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Quelle éthique médicale ? Une relecture à partir de l'hypothèse de 'crowding out effect'

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  • Nicolas da Silva

    (EconomiX - EconomiX - UPN - Université Paris Nanterre - CNRS - Centre National de la Recherche Scientifique)

Abstract

L'avènement, en microéconomie de la santé, de la théorie de l'agence et de son corollaire en terme de régulation qu'est l'incitation, ont exclu la question du statut théorique de l'éthique médicale en la rendant dénuée d'intérêt pratique. En effet, que l'éthique soit utilitaire, (conditionnelle à la maximisation d'utilité), ou anti utilitaire (norme inconditionnelle), l'incitation est la seule politique publique pertinente. Cependant, selon nous, l'émergence d'une importante littérature en économie sur le « crowding out effect » vient redonner une place capitale au statut de l'éthique. Si les motivations sont substituables alors, l'incitation peut être contreproductive. La faible compatibilité entre théorie des motivations et théorie de l'agence renforce alors la pertinence de l'hypothèse d'éthique antiutilitaire.
(This abstract was borrowed from another version of this item.)

Suggested Citation

  • Nicolas da Silva, 2012. "Quelle éthique médicale ? Une relecture à partir de l'hypothèse de 'crowding out effect'," Post-Print hal-01410612, HAL.
    • Handle: RePEc:hal:journl:hal-01410612
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    Cited by:

    1. Nicolas da Silva, 2012. "Les médecins sont-ils intéressés à l'intéressement ?," Post-Print hal-01480874, HAL.
    2. Philippe Batifoulier & Nicolas Da Silva, 2014. "The economic behaviour of doctors: medical altruism without an ethic?," EconomiX Working Papers 2014-9, University of Paris Nanterre, EconomiX.
    3. Nicolas da Silva, 2012. "Motivation et performance des médecins. Un examen de la littérature empirique," Post-Print hal-01480872, HAL.

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