Julien Mousquès. PRESENT POSITION IRDES Senior Research Fellow within the research team: «Primary health care and performance»

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1 Julien Mousquès Institute for Research and Information in Health Economics (IRDES) 10 rue Vauvenargues, Paris mousques@irdes.fr Tel. : +33(0) PRESENT POSITION IRDES Senior Research Fellow within the research team: «Primary health care and performance» Responsibilities: Definition of research program and projects Coordination (fundraising, public relations, partnerships, contract management) Management of human resources Research and research supervision Academic Publication, knowledge transfer and expert activities Research area: Primary health care and health care system performance Care : supply, production, professional, quality Health care policy and organization of delivery: economic evaluation of organization and/or professional practices, analysis of organization and regulation of primary health care delivery (integration-coordination, quality improvement, incentives), regulation of health care professional, performance measurement International : comparison of health care systems organization & regulation

2 IRDES Overview of Participation in Research Projects Overview of research projects granted Care : - Analysis of GPs practices for diabetes patients using original clinical files merged with claims data Health care policy and organization of delivery : group practice and team working : - Evaluation of French Experiment of a New Mechanism of Remuneration for Multidisciplinary Group Practices in Primary Care (ENMR project), in partnership with the Social Security Department of the Ministry of Health and Social Affairs (DSS) and funding by a four years national health services research grant (Iresp) - Accessibility of Health Care Centers (Epidaure project), funding by the High Commission of Solidarity (HCSA) - Conception and analysis of the group practice module of the National survey of General practitioners, in partnership with the National Institute for Education in Health (INPES) - Evaluation of the impact of Multidisciplinary Group Practices on quality and health care consumption in two French regions, co-funding by the National Sickness Fund (CNAMTS) - Skill-mix: Evaluation of the team work between GPs and nurses and its impact on quality and cost of type 2 diabetes patients care (Asalee project), co-funding by the High Authority in Health (HAS) Selection of research projects Care: - Economic Evaluation of the impact of a post suicide attempt organization on relatives health and health care consumption (Imtap project), in partnership with Guillaume Vaiva & Alain Philippe (CHU Lille & INSERM 513) and funding by a national hospital research grant (PHRC) - Psychiatric supply disparities and health care consumption, co-funding by the National Sickness Fund (CNAMTS) - Multi-morbidity and poly-pharmacy in general practice (Polychrome project), in partnership with Pascal Clerc (SFMG, INSERM 750), co-funding by the National Sickness Fund & the High Authority in Health Health care policy and organization of delivery: - In patient characteristics in French psychiatrics sectors, co-funding by the research and statistical department of the Ministry of Health and Social Affairs (DREES) - Evaluation of the balance of care between of French psychiatrics sectors, in partnership with the research and statistical department of the Ministry of Health and Social Affairs (DREES) International: - International comparisons of group practice and team work in primary care, co-funding by the Social Security Department of the Ministry of Health and Social Affairs (DSS) - International comparison of health care professionals regulation of location, co-funding by the National Observatory on Health Care Professionals (ONDPS)

