The foundations of the new theories in health economics

Les fondements des nouvelles théories en économie de la santé

Sophie Bejean
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Sophie Bejean: LATEC - Laboratoire d'Analyse et de Techniques Economiques [UMR 5601] - UB - Université de Bourgogne - CNRS - Centre National de la Recherche Scientifique

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Abstract: In health economics, theoretic approaches such as the theory of contracts, the economy of conventions, the theory of transaction costs and the evolutionary theory, have been applied recently. The present paper offers a classification of these different theories focusing on their epistemological foundations. The clarification of their assumptions about individual rationality (substantial or procedural rationality), about coordination modality (by inter-individual contracts or collective rules), about uncertainty (probabilistic risk or cognitive uncertainty), shows oppositions between these theories. Nevertheless, the application of these different theories in health economics shows that they can be complementary in order to understand the health care system regulation. In politic economics, it seems necessary to combine individual incitations and collective motivation rules, but applied economics to the health care system are not advanced enough to guarantee efficiency of such recommendations.

Keywords: Contracts; Economics; economic theory; Evolutionnary theory; Health services; health administration; community care services; Sociologie; Sociology; Transaction costs (search for similar items in EconPapers)
Date: 1997
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Published in [Rapport de recherche] Laboratoire d'analyse et de techniques économiques(LATEC). 1997, 33 p., ref. bib. : 3 p. 1/2

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