France

Healthcare System

Universal public healthcare in France is one of the branches of the system of Social Security System for Salaried Workers. Each citizen must pay for compulsory health insurance, and each doctor or dentist's fee is reimbursed partially or fully to the citizen. The system is managed by the Caisse Nationale de l'Assurance Maladie (CNAM). The CNAM, along with the Health Data Hub, also manages the Système National des Données de Santé (SNDS), France's national health data system, in which the following information can be found: health insurance data (Sniiram), hospital-discharge data (PMSI), medical causes of death databases (CépiDc de l’Inserm) and disability data (CNSA).

Administrative or Claims Data

SNIIRAM

[1]

Sponsor, manager or home institution: Caisse Nationale de l'Assurance Maladie (CNAM)

Type of information: All health care expenses, including outpatient visits, dispensed medication, procedures, chronic conditions, hospital admission diagnoses and procedures, date of death, date and nature of lab tests without results, as well as other information.

Source of Information: Includes data from 3 main claims systems (CNAMTS, RSI, and MSA) and almost all the smaller systems.

Data level: Patient level.

Number of Records: 98.8% of the French population as of 2017.

Date Range: 2003 onwards.

Information/Contact for data request:

PMSI

[1]

Sponsor, manager or home institution: Agence technique de l'information sur l'hospitalisation (ATIH) and Caisse Nationale de l'Assurance Maladie (CNAM)

Type of information: Admission date, duration of stay, main, related, and associate diagnoses coded in ICD10 , hospital admissions for medical, surgical, and obstetrical wards, and other information. All of that information is for both public and private hospitals

Source of information: Recording of standardized medico-administrative data in a standard collection of information.

Data level: Patient level.

Number of Records: 98.8% of the French population as of 2017.

Information/Contact for data request: Instructions to access data.

Open Damir: Complete Database on Health Insurance Expenditure

Sponsor, manager or home institution: Caisse Nationale de l'Assurance Maladie (CNAM)

Type of information: Six axes of analysis: period, benefit, care organization, care recipient, performing healthcare professional, prescribing health professional. Four amount indicators: total expenditure, health insurance reimbursement basis, amount reimbursed, excess fees for health professionals. Three volume indicators: enumeration, amount, coefficient.

Source of Information:

Data level:

Number of Records:

Date Range:

Information/Contact for data request: