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: Health Data Hub request information.

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: Système National des Données de Santé (SNDS)

Data level: Patient level.

Date Range: 2009 to 2021.

Information/Contact for data request: The data is openly available.

National data on health insurance expenditure for community care

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

Type of information: Type of expense item, type of benefit (care and cash benefits), type of performer (doctors by specialty, dental surgeons, medical auxiliaries, analysis laboratories, pharmacists, etc.), type of prescriber, date of treatment, repayment rate, type of risk covered (sickness, maternity, accident at work and occupational disease). The expenditure indicators are: the reimbursement base of the Health Insurance, the amount reimbursed, excess fees for healthcare professionals, the count of acts performed and coefficients invoiced.

Source of Information: Système National des Données de Santé (SNDS)

Data level: Patient level.

Date Range: 2010 to 2022.

Information/Contact for data request: The data is openly available.

National health insurance expenditure data for private health facilities

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

Type of information: Department and region of residence of the beneficiary, type of expense item, type of service, type of establishment, establishment category, benefit discipline, date of treatment, repayment rate. The expenditure indicators are: the reimbursement base of the Health Insurance, the amount refunded.

Source of Information: Système National des Données de Santé (SNDS)

Data level: Patient level.

Date Range: 2009 to 2022

Information/Contact for data request: The data is openly available.

Data by CPAM on health insurance expenditure relating to city care

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

Type of information: Health insurance fund (CPAM), type of expense item, type of benefit (care and cash benefits), type of performer (doctors by specialty, dental surgeons, medical auxiliaries, analysis laboratories, pharmacists, etc.), type of prescriber, date of treatment, repayment rate, type of risk covered (illness, maternity, accident at work and occupational disease). The expenditure indicators are: the reimbursement base of the Health Insurance, the amount reimbursed, excess fees for healthcare professionals, the count of acts carried out and the coefficients invoiced.

Source of Information: Système National des Données de Santé (SNDS)

Data level: Patient level.

Date Range: 2010 to 2021

Information/Contact for data request: The data is openly available.

Data by CPAM on health insurance expenditure relating to private health establishments

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

Type of information: Health insurance fund (CPAM), department and region of residence of the beneficiary, type of expense item, type of service, type of establishment, establishment category, benefit discipline, date of treatment, repayment rate. The expenditure indicators are: the reimbursement base of the Health Insurance, the amount refunded.

Source of Information: Système National des Données de Santé (SNDS)

Data level: Patient level.

Date Range: 2010 to 2022

Information/Contact for data request: The data is openly available.