Open DAMIR: comprehensive basis on inter-scheme health insurance expenditure

This dataset is an extraction of the National Inter-System Health Insurance System (SNIIRAM) covering all health insurance reimbursements for all schemes. It completes a less detailed dataset ([expenditure excluding hospital services national version](https://www.data.gouv.fr/en/datasets/expenditure-d-assurance-maladie-hors-services-hospitalieres-donnees-nationales/) for informed users wishing to explore complementary axes. This dataset covers all the benefits covered by the compulsory sickness insurance scheme, including hospital benefits invoiced directly to the sickness insurance scheme for all the schemes. In order to preserve the anonymity of healthcare professionals and care recipients, geographical areas are limited: - 9 geographic areas (study and land use planning areas) that are groupings of administrative regions from 2009 to 2014, - 13 geographical areas (close to the newly created large administrative regions) as of 2015. Expenditures are detailed according to six lines of analysis (period, benefit, provider, recipient of care, performing health professional, prescribing health professional) and seven indicators of amount (total expenditure, reimbursement basis, amount reimbursed, overrun) and volume (enumeration, quantity, coefficient). In total, each delivery line is described by 55 variables. It is essential to refer to the description accompanying the dataset. The data can be downloaded in csv format. Monthly files are prefixed by P from 2009 to 2014 and then prefixed by A from 2015. These files are suffixed by the year and month of reimbursement of expenses. As regards health insurance expenditure, two other datasets, covering different fields, are proposed: - [Health insurance expenditure excluding hospital benefits (national data)](https://www.data.gouv.fr/en/datasets/expenditure-d-assurance-maladie-hors- prestations-hospitalieres-donnees-nationales/): database containing all reimbursements (excluding hospital services) made by the general sickness insurance scheme in France; - [Annual expenditure on health insurance](https://www.data.gouv.fr/en/datasets/annual expenditure on health insurance/): dashboards covering all reimbursements (including hospital services) made by the general sickness insurance scheme in mainland France.