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

Author

Listed:
  • Nicolas da Silva

    (CEPN - Centre d'Economie de l'Université Paris Nord - UP13 - Université Paris 13 - USPC - Université Sorbonne Paris Cité - 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.

Suggested Citation

  • Nicolas da Silva, 2012. "Quelle éthique médicale ? Une relecture à partir de l'hypothèse de « crowding out effect »," Post-Print hal-01480861, HAL.
    • Handle: RePEc:hal:journl:hal-01480861
    Note: View the original document on HAL open archive server: https://hal.science/hal-01480861
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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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