3 Overview of teaching activities Health economics, health care system, Health care supply and delivery lessons : - Master Degree in Health Economics and Health Services Research, National Conservatory of Arts and Crafts (CNAM, 2014-) - Pre Master Degree lessons in Health Economics, EMLYON Business School (EM Lyon, 2014-) - Master Degree in Health Economics, University Paris Est Creteil (UPEC, 2012-) - Continuing Education in Health Economics for the National Institute of Statistics and Economic Studies (Centre d Études des Programmes Économiques, Insee, 2009-) - Master s level engineering degree in in Health Economics of the National School for Statistics and Information Analysis in France (ENSAI, 2005-) - Master Degree in Management of Pharmaceutical Industry ESC Dijon Bourgogne ( ) - Master Degree of management of social security sector, University Paris I. ( ) - 6th year of Pharmaceutical school, University Paris V ( ) Affiliations, research administration Member of the International Health Economics Association Member of The College of Health Economists (Collège des Economistes de Santé) Elected within Administrative Board of The College of Health Economists Education PhD in Economics / Health Economics. University Paris-Dauphine (2014) France Title: Primary care and performance: from medical practice variation to the role of the practice organization. Defended Wenesday, December 10th PhD Supervisor: Mme. Marie-Eve Joël (Professor, U. Paris-Dauphine, Director of the LEGOS). Master degree in Health Economics and Health Services (University Paris I Panthéon-Sorbonne) Master degree in Economic Sciences and Political Economy (University Paris I Panthéon-Sorbonne) Other competences Languages: english & italian Informatics & statistics: SAS, SPAD, STATA

4 Articles in peer-review international journals CNRS ranking, section 37 (Economy/Management) - Chevillard G., Mousquès J., Lucas-Gabrielli V., Bourgueil Y., Rican S., Salem G. Impact evaluation of a public policy aiming to attract and retain general practitioners in underserved areas: the case of policies supporting the development of primary care team(s) in France. RERU, Regional and Urban Economics, forthcoming [CNRS 37: CAT 03] - Mousquès J., Bourgueil Y., Le Fur P., Yilmaz E. Effect of a French experiment of team work between general practitioners and nurses on efficacy and cost of type 2 diabetes patients care. Health Policy, vol 98, n 2-3, , 2010/12. [CNRS 37: CAT 02] - Mousquès J., Renaud T., Scemama O. Is the practice style hypothesis relevant for general practitioners? An analysis of antibiotics prescription for acute rhinopharyngitis. Social Science & Medicine, vol. 70, n 8, 2010/04, [CNRS 37: CAT 01] Articles in peer-review national journals - Mousquès J. Le regroupement des professionnels de santé de premiers recours : quelles perspectives économiques en termes de performance? In : Le métier de médecin, Grignon M. (coor.), Revue Française des Affaires sociales, 2011/2 n 2-3, p Clerc P., Le Breton J., Mousquès J., Hebbrecht G., de Pourvourville G. Etude Polychrome : une méthode d'expertise pour optimiser des ordonnances de polyprescription en médecine générale. Pratiques et Organisation des soins, vol. 40, n 3, 2009/07-09, Coldefy M., Le Fur P., Lucas-Gabrielli V., Mousquès J. Une mise en perspective de l'offre de soins des secteurs de psychiatrie générale et du recours à la médecine générale. Pratiques et Organisation des soins, vol. 40, n 3, 2009/07-09, Clerc P, Lebreton J, Mousques J, Hebbrecht G, de Pouvourville G. Etude Polychrome : construction d'une typologie des pathologies chroniques en médecine générale, pour une analyse de la poly-prescription. Pratiques et Organisation des Soins volume 39, n 1, janvier-mars Bourgueil Y., Marek A., Mousquès J. La pratique collective en soins primaires dans six pays européens, en Ontario et au Québec : état des lieux et perspectives dans le contexte français. Santé publique, suppl. au n 4, S27-S38, 2009/07/08. - Clément M.-C., Couralet P.-E., Mousquès J., Pierre A., Bourgueil Y. Les maisons de santé : un nouvel équilibre entre accessibilité, continuité des soins et organisation des médecins libéraux. Santé publique, suppl. au n 4, S79-S90, 2009/07/08. Working Papers and Manuscripts Submitted for Publication - Mousquès J. Encouraging Multidisciplinary Group Practice in France. Draft for the Health Systems and Policy Monitor Network meeting, Thursday 30 and Friday 31 October 2014, Berlin - Mousquès J. Impact of Primary Care Team that Experiment New Mechanisms of Remuneration in France on GPs productivity and efficiency of Patients ambulatory health care utilization. Document de travail IRDES - forthcoming -> Submission still in progress

