Carine Milcent

Research interests

• Health economics, econometrics, public economics, development economics,

[Education and current situation]
[Research activities and publications]

Healthcare suppliers productivity, quality and reimbursement system        [link]

Controlling expenditures and improving healthcare quality seem irreconcilable. Depending on the healthcare regulation (public and private), the incentive can be on cost reduction at the expense of quality or the other way around. Therefore, finding the right balance between the two is a most important issue in many developed or developing countries.

Subjective health and disparities         [link]

This research project is dealt with as much for developed as transition economies. The focus is on the healthcare demand itself. To assess this demand, we use both objective measurements (body mass index, mortality rate ...) and subjective index (assessment of his own health situation by the patient). Thanks to theses index, I study the geographic and socio-economic disparities in healthcare demand in developed and developing countries.

Insurance system and healthcare expenditure        [link]

The goal of this project is to determine to what extent the presence of health insurance create price distortion on the market of drugs. This question is all the more interesting that the share of drugs in the overall health expenditures is steadily growing. The players of the drug market being global, this issue does not have borders.

CURRENT SITUATION

• Since 2002:      Full-time researcher (chargée de recherche) at the Centre National de la Recherche

Scientifique (CNRS). Affiliated to Paris School of Economics (PSE, formerly DELTA).
 
• Since 2002:      Fellow researcher at Institut d'Economie et de Management de la Santé (IEMS),

Lausanne, Switzerland.

  EDUCATION

• Habilitation : Université Paris I Panthéon Sorbonne, June 2006.

Committee : G. de Pouvourville, P.Y. Geoffard, A. Holly, D. Fougère, M. Kerleau, B. Dormont.
 
• PhD :      PhD in Economics at Université de Paris X Nanterre, 2001, with highest honors.

Thesis : "Prospective payment system, hospital heterogeneity and technological
innovation - Panel Econometric approach for acute myocardial infraction",
supervised by B. Dormont.
Committee : A. Holly, B. Dormont, P. Cunéo, M. Mougeot, P. Picard.
 
• Graduate  : Diplôme d'études approfondies (MSc in economics and economectrics) at Université de Paris X Nanterre, 1998.

 
• Undergraduate : Mathématiques appliquées aux sciences sociales (BSc in Mathematics and Economics), Université de Paris X Nanterre, 1995.

  OTHER POSITIONS, GRANTS, AWARDS

• 2002-2005 : Visiting associate professor at HEC-Lausanne, Switzerland.

 
• 2002 : Fulbright fellowship grant for a position of visiting scholar at Stanford University, USA.

 
• 2001 : Research fellow, Centre de Recherche en Economie et Statistiques (CREST-INSEE),  Paris.

 
• 1998-2001 : PhD fellowship grant from the French Ministry of Education and Research.

 
• 1998-2001 : Research and Teaching Assistant, Université de Paris X.

TEACHING ACTIVITY

• Microeconomics : Undergraduate level, Université de Paris X, School of Medecine at Paris XIII, Paris IV Sorbonne (1998-2007).

 
• Econometrics : Graduate level, Université de Paris X (1998-2001)

 
• Statistics  : Graduate level, Université de Paris X (1998-2001)

 
• Health Economics : Graduate level, EHESS and student project coordinator at ENSAE (2000-2001 ; 2006-2007)

 

HEALTHCARE SUPPLIERS PRODUCTIVITY, QUALITY AND REIMBURSEMENT SYSTEM
 

Controlling expenditures and improving healthcare quality seem irreconcilable. Depending on the healthcare regulation (public and private), the incentive can be on cost reduction at the expense of quality or the other way around. Therefore, finding the right balance between the two is a most important issue in many developed or developing countries.
 

Publications in international refereed journals

• "Innovation diffusion under budget constraint. Microeconometric evidence on heart attack in France", B. Dormont and C. Milcent, The Annals of Economics and Statistics, 79/80, 2006 ; in press. 

