{"id":95146,"date":"2025-12-02T13:46:56","date_gmt":"2025-12-02T12:46:56","guid":{"rendered":"https:\/\/hospitals.be\/?p=95146"},"modified":"2025-12-17T16:27:19","modified_gmt":"2025-12-17T15:27:19","slug":"une-comparaison-des-systemes-de-sante-europeens","status":"publish","type":"post","link":"https:\/\/hospitals.be\/fr\/une-comparaison-des-systemes-de-sante-europeens\/","title":{"rendered":"Une comparaison des syst\u00e8mes de sant\u00e9 europ\u00e9ens"},"content":{"rendered":"\n

Michelle Cooreman
<\/strong>Journaliste secteur m\u00e9dical<\/p>\n\n\n\n

\n

Deux chercheurs roumains de l’Universit\u00e9 de Iasi ont publi\u00e9 une analyse de l’efficacit\u00e9 des syst\u00e8mes de sant\u00e9 dans 31 pays europ\u00e9ens, \u00e9tudiant particuli\u00e8rement la fa\u00e7on d’approcher la COVID-19 de janvier 2020 \u00e0 janvier 2021.
<\/h3>\n<\/blockquote>\n\n\n\n

La m\u00e9thode que les chercheurs Dan Lupu et Ramona Tiganasu est la m\u00e9thode d’Analyse d’Enveloppement des Donn\u00e9es (Data Envelopment Analysis – DEA), afin de calculer les scores d’efficacit\u00e9 de chacun des syst\u00e8mes de sant\u00e9 \u00e9tudi\u00e9s. Ils ont \u00e9tudi\u00e9 la p\u00e9riode d’analyse en la divisant en trois parties : premi\u00e8re vagye (du 1er<\/sup>\u00a0janvier jusqu’au 15 juin), la p\u00e9riode interm\u00e9diaire (\u00e0 partir du 15 juin jusqu’au 1er<\/sup>\u00a0octobre), et enfin la deuxi\u00e8me vague (du 1er<\/sup>\u00a0octobre jusqu’au 31 d\u00e9cembre). Pour d\u00e9terminer les scores, ils ont utilis\u00e9 15 indicateurs li\u00e9s aux soins de sant\u00e9, \u00e0 l’\u00e9tat de sant\u00e9, aux donn\u00e9es d\u00e9mographiques et \u00e9conomiques, \u00e0 des indicateurs culturels, sociaux, ainsi qu’aux mesures gouvernementales.<\/p>\n\n\n\n

Est versus Ouest<\/h2>\n\n\n\n

L’efficacit\u00e9 du syst\u00e8me de sant\u00e9 peut \u00eatre mesur\u00e9e en comparant les ressources (infections COVID-19, nombre de m\u00e9decins, d’infirmi\u00e8res, de lits d’h\u00f4pital et d\u00e9penses de sant\u00e9) aux r\u00e9sultats obtenus (d\u00e9c\u00e8s li\u00e9s \u00e0 la COVID-19). Au d\u00e9but de la pand\u00e9mie, l’efficacit\u00e9 des syst\u00e8mes de sant\u00e9 \u00e9tait assez faible, en particulier dans les pays occidentaux (Italie, Belgique, Espagne, Royaume-Uni).<\/p>\n\n\n\n

Au cours de la p\u00e9riode interm\u00e9diaire et de la deuxi\u00e8me vague, ces pays ont pris des mesures plus adapt\u00e9es pour rendre leur syst\u00e8me de sant\u00e9 plus efficace. En revanche, les pays d’Europe de l’Est ont \u00e9t\u00e9 durement touch\u00e9s par l’inefficacit\u00e9 de leurs syst\u00e8mes de sant\u00e9 (Bulgarie, Gr\u00e8ce, Hongrie, Roumanie).<\/p>\n\n\n\n

De mani\u00e8re g\u00e9n\u00e9rale, nous savons \u00e9galement que le nombre d’infections \u00e0 la COVID-19 et de d\u00e9c\u00e8s \u00e9tait plus \u00e9lev\u00e9 lors de la deuxi\u00e8me vague, en partie en raison de la plus grande contagiosit\u00e9 du virus, mais aussi en raison de la lev\u00e9e ou du moins du rel\u00e2chement des mesures de distanciation.<\/p>\n\n\n\n