5 - Afrite A., Mousquès J. Formes du regroupement pluriprofessionnel en soins de premiers recours Une typologie des maisons, pôles et centres de santé participant aux Expérimentations des nouveaux modes de rémunération (ENMR) Document de travail IRDES n /10 -> Submission still in progress - Forms of primary care teams: A typology of multidisciplinary group practices, health care networks and health care centers involved in the experiments of new mechanisms of remuneration (ENMR) - Chevillard G., Mousquès J., Lucas-Gabrielli V., Bourgueil Y., Rican S., Salem G. Maisons et pôles de santé : places et impacts dans les dynamiques territoriales d offre de soins en France. Document de travail n /11 -> Submission to the RERU - Regional and Urban Economics forthcoming - Mousquès J. (IRDES, Prospere), Bourgueil Y. (IRDES, Prospere), Le Fur P. (IRDES, Prospere), Yilmaz E. (Drees) Effect of a French Experiment of Team Work between General Practitioners and Nurses on Efficacy and Cost of Type 2 Diabetes Patients Care. Document de travail IRDES n /01. -> Submission to Health Policy Mousquès J. (IRDES), Renaud T. (IRDES), Scemama O. (HAS). A refutation of the practice style hypothesis: the case of antibiotics prescription by French general practitioners for acute rhinopharyngitis. Document de travail IRDES n /10. -> Submission to Social Science and Medicine - Beauté J., Bourgueil Y., Mousquès J. (IRDES). Avec la collaboration de Bataillon R., Samzun J.-L. (URML Bretagne) et Rochaix L. (HAS). Baromètre des pratiques en médecine libérale. Résultats de l'enquête 2006 "L'organisation du travail et la pratique de groupe des médecins généralistes bretons". Document de travail IRDES n /08. Selection of other publications - Chevillard G., Mousquès J., Lucas-Gabrielli V., Bourgueil Y., in collaboration with Rican S. Geographical distribution of multi-professional group practice structures ("maisons" and "pôles de santé") and its impact on private general practitioner density. Second part of the evaluation of "maisons", "pôles" and "centres de santé" within the framework of experiments with new mechanisms of remuneration (ENMR). Issues in Health Economics (Questions d'économie de la santé) n /09. - Afrite A., Bourgueil Y., Daniel F., Mousquès J. (Irdes) in collaboration with Couralet P.-E. and Chevillard G. (Université Paris-Ouest Nanterre La Défense, Laboratoire Mosaïques, UMR Lavue 7218, CNRS; Irdes). The Impact of Multi-professional Group Practices on Healthcare Supply. Evaluation Aims and Methods for "Maisons", "Pôles de Santé" and "Centres de Santé" within the Framework of Experiments with New Mechanisms of Remuneration. Issues in Health Economics (Questions d'économie de la santé) n / Afrite A., Bourgueil Y., Dufournet M., Mousquès J. Do Individuals Using the 21 Health Care Centres Participating in the EPIDAURE-CDS Study Have a Lower Socio-Economic Status? Issues in Health Economics (Questions d'économie de la santé) n /05 - Evrard I, Bourgueil Y., Le Fur P., Mousquès J., Baudier F. (2011) Exercice de groupe et pratiques de prévention en médecine générale, In Baromètre santé médecins généralistes 2009, sous la direction de Gautier A., Inpes, pp Baudier F. (ARS), Bourgueil Y. (Irdes), Evrard I. (Irdes), Gautier A. (Inpes), Le Fur P. (Irdes), Mousquès J. (Irdes) Group Practice Dynamics Among Private General Practitioners from 1998 to Issues in Health Economics (Questions d'économie de la santé) n /09

