DOURGNON Paul

< Back to ILB Patrimony
Affiliations
  • 2016 - 2017
    Institut de recherche et documentation en économie de la santé
  • 2012 - 2013
    Théorie économique, modélisation et applications
  • 2012 - 2013
    Laboratoire d'économie de dauphine
  • 2012 - 2013
    Université Paris-Dauphine
  • 2012 - 2013
    Ecole doctorale de dauphine
  • 2020
  • 2018
  • 2017
  • 2014
  • 2013
  • Impact of fees on access to dental care: evidence from France.

    Anne charlotte BAS, Paul DOURGNON, Sylvie AZOGUI LEVY, Jerome WITTWER
    European Journal of Public Health | 2020
    BACKGROUND: For financial reasons, dental prosthetics is one of the major unmet dental healthcare needs [Financial-SUN (F-SUN)]. Private fees for dental prosthetics result in significant out-of-pocket payments for users. This study analyzes the impact of geo-variations in protheses fees on dental F-SUN. METHODS: Using a nationwide French declarative survey and French National Health Insurance administrative data, we empirically tested the impact of prosthetic fees on dental F-SUN, taking into account several other enabling factors. Our empirical strategy was built on the homogeneous quality of the dental prosthesis selected and used to compute our price index. RESULTS: Unmet dental care needs due to financial issues concern not only the poorest but also people with middle incomes. The major finding is the positive association between dental fees and difficulty in gaining access to dental care when other enabling factors are taken into account (median fee in the highest quintile: OR = 1.35. P value = 0.024. 95% CI 1.04-1.76). People with dental F-SUN are those who have to make a greater financial effort due to a low/middle income or a lack of complementary health insurance. For identical financial reasons, the tendency to give up on healthcare increases as health deteriorates. CONCLUSIONS: The results underscore the need for fee regulation regarding dental prosthetics. This is in line with the current French government dental care reform.
Affiliations are detected from the signatures of publications identified in scanR. An author can therefore appear to be affiliated with several structures or supervisors according to these signatures. The dates displayed correspond only to the dates of the publications found. For more information, see https://scanr.enseignementsup-recherche.gouv.fr