmet healthcare needs among the population aged 50 + years during the COVID-19 pandemic in Europe

In Between the Market and Public Health Insurance: A Place for Occupational Welfare in Europe?

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