6 - Clerc P., Le Breton J., Mousquès J., Hebbrecht G., de Pouvourville G. Drug-prescription Management in Patients with Multiple Chronic Conditions. Issues in Health Economics (Questions d'économie de la santé) n / Bourgueil Y. (Irdes, Prospere), Clément M.-C. (Irdes, Prospere), Couralet P.-E. (Irdes), Mousquès J. (Irdes, Prospere), Pierre A. (Irdes). An Exploratory Evaluation of Multidisciplinary Primary Care Group Practices in Franche-Comté and Bourgogne. Issues in Health Economics (Questions d'économie de la santé) n /10 - Coldefy M., Le Fur P., Lucas-Gabrielli V., Mousquès J. Fifty Years of Deinstitutionalisation Policy of Psychiatric Services in France: Persistent Inequalities in Terms of Resources and Organisation Between Psychiatric Sectors. Questions d'économie de la santé n 145, 2009/08 - Bourgueil Y., Marek A., Mousquès J. (Prospere/Irdes), Three Models of Primary Care Organisation in Europe, Canada, Australia and New-Zealand. Issues in Health Economics n 141, 2009/04 - Bourgueil Y., Le Fur P., Mousquès J., Yilmaz E. GPs teamed up with nurses: a skill mix experiment improves management ot type 2 diabetes patients, Issues in Health Economics n 136, 2008/11 - Bourgueil Y., Marek A., Mousquès J., avec la collaboration de Falcoff H. et Chevreul K. Medical group practice in primary care in six european countries, in Ontario and Quebec: what lessons for France? 2007/11, Issues in Health Economics n Bourgueil Y., Mousquès J., Tajahmadi A., Improving the geographical distribution of practitioners: the measures adopted in France; Issues in Health Economics n 122, May Le Fur P., Lorand S., Lucas-Gabrielli V., Mousquès J. Les hospitalisations sans consentement en psychiatrie : Caractéristiques sociodémographiques et morbidité des patients. In La prise en charge de la santé mentale, Coldefy M. (coor. par), Collection Etudes et Statistiques, Paris : la Documentation française, 2007/11, Bourgueil Y., Mousquès J., Tajahmadi A., Improving the geographical distribution of health professionals: What the literature tells us. Issues in Health Economics n 116, 2006/12 - Mousquès J., Compulsory continuing medical education, Health Policy Monitor, Bourgueil Y., Marek A., Mousquès J. The participation of nurses in primary care in six European countries, Ontario and Quebec. Issues in Health Economics n 95, 2005/06 - Mousquès J. Common Classification of Medical Procedures, Health Policy Monitor, Mousquès J. Psychiatric and Mental Health Plan , Health Policy Monitor, Polton D., Mousquès J. Sickness funds reform: new governance, Health Policy Monitor, Polton D., Mousquès J. Improvement of the coordination in health care, Health Policy Monitor, 2004 Selection of oral communications in academic seminar or conference - Mousquès J., Chevillard G., Lucas-Gabrielli V. Impact of multidisciplinary group practices in primary care on the dynamic of general practitioner supply in underserved areas: 10 th World Congress on Health Economics, Dublin, July Mousquès J. The impact of Multidisciplinary Group Practices in Primary Care on efficiency An assessment of a French experiment of Pay for Performance for integrated primary care organization: 8 th International Congress on Health Economics, Sydney, July

7 - Mousquès J. Impact of multidisciplinary group practices in primary care on Efficiency Evaluation of a French experiment of integrated primary care organization: 11 th Annual Meeting HTAi, Washington DC, June Mousquès J. Small is Beautiful or Bigger is Better? An Assessment of French Experiment of a New Mechanism of Remuneration for Multidisciplinary Group Practices in Primary Care: 8 th World Congress on Health Economics (IHEA), Toronto, Canada, July 2011; - Mousquès J., Renaud T., Scemama O., A refutation of the practice style hypothesis: antibiotics prescription by French general practitioners for acute rhinopharyngitis. 2 nd European Public Health Conference - Human ecology and public health. Lodz, November Bourgueil Y., Le Fur Ph., Mousquès J., Yilmaz E. Assessment of efficacy and efficiency of team work in ambulatory care - A controlled before and after study of type 2 diabetes patients. European Conference in Health Economics (ECHE), Roma, July Bourgueil Y., Mousquès J., Marek A. Substitution and cooperation between GP s nurse in seven countries: lessons for France. Colloque The future of primary health care, European forum for primary care (EFPC), Utrecht, Pays-Bas, October Bourgueil Y., Mousquès J., Marek A. International comparison of skill-mix between GPs and nurses in primary care: lessons for France. European Conference on Health Economics (ECHE), Budapest, Hungary, 6-9 July Mousquès J, Renaud T., Scemama O. Medical practice variability in French primary care: Antibiotics prescriptions for acute rhinopharyngitis. 