Table 2.
Overview of cost sources for France
| Item | Source | Comment | |||
|---|---|---|---|---|---|
| Name | Publisher | Description | Access and update | ||
| Physicians: consultations, visits, outpatient procedures | |||||
| Consultations (including home visits) for GPs and specialists | Tarifs conventionnels | Ameli |
Standard tariffs for consultations Available for GPs and specialists, for consultations in the office and for home visits |
Free, online at ameli.fr/medecin/exercice-liberal/facturation-remuneration/tarifs Updated regularly |
|
| Clinical outpatient procedures | CCAM, based on NGAP | Ameli | Coding and SHI tariffs of most medical procedures |
Free; online at ameli.fr/accueil-de-la-ccam/index.php Updated regularly |
|
| Ambulance transport and emergency treatment | |||||
| EMS | SMUR tariffs | Various hospitals, particularly CHUs | Tariffs for land and air EMS, per half-hour (for land transport) and per minute (for air transport) |
Free, online, e.g. at CHU Bordeaux (chu-bordeaux.fr/CHU-de-Bordeaux/Publications-l%C3%A9gales/Guide-de-la-tarification/Guide-de-la-tarification-2018.pdf/) Update cycles vary depending on respective hospital/CHU |
Available for different CHUs Base d’Angers (CHU Angers) provides hospital perspective on (actual) SMU costs RTC with reference cost for SMUR (codes Q021 and Q023) |
| Planned patient transport | Transporteur sanitaire: tariffs | Ameli | Standard tariffs for planned patient transports, with varying levels of patient support needed |
Free, online at ameli.fr/transporteur-sanitaire/exercice-professionnel/facturation/tarifs Updated regularly but infrequently |
|
| Emergency department | RTC | ATIH | Repository for hospital-related unit costs, providing costs per case averaged over participating institutions |
Free, online at scansante.fr/applications/cout-dunites-doeuvre (item 932112—Accueil et traitements des urgences de Médecine) Updated regularly but infrequently |
|
| Hospitalization | |||||
| Hospital, including ICU | Tarifs MCO, HAD | ATIH | GHS with coding based on the CCAM |
Free, online at atih.sante.fr/tarifs-mco-et-had Updated regularly, usually yearly |
RTC with reference costs by clinical field such as diabetology (code 93,413,162) or intensive care (code 9,341,429) |
| Medication (drugs and consumables) | |||||
| Drugs | Thesorimed® | GIE-SIPS | Factory and public price data (including tax), reimbursement rate and generic versions |
Free, online at theso.prod-un.thesorimed.org/monographie Updated regularly |
Also available from Base des Médicaments et Informations Tarifaires |
| Consumables | Liste des Produits et des Prestations | Ameli | Medical device tariffs |
Free, online at codage.ext.cnamts.fr/codif/tips/index_presentation.php?p_site = AMELI Updated regularly |
|
| Intangible costs | |||||
| Wages | Average wage | OECD | Annual average wage and hours worked data |
Free, online at https://data.oecd.org/earnwage/average-wages.htm and https://data.oecd.org/emp/hours-worked.htm Updated regularly |
Data provided in US dollars for all countries, which increases comparability |
Ameli, Assurance Maladie; ATIH, Agence Technique de l’Information sur l’Hospitalisation; CCAM, Classification Commune des Actes Médicaux; CHU, Centre Hospitalier Universitaire; EMS, Emergency Medical Services; GIE-SIPS, Groupement d'Intérêt Economique—Système d'Information sur les Produits de Santé; GHS, Groupes Homogènes de Séjours; GP, General Practitioner; HAD, Hospitalisation à Domicile; ICU, Intensive Care Unit; INSEE, Institut National de la Statistique et des Études Économiques; MCO, Médecine, Chirurgie, Obstétrique; NGAP, Nomenclature Générale des Actes Professionnels; OECD, Organization for Economic Co-operation and Development; RTC, Référentiel de Coût des Unités d'Oeuvres; SHI, Statutory Healthcare Insurance; SMUR, Structure Mobile d'Urgence et de Réanimation