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Les médecins sont-ils intéressés à l'intéressement ?

Author

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  • 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'article interroge les dispositifs de rémunération des médecins à la performance. Il semblerait en effet que les dispositifs d'intéressement n'améliorent pas ou peu la performance. Les médecins réagissent de façon inattendue aux incitations économiques et les résultats obtenus sont rarement à la hauteur des résultats escomptés par la puissance publique. Cet état de fait invite à questionner les motivations médicales. L'appropriation ou le rejet des mécanismes de paiement à la performance, ainsi que leurs faibles résultats dit quelque chose de leur motivation. Les médecins ne paraissent pas exclusivement intéressés par l'intéressement (financier) et la rationalité du dispositif n'est pas là où on l'attend.

Suggested Citation

  • Nicolas da Silva, 2012. "Les médecins sont-ils intéressés à l'intéressement ?," Post-Print hal-01480874, HAL.
    • Handle: RePEc:hal:journl:hal-01480874
    Note: View the original document on HAL open archive server: https://hal.science/hal-01480874
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    References listed on IDEAS

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    1. Philippe Batifoulier & Maryse Gadreau, 2006. "Régulation et coordination du système de santé. Des institutions invisibles à la politique économique," Post-Print halshs-00008785, HAL.
    2. Nicolas da Silva, 2012. "Quelle éthique médicale ? Une relecture à partir de l'hypothèse de « crowding out effect »," Post-Print hal-01480861, HAL.
    3. Yann Videau & Philippe Batifoulier & Y Arrighi & Maryse Gadreau & Bruno Ventelou, 2010. "Le cycle de vie des motivations professionnelles en médecine de ville : une étude dans le champ de la prévention," Post-Print halshs-01228541, HAL.
    4. Lippi Bruni, Matteo & Nobilio, Lucia & Ugolini, Cristina, 2009. "Economic incentives in general practice: The impact of pay-for-participation and pay-for-compliance programs on diabetes care," Health Policy, Elsevier, vol. 90(2-3), pages 140-148, May.
    5. Nicolas Da Silva, 2011. "Motivations médicales et politiques d’incitations," EconomiX Working Papers 2011-35, University of Paris Nanterre, EconomiX.
    6. Nicolas da Silva, 2012. "Motivation et performance des médecins. Un examen de la littérature empirique," Post-Print hal-01480872, HAL.
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