Academic literature on the topic 'Soins médicaux – Coût – Pays en voie de développement'
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Journal articles on the topic "Soins médicaux – Coût – Pays en voie de développement":
Dumoulin, Jeanne. "L’éthique et l’acceptation sociale des innovations technologiques." Dossier : La bioéthique 2, no. 2 (April 13, 2018): 7–14. http://dx.doi.org/10.7202/1044645ar.
Manga, M. M., M. Ibrahim, U. M. Hassan, R. H. Joseph, A. S. Muhammad, M. A. Danimo, O. Ganiyu, A. Versporten, and O. O. Oduyebo. "Empirical antibiotherapy as a potential driver of antibiotic resistance: observations from a point prevalence survey of antibiotic consumption and resistance in Gombe, Nigeria." African Journal of Clinical and Experimental Microbiology 22, no. 2 (April 8, 2021): 273–78. http://dx.doi.org/10.4314/ajcem.v22i2.20.
Dissertations / Theses on the topic "Soins médicaux – Coût – Pays en voie de développement":
Rizvi, Syeda Anam Fatima. "Dépenses et financement de la santé ; une perspective de déterminants macroéconomiques et de microfinancement pour les pays en développement (Un cas du Pakistan)." Electronic Thesis or Diss., Université Clermont Auvergne (2021-...), 2023. http://www.theses.fr/2023UCFA0157.
Health expenditures across the globe are rising; therapeutic health services have increased as well as becoming expensive. Life expectancy in developed economies have increased more as compared to the developing countries, however developed economies have ensured adequate health financing mechanisms as compared to developing countries case. Developed economies have developed health financing models through risk pooling i.e. insurance mechanism and developing health markets where as developing economies are still grappling with the quest of adequately financing their health spending needs. But still incidence of Out-of-Pocket Health expenditures are the major source and these at times also become catastrophic for the families which have an unexpected health emergency.In this thesis we have empirically estimated the macro determinants for health expenditures across countries. Every country has its unique health sector circumstances, these differences may be in the existence of health markets, insurance options, economic growth and above all the institutional quality which defines the overall governance structure of health sector. Income ,education, technology, and aging population are generic drivers for higher health expense on the other hand. Our results have shown that these variables significantly affect overall need of health expenditures.These are however macro level determinants and in order to understand the basic empirical underpinnings of the health financing needs one has to delve into micro level studies. One of the major query in this regards for developing countries like Pakistan is to see the determinants for the out of pocket health expenditures. These OOP health expenditures often become catastrophic and may result in making households welfare damaged permanently. Because these OOP are managed by selling productive assets or by reducing the essential expenditures such as education and other amenities. However, one needs to understand the causes for such catastrophic expenditures to be able to propose evidence-based policy proposals. Our findings provide that theory of change where we see that for Pakistan; the households's education, age, type of employment and region are major covariates which drives the families into further poverty by virtue of a health shock to one of the family member, and if it is the household head which is also the single earner of the family then without intervention of the government it becomes impossible to become stable again.Lastly, one question which puzzles the policy makers that rationality suggests that individuals are risk averse. Hence in a health outcome climate where risk of catastrophic expenditures probability is very high one should cover the risk by opting for health insurance, however the data does not reflect this picture. This may be because of an underdeveloped health insurance market in countries like Pakistan, but there can also be behavioral attributes besides low-income levels which may result in such insurance purchase decisions. Therefore, a good research query would be to evaluate the determinants of health insurance purchase decisions. Because this can lead us to propose a policy framework which ensures that majority of population's health risk is covered through health insurance system. Our results have identified that age, province, family size, education, internet usage and wealth are significant variables. Since we could not cover the health insurance markets from a primary data perspective hence this can be a limitation of the study
Cissé, Boubou. "Recouvrement des coûts et utilisation des services de santé dans les pays d'Afrique au Sud du Sahara : qu'en est-il de l'impact du paiement des soins de santé par les usagers ?" Aix-Marseille 2, 2004. http://www.theses.fr/2004AIX24006.
Further to the 1980's financial crisis which has sorely stroked the developing countries, the establishment of the cost recovery scheme (user fees) has been proposed to these countries in 1985, and in practise demand from the World Bank from 1987. Since then, there has been many controversies about the impact of the introduction of user fees on access to health care and utilisation of health services. This thesis deals with the problematic of equity in the field of health in urban area. It's aim is to whether payment of health care by private individuals constitutes a source of inequity in the use and access of health care. It also presents the methodology and the results (resulting from empirical database) of a research on inequality in the distribution of health care use and expenditures in African countries, in order to better grasp some aspects of the nature and the extent of the problems that are facing the underprivileged groups and which separate them from the rich. With this intention, we analyse the socio-economic distribution service use of and expenditure of the households following a common and rigorous method of analysis and commune to all the sites, based on the concepts of vertical equity and horizontal equity and the calculation of indices based on the Lorenz curves, the whole drawn from the literature of tax economy
Zrikem, Taufik. "Les paiements informels et l'efficience des systèmes de soins dans les pays en voie de développement." Thesis, Aix-Marseille, 2018. http://www.theses.fr/2018AIXM0237.
