ESPS - Health, health care and insurance survey
Head :
Dourgnon Paul
Rochereau Thierry
Rochereau Thierry
Last update : 12/23/2011 | Version : 1 | ID : 1245
| General | |
| Identification | |
| Detailed name | Health, health care and insurance survey |
| Sign or acronym | ESPS |
| CNIL registration number, number and date of CPP agreement, AFSSAPS (French Health Products Safety Agency) authorisation | CNIL n°1147702 |
| General Aspects | |
| Pathology (details) | Mandatory and supplemental health insurance. Perceived state of health. General health. Mental health. Dental health. Functional disabilities. Risk factors. Recourse and access to care. Renouncing care. |
| Health determinants |
Addictions Geography Occupation Social and psychosocial factors |
| Keywords | Survey of the general population. Panel. State of health. Access to care. Renouncing care. Recourse to care. Mandatory health insurance. Additional health insurance. Evin Law. Family doctor. Medical deductibles. CMU (universal medical coverage). ACS (supp |
| Scientific investigator(s) (Contact) | |
| Name of the director | Dourgnon |
| Surname | Paul |
| Address | IRDES - 10 rue Vauvenargues 75018 Paris |
| Phone | + 33 (0)1 53 93 43 36 |
| dourgnon@irdes.fr | |
| Organization | IRDES |
| Name of the director | Rochereau |
| Surname | Thierry |
| Address | IRDES - 10 rue Vauvenargues |
| Phone | + 33 (0)1 53 93 43 32 |
| rochereau@irdes.fr | |
| Organization | IRDES |
| Collaborations | |
| Funding | |
| Funding status |
Mixed |
| Details | CNAMTS, RSI, MSA, DREES, la Mutualité, Invs. |
| Governance of the database | |
| Sponsor(s) or organisation(s) responsible | IRDES - Institut de Recherche et Documentation en Economie de la Santé |
| Organisation status |
Both |
| Additional contact | |
| Main features | |
| Type of database | |
| Type of database |
Study databases |
| Study databases (details) |
Repeated cross-sectional studies (except case control studies) |
| Database recruitment is carried out by an intermediary |
A population file |
| Database recruitment is carried out as part of an interventional study |
No |
| Additional information regarding sample selection. | The ESPS sample is comprised as a sub-samples of the general sample of beneficiaries (EGB) using fixed characteristics of the NIR. An identical sample is comprised for RSI and MSA. |
| Database objective | |
| Main objective |
There are multiple purposes of the survey: Firstly, ESPS (health and social protection survey) makes it possible to study the existing links on an individual level between the state of health, access to health services, access to public and private insurance and the socio-economic status. This makes it possible to conduct many analyses covering equity in the health system and to enlighten public efforts by participating in the evaluation of public policies, whether directly or indirectly linked to health. ESPS is as such a reactive tool for researchers in the social sciences, making it possible to test new research hypotheses on French data. ESPS is also an information tool for public health. It makes it possible to assess in an exploratory manner the prevalences of affections in the absence of specific instruments and complete sources, and this using detailed data on morbidity. ESPS thus comprises a unique source of data on supplemental health insurance in France. Through its specific questioning pertaining to the supplemental contracts that the members of the households surveyed benefit from, it offers a panorama of the contracts that are actually in effect and as such of the distribution and of the changes in the levels of coverage in the population. |
| Inclusion criteria |
Until 2008, a random sample of the insured with mandatory health insurance (Cnamts, RSI, MSA) stemming from the permanent Sample of social insurance beneficiaries (EPAS) and the members of their households. Starting in 2010, a random sample of the major beneficiaries of health insurance (Cnamts, RSI, MSA) and the members of their households. |
| Population type | |
| Age |
Newborns (birth to 28 days) Infant (28 days to 2 years) Early childhood (2 to 5 years) Childhood (6 to 13 years) Adolescence (13 to 18 years) Adulthood (19 to 24 years) Adulthood (25 to 44 years) Adulthood (45 to 64 years) Elderly (65 to 79 years) Great age (80 years and more) |
| Population covered |
General population |
| Gender |
Male Woman |
| Geography area |