 
• "Hospital Ownership, Reimbursement Systems and Mortality Rates", C. Milcent , Health Economics, Vol 14 (11), 2005. 

 
• "How to regulate heterogeneous hospitals", B. Dormont and C. Milcent, Journal of Economics & Management Strategy, 14(3), 2005.  

 
• "The sources of hospital cost variability", B. Dormont and C. Milcent, Health Economics, 13(10):927-39, 2004. 

 
• "Potential effects of a prospective payment system : econometrical analysis of hospital costs", B. Dormont and C. Milcent, The Annals of Economics and Statistics n°74 :47-83, 2004. 

 
• "Differences in Technological Change Around the World: Evidence from Heart Attack Care", TECH (TEchnological Change in Healthcare) Research Network, Health Affairs, 20(3):25-42, 2001. 

• "The country of diversity: adjusting hospital payments for heterogeneity in Switzerland", B. Dormont, C. Milcent, B. Desquins et J. Huguenin, Revue Economique et Sociale, Special Issue, Vol 64, 2006.

 
• "Quelle régulation pour les hôpitaux publics français ?", B. Dormont et C. Milcent, Revue française d'Economie, n°2/vol XVII , 2002.

 
• "Systèmes de tarification et évolutions de la variabilité des coûts hospitaliers en France et aux Etats-Unis", E. Delattre, B. Dormont, M. McClellan et C. Milcent, in La tarification à la pathologie : les leçons de l'expérience étrangère, Dossiers Solidarité et Santé, Hors série, La Documentation française, 2002.

 
• "Coûts hospitaliers et tarification par pathologie - Le cas de l'infarctus du myocarde aigu". B. Dormont et C. Milcent. Revue d'Economie Politique, 110(4), 2000.

 
• "Composante résiduelle des coûts hospitaliers et tarification à la pathologie - Le cas de l'infarctus du myocarde aigu". B. Dormont et C. Milcent. La Revue française des affaires sociales, n°1, 2000.

• "The Relationship Between Health Policies, Medical Technology Trends and Outcomes: A Perspective from the TECH Global Research Network." Atella, V and the TECH Investigators. In A Disease-based comparison of health systems: What is best and at what cost? Organisation for Economic Co-Operation and Development, 2003.

 
• "Inefficiency in health care: A measurement by potentially avoidable readmission". C. Milcent. In The economics of health reforms, Ed by J.N. Yfantppoulos : 465-487, 2005.

• "How do economic incentives and regulatory factors influence adoption of new medical technologies?", Result from the TECH project', TECH Research Network, submitted to Journal of Health Economics.

 
• "On the use of LOS to define heterogeneous prospective payments", B. Dormont and C. Milcent, Working paper, 2007.

 
• "Is shortening hospital stays is counter-productive?", Working paper, 2007. 

SUBJECTIVE HEALTH AND DISPARITIES
 

This research project is dealt with as much for developed as transition economies. The focus is on the healthcare demand itself. To assess this demand, we use both objective measurements (body mass index, mortality rate ...) and subjective index (assessment of his own health situation by the patient). Thanks to theses index, I study the geographic and socio-economic disparities in healthcare demand in developed and developing countries.
 

Publications in international refereed journals

• "Income-related reporting heterogeneity in self-assessed health: Evidence from France", F. Etilé et C. Milcent, Health Economics, 15: 965-981, 2006. 

 
• "Gender differences in hospital mortality and use of percutaneous coronary intervention in acute myocardial infarction. Microsimulation analysis of the 1999 nationwide French hospitals database", with Brigitte Dormont, Isabelle Durand-Zaleski, Philippe Gabriel Steg, Circulation, 115, 2007. 

• "Children in Brazil: Health, education and work", with D. Carusi Machado and J. Huguenin, Working paper, 2006. 

 
• "Regional disparities in mortality by heart attack: evidence from France", with L. Gobillon, PSE working paper, 2008. 

 
• "Reimbursement system and medical practices: deliveries in France", with J. Rochut, Working paper, 2007.