Le régime social des indépendants (RSI) : étude de l'impact de l'alignement des taux de remboursement sur celui du régime général en terme de consommation de soins (notice n° 717763)
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| control field | 20250123072120.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Tanguy, Maëla |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Le régime social des indépendants (RSI) : étude de l'impact de l'alignement des taux de remboursement sur celui du régime général en terme de consommation de soins |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2010.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 100 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Objectif : Peu d’études portent sur le lien entre dépenses de santé et niveau de protection sociale. Depuis 2001, la loi a permis l’alignement des taux de remboursements des prestations du régime social des indépendants (RSI) sur ceux du régime général. Nous avons étudié l’impact de cet alignement en terme de consommation de soins. Méthodes : Il s’agit d’une étude observationnelle comparant sur deux périodes – avant et après l’alignement – les données agrégées de la caisse maladie régionale des travailleurs indépendants des Pays-de-la-Loire notamment le nombre d’actes des praticiens et les dépenses sanitaires générées par les actes ou les prescriptions. Résultats : De 1995 à 2004, le nombre de consultations et visites a progressé de 11,2 %, celui des actes de spécialités de 22 % et les actes d’imagerie de 66,4 %. La progression est plus importante en seconde période. Le volume des actes infirmiers, de kinésithérapie ou des examens biologiques a également progressé suite à l’alignement des taux ainsi que les dépenses remboursables ; en particulier pour les médicaments (+ 58,9 %) et les consultations et visites (+ 26,4 %). Conclusion : Malgré les difficultés induites par l’analyse de données agrégées, cette étude a permis de montrer une tendance à l’augmentation des dépenses de santé depuis l’alignement des taux de remboursements du RSI sur le régime général. Il serait utile de dresser un état des lieux régulier de cette évolution car elle a un impact sur le système de santé. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | The self-employed worker’s social system: alignment of reimbursement rates with the public welfare system and its EFFECTS on health consumption Background : In France, a social inequality between the employed and self-employed workers (shopkeepers, skilled workmen and professions workers) has been reduced in 2001 through the reimbursement rates alignment of the self-employed workers’ social system with the “régime general” (or unified social security program general system). The aim of the study was to evaluate the impact of this reform on health consumption. Methods : The regional health insurance office of “Pays de Loire” provided a database to the public health department of Angers Teaching Hospital. Therefore, we made a qualitative comparison of consultations by medical practitioners as well as dentists and midwives, between two periods : 1995-2000 and 2001-2004. Results : The number of medical consultations, specialists’ acts such as surgery or medical imaging increased from 11.2% to 66.4% between 1995 and 2004, especially after the alignment. In each case, this increase was higher for the liberal professions than the other socioprofessional group. The number of paramedical and biology acts increased respectively by 6.8% and 27.1%. The refund of medical costs expenditures have also progressed by 26.4% for medical fees, 15% for hospitalization’s costs and 58.9% for medication expenditures. Conclusion : Despite the difficulty of analysing macroscopic instead of individual data, this study shows the impact of the reimbursement rates alignment of the self-employed workers’ social system with the general system. Health consumption may be influenced by the level of protection provided by the health insurance system. It filled a gap between categories of workers. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | système de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | inégalités sociales de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dépenses de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | soins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | système de soins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | assurance maladie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health insurance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health care system |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health care consumption |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health economics |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | inequality |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hitoto, Hikombo |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lallier, G. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bauche, C. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Fanello, Serge |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Journal d'économie médicale | Volume 28 | 5 | 2010-09-30 | p. 207-221 | 0294-0736 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-journal-de-gestion-et-d-economie-medicales1-2010-5-page-207?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-journal-de-gestion-et-d-economie-medicales1-2010-5-page-207?lang=fr&redirect-ssocas=7080</a> |
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