Informal payments (IP) are sums of money paid voluntarily by patients, or unduly demanded by medical staff, for the provision of care that is supposed to be already financed. In the public healthcare systems of developing countries (DC), these payments are a common practice. Since these healthcare systems are often considered to be inefficient, we propose in this study an analysis of the possible links between the payment of IP and the efficiency of a healthcare system.In the first part of this work, we highlight a negative correlation between IPs and the efficiency of the healthcare system: high levels of IP are typically associated with poor health outcomes. We explain that it is therefore legitimate to think that a reduction in IP levels would improve the services provided or / and a reduction in health expenditure.If one wishes to reduce IPs, it seems relevant to examine the reasons that push patients and health personnel to indulge in informal payments. In the second part of this work, we explore this path from a cost-benefit analysis. Hence, four major determinants of the agent's behavior are identified: wages, physical working conditions, legal accountability and social norms. Starting from the premise that the agent will change his attitude only if a behavior of integrity gives him at least as much satisfaction as a corrupted behavior , we deduce from this some strategies likely to reduce IPs
Germain, Norly. "Contribution à l'ingénierie des systèmes de production de soins dans les pays en voie de développement : vers un système sans murs en Haïti." Electronic Thesis or Diss., Université de Lorraine, 2012. http://www.theses.fr/2012LORR0327.
The tools used in the transformations of the production systems of goods and services in the industrial world to respond to market pressures around the 1970's have been applied since the past two decades in the health system in order to organizing more effectively and more efficiently healthcare for the populations. Facing an increase care demands; an aging population and a lack of qualified human resources in this field, health facilities managers are confronted with constraints that prevent them from responding adequately to the patient's expectations. The implementation of a Home Health care structure appears to be a fair alternative to traditional hospitalization. That helps to treat the patient in his/her environment/home, to reduce psychological pressure, to manage rationally the beds in the hospitals, and to avoid the risk of nosocomial infections, at the end to cut down on health care costs. However, the situation appears more critical in the developing countries where for many services, the current techniques in application to plan and to organize care deliveries are those used in the late nineteenth century in industrialized countries. The maternity ward is most affected by this lack of resources. In Haiti, 75% of births are home deliveries without any qualified medical assistance. The maternal mortality rate is 670 per 100,000.00, the highest in the American continent. In the other side, the infant mortality rate is 80 ? live births. While in the other countries located in the Caribbean as well as Haiti, such as the Dominican Republic, Cuba and Jamaica, there are respectively per 100,000.00 live births, maternal mortality rates of 150, 45 and 170; and infant mortality rates per 1,000.00 births alive, amounted to 27, 6 and 16. We need emergency responses to reduce the risk of death in the motherhood process. The goal of our work is to propose an alternative to the traditional maternity ward in order to prevent and to reduce maternal and infant deaths in the country. Indeed, a partial modeling of Haitian hospital system is carried out into two steps. At first, we address the problem of resources staffing based on engineering of conception. To quantify in optimal way the human resources that will be part of the "maternity home care assistance" team, we have applied the methodology ASCI (Analysis, Specification, Design, Implementation), originally designed at LIMOS laboratory at the University of Clermont Ferrand II by Michel Gourgand and Patrick Kellert Gourgand in the early 90s. With this methodology, we have developed a model of knowledge (with Petri nets) which allowed us to formalize the different knowledge of the system; some models of actions (using simulation with ARENA software) to assess the performance of the system; and a model of results that has provided indicators to intervene and to improve the system if necessary. And to optimize the results found, we have coupled our simulation with an optimization tool "OptQuest for ARENA". Second, the distributed control has enabled us to proceed to the coordination of planning for periodic assistance of the maternity home care. To achieve this goal, we have borrowed a tool of problem formulation applied in industrial engineering which is "MLCLSP (Multi-Level Capacitated Lot Sizing Problem). We have developed a mixed linear optimization algorithm that allows us to obtain optimal results for the planning of medical visits to pregnant women who had previously register to the platform for maternity home care assistance. The optimization of the algebraic model of decision is realized in the MIP solver (Mixted-Integer Programing) - CPLEX, implemented in GAMS (General Algebraic Modeling System)
Germain, Norly. "Contribution à l'ingénierie des systèmes de production de soins dans les pays en voie de développement : vers un système sans murs en Haïti." Thesis, Université de Lorraine, 2012. http://www.theses.fr/2012LORR0327/document.
