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Dépenses de santé et arrêts maladie en France entre 2009 et 2012

Abstract : The purpose of this dissertation is to define the role of French healthcare expenditures, and to identify whether care represent a cost or an investment. We use the inter-relationships between care and sick leaves for more than a hundred thousand employees. Results show a combination of preventive and curative impact of any care expenditure.By regressing additional care cost on having declared a sick leave, we highlight the significant cost of care that can be likened to consumption.With a zero inflated Poisson model, we also investigate sick leave’s key factors. In particular we focus on sectors and find that working conditions differentiate probability of sick leave, whereas employment conditions and social environment discriminate between sick leave’s durations.We then examine the preventive role of care, reducing significantly the number of sick leave days for the next year : A Poisson regression model is used where the initial condition problem has been taken into account.In our last approach, we statically classify health care and sick leave behavior to finally show that health capital can be viewed as a continuum for which investments are realized.
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Rova Ramandraivonona. Dépenses de santé et arrêts maladie en France entre 2009 et 2012. Economies et finances. Université Paris sciences et lettres, 2016. Français. ⟨NNT : 2016PSLED016⟩. ⟨tel-02057131⟩

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