France
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Cancer Centers
University Cancer Institute Toulouse-Oncopole
APHP - Sorbonne Université - Institut Universitaire de Cancérologie(IUC)
Institut de Cancérologie de l'Ouest (ICO) - Integrated Center for Oncology
Cancer Institute Strasbourg Europe
Comprehensive Cancer Center Jean Perrin
Institut du Cancer de Montpellier
Georges-François Leclerc Cancer Center
Healthcare System
France operates a Statutory Health Insurance (SHI) system, providing universal coverage to its residents through two main schemes: one primarily for the agricultural sector and another more general one. The system is financed mainly through employee and employer contributions, along with earmarked taxes on various revenues.
The healthcare system is overseen by the Ministry of Health, with the SHI managed by the Caisse Nationale de l'Assurance Maladie (CNAM). The central government retains significant control over the healthcare system, despite some decentralization to regional health agencies.
SHI covers a broad range of services, such as preventive care, specialist consultations, hospitalizations, prescription drugs, and maternity care, financing about 83% of total health expenditure. However, SHI doesn't fully cover some goods like dental and optical devices. Hospital care is covered over 90% by SHI, but it only covers 44% of costs for non-pharmaceutical medical goods in ambulatory (outpatient) care.
Supplementary private insurance (mutuelle) or Voluntary Health Insurance (VHI) plays a significant role, with almost 95% of the population having some form of VHI. Certain services not fully covered by SHI, like dental and optical care, often rely on this VHI or out-of-pocket payments.
All residents in France, including long-term foreign residents, contribute to the SHI and can access its benefits. The Assurance Maladie issues a health insurance card, the Carte Vitale, to beneficiaries. This card electronically submits claims data for reimbursement. Electronic health records (Dossier Médical Partagé) are also maintained for each patient, enabling efficient information exchange among healthcare providers. France has recently been placing more emphasis on prevention, health promotion, and patient empowerment.
Administrative or Claims Data
SNIIRAM
Echantillon généraliste de bénéficiaires (EGB)
PMSI
Open Damir: Complete Database on Health Insurance Expenditure
National data on health insurance expenditure for community care
National health insurance expenditure data for private health facilities
Data by CPAM on health insurance expenditure relating to city care
Data by CPAM on health insurance expenditure relating to private health establishments
Open Medic: complete database on drug expenditure
Open Medic: additional databases on drug expenditure
Open PHMEV: complete database on hospital prescriptions for drugs delivered in the community
Open PHMEV: regional database on hospital prescriptions for drugs delivered in towns
Open Statins: comprehensive database on statin spending
Open Statins: additional bases on statin expenditure
Registries
Databases for Clinical Trials, Surveys and Biobanks
Clinical Practices Guidelines
Latest Policymaking Initiatives
Patient Association: The Léon Bérard Center Volunteers Association
Patient Association: ELLyE - Ensemble Leucémies Lymphomas Espoir
Patient Association: Belle et Bien
Patient Association: Vivre comme avant
Patient Association: The IAS du Lyonnais
Patient Association: Les Mutilés de la voix
Patient Association: Lymphedema Rhône-Alpes
Patient Association: HNPCC Lynch
Patient Association: Le Comité du Rhône de la Ligue nationale contre le cancer et les comités départementaux
Patient Association: Mon Réseau Cancer
Patient Association: Europa Donna Lyon
Patient Association: JAMALV
Patient Association: On est là
Patient Association: The Neurofibromatosis and Recklinghausen Association
Patient Association: CERHOM
Patient Association: HOPE
Patient Association: Lyonnes de Tatooine
Patient Association: TGCT Support France
Compilation: ESMO Patient Guides
Quality of Life and Palliative Care Research
List of Articles: Quality of Life [1] and Palliative Care [2].
