Économie de la santé dans les pays en développement des paradigmes en mutation

Jean-Paul Moatti and Bruno Ventelou

Revue économique, 2009, vol. 60, issue 2, 241-256

Abstract: Since 2000, the fight against aids, tuberculosis and malaria has contributed to significant shifts in the main paradigms of the health economics literature applied to developing countries: improvements in public health of the population are now considered a prerequisite, rather than a consequence, of economic growth; for health care financing, priority is given to promoting prepayment and health insurance mechanisms rather than "cost recovery" policies and user fees at the point of consumption; differential pricing for access to essential medicines and flexibility in international norms for intellectual property rights are increasingly recommended; disease-targeted "vertical" programs are viewed as a way to improve efficiency and strengthen health care systems as a whole. The article discusses the theoretical and empirical limitations of these new paradigms. Classification JEL : G22, I1, I18, O11, O34

JEL-codes: G22 I1 I18 O11 O34 (search for similar items in EconPapers)
Date: 2009
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