The Impact of a Social Programme on the Healthcare Consumption of Elderly Self-Employed Workers in France

L’impact d’un programme social sur la consommation de soins des travailleurs indépendants âgés en France

Estelle Augé and Nicolas Sirven ()
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Estelle Augé: IRDES - Institut de Recherche et Documentation en Economie de la Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres
Nicolas Sirven: UR - Université de Rennes, ARENES - Arènes: politique, santé publique, environnement, médias - UR - Université de Rennes - Institut d'Études Politiques [IEP] - Rennes - EHESP - École des Hautes Études en Santé Publique [EHESP] - UR2 - Université de Rennes 2 - CNRS - Centre National de la Recherche Scientifique, RSMS - Recherche sur les services et le management en santé - UR - Université de Rennes - EHESP - École des Hautes Études en Santé Publique [EHESP] - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique, EHESP - École des Hautes Études en Santé Publique [EHESP], IDM - Institut du Management - EHESP - École des Hautes Études en Santé Publique [EHESP], IRDES - Institut de Recherche et Documentation en Economie de la Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres

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Abstract: The aim of the Programme d'Actions pour une Retraite Indépendante (PARI), launched in 2015 by the Régime Social des Indépendants (Social security scheme for self‑employed workers – RSI), is to propose a threefold, global, proactive and targeted approach to promote the use of various social assistance by craftsmen and merchants aged 60 to 79 with a view to preventing loss of autonomy. The central assumption is that the elasticity of demand for medical goods and services is sensitive to social assistance. The aim of this work is to assess the causal impact of the PARI programme on the healthcare consumption of elderly self‑employed workers using a difference‑in‑differences method. The identification of the effect is based on the implementation of the PARI programme in volunteers' regions. The results indicate that the programme reduces one‑off healthcare behaviours in favour of a more regular relationship with the healthcare system

Keywords: Demand for healthcare; Social assistance; Difference‑in‑differences; Demande de soins; Aides sociales; Doubles différences (search for similar items in EconPapers)
Date: 2024-06-04
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Published in Economie et Statistique / Economics and Statistics, 2024, 542, pp.79-98. ⟨10.24187/ecostat.2024.542.2112⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04609105

DOI: 10.24187/ecostat.2024.542.2112

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