Impact des stratégies de maintien à domicile publiques sur l'efficience du système de santé: une étude comparative entre pays européens

Olivier Baly (olivierbaly@hotmail.com), Frédéric Kletz (frederic.kletz@ensmp.fr), Barrubès Joan, Mégevand Valérie and Bazin Antoine
Additional contact information
Olivier Baly: CGS i3 - Centre de Gestion Scientifique i3 - Mines Paris - PSL (École nationale supérieure des mines de Paris) - PSL - Université Paris Sciences et Lettres - I3 - Institut interdisciplinaire de l’innovation - CNRS - Centre National de la Recherche Scientifique
Frédéric Kletz: CGS i3 - Centre de Gestion Scientifique i3 - Mines Paris - PSL (École nationale supérieure des mines de Paris) - PSL - Université Paris Sciences et Lettres - I3 - Institut interdisciplinaire de l’innovation - CNRS - Centre National de la Recherche Scientifique
Barrubès Joan: Antares Consulting
Mégevand Valérie: imad
Bazin Antoine: imad

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Abstract: With the acceleration of the ambulatory shift, homecare services have become an essential component of healthcare systems, especially for the elderly, who are their primary beneficiaries. However, how the management of those services impact healthcare systems remains an open research question. The aim of this study, carried out in partnership with Geneva homecare services, is to examine whether the management of home care services by a public institution induces a significant difference in elderly people's hospitalization, institutionalization, use of homecare services, and healthy life expectancy. To this end, we compare the means of those variables, using the latest Eurostat data available (2019), between a group of predominantly public European countries (n=16) and a group of predominantly private European countries (n=10). Our results indicate that the public management of homecare, as developped and implemented by Geneva homecare services, is associated with a lower rate of hospitalization in the elderly. This finding suggests that further investigation is needed on the clinical and organizational practices that may explain this outcome.

Keywords: soins aux personnes âgées; maintien à domicile; gestion publique; IMAD (institution Genevoise de maintien à domicile); efficience du système de santé. (search for similar items in EconPapers)
Date: 2024-07-04
New Economics Papers: this item is included in nep-age
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Published in ALASS Giseh, Jul 2024, Liège (Belgique), Belgique

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