The tools used in the transformations of the production systems of goods and services in the industrial world to respond to market pressures around the 1970's have been applied since the past two decades in the health system in order to organizing more effectively and more efficiently healthcare for the populations. Facing an increase care demands; an aging population and a lack of qualified human resources in this field, health facilities managers are confronted with constraints that prevent them from responding adequately to the patient's expectations. The implementation of a Home Health care structure appears to be a fair alternative to traditional hospitalization. That helps to treat the patient in his/her environment/home, to reduce psychological pressure, to manage rationally the beds in the hospitals, and to avoid the risk of nosocomial infections, at the end to cut down on health care costs. However, the situation appears more critical in the developing countries where for many services, the current techniques in application to plan and to organize care deliveries are those used in the late nineteenth century in industrialized countries. The maternity ward is most affected by this lack of resources. In Haiti, 75% of births are home deliveries without any qualified medical assistance. The maternal mortality rate is 670 per 100,000.00, the highest in the American continent. In the other side, the infant mortality rate is 80 ? live births. While in the other countries located in the Caribbean as well as Haiti, such as the Dominican Republic, Cuba and Jamaica, there are respectively per 100,000.00 live births, maternal mortality rates of 150, 45 and 170; and infant mortality rates per 1,000.00 births alive, amounted to 27, 6 and 16. We need emergency responses to reduce the risk of death in the motherhood process. The goal of our work is to propose an alternative to the traditional maternity ward in order to prevent and to reduce maternal and infant deaths in the country. Indeed, a partial modeling of Haitian hospital system is carried out into two steps. At first, we address the problem of resources staffing based on engineering of conception. To quantify in optimal way the human resources that will be part of the "maternity home care assistance" team, we have applied the methodology ASCI (Analysis, Specification, Design, Implementation), originally designed at LIMOS laboratory at the University of Clermont Ferrand II by Michel Gourgand and Patrick Kellert Gourgand in the early 90s. With this methodology, we have developed a model of knowledge (with Petri nets) which allowed us to formalize the different knowledge of the system; some models of actions (using simulation with ARENA software) to assess the performance of the system; and a model of results that has provided indicators to intervene and to improve the system if necessary. And to optimize the results found, we have coupled our simulation with an optimization tool "OptQuest for ARENA". Second, the distributed control has enabled us to proceed to the coordination of planning for periodic assistance of the maternity home care. To achieve this goal, we have borrowed a tool of problem formulation applied in industrial engineering which is "MLCLSP (Multi-Level Capacitated Lot Sizing Problem). We have developed a mixed linear optimization algorithm that allows us to obtain optimal results for the planning of medical visits to pregnant women who had previously register to the platform for maternity home care assistance. The optimization of the algebraic model of decision is realized in the MIP solver (Mixted-Integer Programing) - CPLEX, implemented in GAMS (General Algebraic Modeling System)
Haddad, Slim. "Utilisation des services de santé en pays de développement : une étude longitudinale dans la zone de santé rurale de Nioki au Zaïre." Lyon 1, 1992. http://www.theses.fr/1992LYO19001.
Faton, Elfried. "Three essays in labor economics and the economics of networks." Doctoral thesis, Université Laval, 2019. http://hdl.handle.net/20.500.11794/36239.
Projo, Nucke Widowati Kusumo. "Dual practice in developing country health system." Thesis, Paris 1, 2019. http://www.theses.fr/2019PA01E012.
The term of “dual practice physician” in this research refers to physicians who work in public health care facility owned by government and at the same time also engaged in private practice. Part one will analyse the relationship between public and private provider under dual practice regulation in term of price and quality setting in the public facility. This theoretical work is vital to link dual practice from demand and supply side that appears in Part two and Part three. The research wants to answer particular questions on how a private provider selects its price and quality level after knowing the public price and quality set by government under dual practice compared to non-dual practice regulation. The model also emphasizes the existence of insurance scheme in the system. Health care access enhancement in developing country usually takes one of two forms increasing the supply through allowing physicians to have dual jobs and increasing financial access through insurance coverage
Awawda, Sameera. "A roadmap to attain universal health coverage in developing countries : a microsimulation-based dynamic general equilibrium model." Thesis, Aix-Marseille, 2019. http://theses.univ-amu.fr.lama.univ-amu.fr/190925_AWAWDA_480wiwc30esmfbi673fafoz83y_TH.pdf.
Universal Health Coverage (UHC) has received during the last decade a revived interest by policy-makers, international organizations and researchers worldwide. There has been hitherto no theoretical-empirical work that can enable to assess the feasibility of UHC and its potential effects at both micro- and macro-economic levels. This thesis presents an operationalizing theoretical framework that is capable of addressing the above issues using dynamic stochastic general equilibrium (DSGE) model and microsimulation technique. The first chapter presents the DSGE model that is calibrated to capture the salient features of an archetype developing economy. Results illustrate how the degree of financial-risk protection can vary with the financing-mix used to implement the UHC reform. The second chapter assesses the macro-fiscal conduciveness of UHC reforms and its impact on welfare and public finance in the particular context of Palestine. Results show that while UHC can enhance welfare, a parallel expansion of the breadth and width of coverage may not be feasible unless a policy adjustment is undertaken. The third chapter examines the potential impact of UHC reforms on intergenerational inequalities in view of fiscal sustainability. The question of who bears the burden of the UHC is addressed using an overlapping generation model, while a convenient measure to assess the social impact of UHC-financing strategies is proposed. Results show that under conditions of limited fiscal space, the choice between deferred-debt and current UHC-financing implies a trade-off between fiscal sustainability against intergenerational inequality, with which the policy-maker will have to confront
Books on the topic "Soins médicaux – Coût – Pays en voie de développement":
Deloche, Alain. La glace à la vanille: Un chirurgien pour les enfants du monde. Paris: Cherche midi, 2014.