National |
| Detail of the geography area | Metropolitan France |
| Data collection | |
| Dates | |
| Date of first collection (YYYY or MM/YYYY) | 1988 |
| Size of the database | |
| Size of the database (number of individuals) |
Greater than 20 000 individuals |
| Details of the number of individuals | Plus de 8 000 ménages et plus de 22 000 individus par enquête, soit près de 45 000 individus par coupe transversale du panel qui est sollicité par moitié tous les 4 ans. More than 8,000 households and more than 22,000 individuals per survey, which is nearly 45,000 individuals per transversal section of the panel which half is solicited every 4 years. |
| Data | |
| Database activity |
Current data collection |
| Type of data collected |
Declarative data Administrative data |
| Declarative data (detail) |
Paper self-questionnaire Face to face interview Phone interview |
| Administrative data (detail) | EGB - SNIIR-AM |
| Presence of a biobank |
No |
| Health parameters studied |
Health event/morbidity Health event/mortality Health care consumption and services Quality of life/health perception Others |
| Care consumption (detail) |
Hospitalization Medical/paramedical consultation Medicines consumption |
| Other (detail) | Renouncing care |
| Procedures | |
| Data collection method | A main CAPI-CATI questionnaire is given during two contacts 15 days apart. The questionnaire is offered by telephone to all households for which the survey institution was able to find a telephone number and in person for the others. The households of which the beneficiaries sampled are beneficiaries of the CMU or 70 years of age or more (information present in the EGB - survey base), as well as households of 10 or more people are surveyed in person. Between two contacts, all of the members of the household are invited to complete the self-administered paper questionnaires, of at least one on health and another on the household's supplemental health insurance contracts. |
| Classifications used | ICD 10 for the diseases. Nomenclature of Socio-professional Categories and Professions (PCS). |
| Participant monitoring |
Yes |
| Details on monitoring of participants | Half of the ESPS sample constructed using the EGB on the fixed characteristics of the NIR is surveyed every two years. Every four years, the sample is thus comprised of the same individuals, modulo additions and subtractions to the EGB. |
| Links to administrative sources |
Yes |
| Linked administrative sources (detail) | SNIIR-AM - data on inter-system care consumption presented for reimbursement. |
| Promotion and access | |
| Promotion | |
| Link to the document | http://www.irdes.fr/EspaceRecherche/Enquetes/ESPS/EnqueteESPSBiblio.htm |
| Link to the document | http://www.irdes.fr/EspaceRecherche/Enquetes/ESPS/Documents/EPASBibliographie.pdf |
| Link to the document | http://www.cmh.greco.ens.fr/enquetes/XML/lil-0454.xml |
| Access | |
| Terms of data access (charter for data provision, format of data, availability delay) |
The data from the ESPS survey is distributed by Irdes. Those financing the project have 12 months of exclusive use of the data which is therefore accessible to the other organizations 22 months after the end of the survey field which itself extends over 10 months, from March to December. All of the information concerning the survey: its description, history, the questionnaires, results and publications are available at the address below. To access the survey databases, simply send your request to: esps@irdes.fr. We will send you an agreement project in which you will have to present your research or study project. Data from the ESPS survey can be accessed free of charge by all research or public data production organizations. The data from 2006 is distributed via the Quetelet network. Within this framework, the files can be accessed free of charge for the purposes of research for researchers, researcher-professors, PhD students and French and foreign Masters degree students (http://www.reseau-quetelet.cnrs.fr/spip/spip.php?rubrique67 ). Any commercial use is prohibited. The specific methods for accessing the ESPS survey are described on the site of the network Registration prior to the communication of the data files is required: http://www.reseau-quetelet.cnrs.fr/quetelet/quetelet.php ). |
| Access to aggregated data |
Free access |
| Access to individual data |
Access on specific project only |