Trois cat\u00e9gories<\/h2>\n\n\n\n

Les r\u00e9sultats de l’Analyse d’Enveloppement des Donn\u00e9es (DEA) ont permis de classer les pays europ\u00e9ens en trois cat\u00e9gories d’efficacit\u00e9 : haute (score de 0,75 \u00e0 1), moyenne (0,50 \u00e0 0,75) et basse ( <<\/code> 0,50) . Seule la Norv\u00e8ge a obtenu une tr\u00e8s haute efficacit\u00e9 (score = 1).<\/p>\n\n\n\n

Le plus grand groupe de pays obtient un score d’efficacit\u00e9 \u00e9lev\u00e9 : l’Autriche, la Croatie, Chypre, la R\u00e9publique tch\u00e8que, le Danemark, l’Estonie, la Finlande, l’Islande, l’Irlande, la Lettonie, le Luxembourg, Malte, le Portugal, la Slovaquie, la Slov\u00e9nie et la Suisse. La Belgique fait partie des pays ayant un score d’efficacit\u00e9 moyenne, tout comme la Bulgarie, la France, l’Allemagne, la Gr\u00e8ce, la Hongrie, les Pays-Bas, la Pologne, l’Espagne, la Su\u00e8de et le Royaume-Uni.<\/p>\n\n\n\n

Seuls l’Italie et la Roumanie se trouvent dans la cat\u00e9gorie la plus basse ; ces pays ont d\u00e9montr\u00e9 une vuln\u00e9rabilit\u00e9 dans l’utilisation des ressources par rapport aux besoins lors de la premi\u00e8re ann\u00e9e de la pand\u00e9mie.<\/p>\n\n\n\n

Facteurs d\u00e9terminants<\/h2>\n\n\n\n

Une analyse de r\u00e9gression Tobit met en \u00e9vidence les facteurs ayant le plus d’influence sur l’efficacit\u00e9 dans les diff\u00e9rentes phases. Au cours de la premi\u00e8re phase de la pand\u00e9mie, les comorbidit\u00e9s, l’\u00e2ge et la densit\u00e9 de population ont \u00e9t\u00e9 identifi\u00e9s comme des facteurs importants. Pendant la p\u00e9riode interm\u00e9diaire, l’accent a \u00e9t\u00e9 mis principalement sur l’efficacit\u00e9 des mesures gouvernementales et des r\u00e8gles de distanciation. Lors de la deuxi\u00e8me vague, l’\u00e9ducation et la densit\u00e9 de population ont \u00e9t\u00e9 des facteurs d\u00e9terminants.<\/p>\n\n\n\n

Il est donc clair que ce ne sont pas seulement des facteurs li\u00e9s \u00e0 la sant\u00e9 qui d\u00e9terminent l’efficacit\u00e9 du syst\u00e8me de sant\u00e9, mais aussi des facteurs \u00e9conomiques, sociaux et la vigilance gouvernementale.<\/p>\n\n\n\n

Lupu, D., Tiganasu, R. COVID-19 and the efficiency of health systems in Europe.\u00a0Health Econ Rev<\/em>\u00a012<\/strong>, 14 (2022).\u00a0https:\/\/doi.org\/10.1186\/s13561-022-00358-y<\/a>. PMID: 35150372; PMCID: PMC8841084.<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Ecrit par Michelle Cooreman, Journaliste secteur m\u00e9dical<\/p>\n","protected":false},"author":6,"featured_media":94563,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[118],"tags":[127,244,245,171],"class_list":["post-95146","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","tag-covid-19","tag-magazine-12","tag-magazine-14","tag-michelle-cooreman"],"acf":[],"yoast_head":"\nUne comparaison des syst\u00e8mes de sant\u00e9 europ\u00e9ens - Hospitals.be<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hospitals.be\/fr\/une-comparaison-des-systemes-de-sante-europeens\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Une comparaison des syst\u00e8mes de sant\u00e9 europ\u00e9ens - 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