5 th World Congress on Health Economics (IHEA), University Pompeu Fabra, Barcelona, Spain, July Chevreul K., Mousquès J, Paris V. Measures to improve patterns of practice and their impact on general practitioners in France. IHEA. 5 th World Congress on Health Economics (IHEA), University Pompeu Fabra, Barcelona, Spain, July Mousquès J., Renaud T. Medical practice variability in French primary care: the prescription of antibiotics for acute rhinopharyngitis. 5ème Conférence Européene des Economistes de la Santé (ECHE), London School of Economist (LSE), Londres, Angleterre, 8-11 septembre 2004 Selection of Expert and Knowledge Transfer activities Mousquès J. L évaluation des Expérimentations des nouveaux modes de rémunération (Enmr) en France : International Conférence on L évaluation économique et la recherche sur les services de santé, Dress, Irdes, Paris, 1er décembre 2014 Mousquès J. L impact des MSP participant aux Expérimentation de nouveaux modes de rémunération (Enmr) sur la performance, 4ème Matinée thématique du Collège des Économistes de la Santé, Matinées du CES, jeudi 20 novembre 2014 de 8h30 à 12h30, Université Paris Dauphine Expert for the WHO regional office for Europe, coordinated/integrated health services delivery initiatives about the Follow-up questionnaire to coordinated/integrated health services delivery initiative submission, March Country expert for France for The composition of primary care teams: Canada, England, France, Germany, The Netherlands, United States. (ed.) Kringos D.S., Klazinga N.S. (2013), Country Profiles, Academic Medical Center, University of Amsterdam, July Mousquès J. L état des lieux sur l offre de soins de premier recours: Journées annuelles des centres de santé mutualistes, Nantes, le 22 mars 2013

8 Mousquès J. Les MSP et leur place dans le système de santé : routable, 2ème journées nationales de la FFMPS, Toulouse, 23 mars 2013 Expert for the Direction de recherche des études de l évaluation et des statistiques on general practitioners survey (2012) Expert for OECD on medical practice variations, Paris, 2-3 April 2012 Expert for the Commonwealth Fund on 2012 Commonwealth Fund International Survey of Primary Care Doctors (2011) Expert for the Haute Autorité de Santé on Implementation and Evaluation of full cycle of care, Paris, December 2011 Expert for the parliamentarians group Esculape on health and territories, Paris, 29 November, 2011 Expert for the Haute Autorité de Santé on the development of alternative to drug prescription ( ) Expert for Primary Care Special Interest Group de l European Health Management Association (2008) Expert for the Social Affairs Commission, National Assembly, about medical demography, July Expert for the Direction de recherche des études de l évaluation et des statistiques on health care professional demographic projections ( ) Expert for the European Network for mental health service evaluation ( ) Expert for the Haut conseil pour l avenir de l assurance maladie on self-employed health care professionals regulation ( ) Expert for the Cour des Comptes on policy interventions that can improve medical practices ( ) Bourgueil Y., Marek A., Mousquès J. Rôles des infirmières et coopération avec les médecins dans les soins primaires à l étranger. Quels enseignements pour la France? Rôles des infirmières et coopération avec les médecins dans les soins primaires à l étranger : quels enseignements pour la France?, Paris, France, 16 juin 2005 Mousquès J. Etat des lieux démographiques et juridiques des médecins à diplômes étrangers en France. FNIM, 3éme Colloque sur la protection sociale dans l'union Européenne : "Vers une Europe de la Santé", Sénat, Paris, 1 juillet 2003