Ventelou

Bruno Ventelou

  • Chercheur
Contact :

Aix-Marseille Université
AMSE
5-9 Boulevard Bourdet, CS 50498
13205 Marseille Cedex 1
Téléphone : +33 (0)4 13 55 25 82
Directeur de recherche
CNRS
Domaines de recherche :
Économie de la santé
Macroéconomie
Thèse :
1995
Paris School of Economics, École des hautes études en sciences sociales
Child Income Appropriations as a Disease-Coping Mechanism: Consequences for the Health-Education Relationship, Renaud Bourlès, Bruno Ventelou et Maame Esi Woode, The Journal of Development Studies, Volume 54, Issue 1, pp. 57-71, 2018

This paper analyses the relationships between HIV/AIDS and education taking into account the appropriative nature of child income. Using a theoretical model, we show that considering remittances from one’s child as an insurance asset can reverse the usual negative relationship between disease prevalence and educational investment. This prediction confirms the results of an empirical study conducted on data compiled from the Demographic and Health Survey (DHS) database for 12 sub-Sahara African countries for children aged between 7 and 22-years-old. Using regional HIV prevalence as a measure of health risk, we find that the ‘sign of the slope’ between health risk and the enrolment of children is not constant. Splitting the data based on expected remittance patterns (for example rural versus urban), we obtain that the effect is most likely driven by household characteristics related to child income appropriation.

Community Economic Distress and Changes in Medicare Patients' End-of-Life Care Costs, William B. Weeks, Mariétou H. L. Ouayogodé, Bruno Ventelou, Todd Mackenzie et James N. Weinstein, Journal of Palliative Medicine, Volume 21, Issue 6, pp. 742-743, 2018

Real reductions in decedents’ per-capita Medicare fee-forservice
(FFS) spending accounted for most of Medicare’s
cost growth mitigation between 2009 and 2014.1 Decedents’
spending reductions immediately followed the Great Recession
of 2007–2009, which accounted for 14% of the decline
in overall Medicare spending growth between 2009 and
2012.2 Since Medicare patients living in lower income areas
spend more at the end of life (EOL),3 we sought to explore
whether local economic distress levels were associated with
decedents’ spending.

Predicting medical practices using various risk attitude measures, Sophie Massin, Antoine Nebout et Bruno Ventelou, The European Journal of Health Economics, Volume 19, Issue 6, pp. 843–860, 2018

This paper investigates the predictive power of several risk attitude measures on a series of medical practices. We elicit risk preferences on a sample of 1500 French general practitioners (GPs) using two different classes of tools: scales, which measure GPs’ own perception of their willingness to take risks between 0 and 10; and lotteries, which require GPs to choose between a safe and a risky option in a series of hypothetical situations. In addition to a daily life risk scale that measures a general risk attitude, risk taking is measured in different domains for each tool: financial matters, GPs’ own health, and patients’ health. We take advantage of the rare opportunity to combine these multiple risk attitude measures with a series of self-reported or administratively recorded medical practices. We successively test the predictive power of our seven risk attitude measures on eleven medical practices affecting the GPs’ own health or their patients’ health. We find that domain-specific measures are far better predictors than the general risk attitude measure. Neither of the two classes of tools (scales or lotteries) seems to perform indisputably better than the other, except when we concentrate on the only non-declarative practice (prescription of biological tests), for which the classic money-lottery test works well. From a public health perspective, appropriate measures of willingness to take risks may be used to make a quick, but efficient, profiling of GPs and target them with personalized communications, or interventions, aimed at improving practices.

The expected and unexpected benefits of dispensing the exact number of pills, Carole Treibich, Sabine Lescher, Luis Sagaon-Teyssier et Bruno Ventelou, PloS One, Volume 12, Issue 9, pp. e0184420, 2017

BACKGROUND: From November 2014 to November 2015, an experiment in French community pharmacies replaced traditional pre-packed boxes by per-unit dispensing of pills in the exact numbers prescribed, for 14 antibiotics.
METHODS: A cluster randomised control trial was carried out in 100 pharmacies. 75 pharmacies counted out the medication by units (experimental group), the other 25 providing the treatment in the existing pharmaceutical company boxes (control group). Data on patients under the two arms were compared to assess the environmental, economic and health effects of this change in drug dispensing. In particular, adherence was measured indirectly by comparing the number of pills left at the end of the prescribed treatment.
RESULTS: Out of the 1185 patients included during 3 sessions of 4 consecutive weeks each, 907 patients experimented the personalized delivery and 278 were assigned to the control group, consistent with a 1/3 randomization-rate at the pharmacy level. 80% of eligible patients approved of the per-unit dispensing of their treatment. The initial packaging of the drugs did not match with the prescription in 60% of cases and per-unit dispensing reduced by 10% the number of pills supplied. 13.1% of patients declared that they threw away pills residuals instead of recycling-no differences between groups. Finally, per-unit dispensing appeared to improve adherence to antibiotic treatment (marginal effect 0.21, IC 95, 0.14-0.28).
CONCLUSIONS: Supplying antibiotics per unit is not only beneficial in terms of a reduced number of pills to reimburse or for the environment (less pills wasted and non-recycled), but also has a positive and unexpected impact on adherence to treatment, and thus on both individual and public health.

Contribution à « Rareté » et « Biens et services de santé », Bruno Ventelou, In: Dictionnaire des Biens Communs, Marie Cornu, Fabienne Orsi et Judith Rochfeld (Eds.), 2017, PUF, 2017

-

Pages

Child Income Appropriations as a Disease-Coping Mechanism: Consequences for the Health-Education Relationship, Renaud Bourlès, Bruno Ventelou et Maame Esi Woode, The Journal of Development Studies, Forthcoming

This paper analyses the relationships between HIV/AIDS and education taking into account the appropriative nature of child income. Using a theoretical model, we show that considering remittances from one’s child as an insurance asset can reverse the usual negative relationship between disease prevalence and educational investment. This prediction confirms the results of an empirical study conducted on data compiled from the Demographic and Health Survey (DHS) database for 12 sub-Sahara African countries for children aged between 7 and 22-years-old. Using regional HIV prevalence as a measure of health risk, we find that the ‘sign of the slope’ between health risk and the enrolment of children is not constant. Splitting the data based on expected remittance patterns (for example rural versus urban), we obtain that the effect is most likely driven by household characteristics related to child income appropriation.