IDEAS home Printed from https://ideas.repec.org/p/hal/journl/hal-03185634.html
   My bibliography  Save this paper

The Industrialization of "Liberal Medicine" in France. A Labor Quality Conventions Approach

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

This article seeks to analyze the evolution of the regulation of liberal medicine in France from the theoretical framework of the economics of convention. The recent introduction by the state of multiple management devices aimed at quantifying and evaluating the performance of physicians could be interpreted as a process of rationalization of medical practices. However, we propose to analyze the transformations in the regulation of liberal medicine as the transition from an inspired/domestic convention of healthcare quality to an industrial convention of healthcare quality. What is at stake is not improving the quality of care, but changing the conception of quality. Do doctors treat sick people or illnesses? This induces significant changes not only in the entire healthcare system but also in medical ethics. While the profession has historically been built against the market, it seems that the industrialization of healthcare opens the door to its commodification.

Suggested Citation

  • Nicolas da Silva, 2021. "The Industrialization of "Liberal Medicine" in France. A Labor Quality Conventions Approach," Post-Print hal-03185634, HAL.
    • Handle: RePEc:hal:journl:hal-03185634
    DOI: 10.12759/hsr.46.2021.1.85-111
    Note: View the original document on HAL open archive server: https://hal.science/hal-03185634
    as

    Download full text from publisher

    File URL: https://hal.science/hal-03185634/document
    Download Restriction: no
    File URL: https://libkey.io/10.12759/hsr.46.2021.1.85-111?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Philippe Batifoulier & Nicolas Da Silva, 2014. "Medical Altruism in Mainstream Health Economics: Theoretical and Political Paradoxes," Review of Social Economy, Taylor & Francis Journals, vol. 72(3), pages 261-279, September.
    2. Jonathan Sicsic & Carine Franc, 2017. "Impact assessment of a pay-for-performance program on breast cancer screening in France using micro data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(5), pages 609-621, June.
    3. François Eymard-Duvernay, 1989. "Conventions de qualité et formes de coordination," Revue Économique, Programme National Persée, vol. 40(2), pages 329-360.
    4. Christine André & Philippe Batifoulier & Mariana Jansen‐Ferreira, 2016. "Health care privatization processes in Europe: Theoretical justifications and empirical classification," International Social Security Review, John Wiley & Sons, vol. 69(1), pages 3-23, January.
    5. Franck Bessis, 2008. "Quelques convergences remarquables entre l'Économie des Conventions et la Théorie de la Régulation," Revue française de socio-Economie, La découverte, vol. 0(1), pages 9-25.
    6. François Eymard-Duvernay, 1993. "La négociation de la qualité," Économie rurale, Programme National Persée, vol. 217(1), pages 12-17.
    7. Nicolas da Silva, 2018. "« L'industrialisation de la médecine libérale : une approche par l'économie des conventions »," Post-Print hal-02306255, HAL.
    8. Monique Kerleau, 1998. "L'hétérogénéité des pratiques médicales, enjeu des politiques de maîtrise des dépenses de santé," Post-Print hal-00264694, HAL.
    9. Da Silva, Nicolas & Gadreau, Maryse, 2015. "La médecine libérale en France," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    10. Nicolas da Silva & Jean-Paul Domin, 2016. "Assurance et métrologie : le grand tournant de la médecine capitaliste," Post-Print hal-02077563, HAL.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Philippe Batifoulier & Rainer Diaz-Bone, 2022. "Perspectives on the economics and sociology of health. Contributions from the institutionalist approach of economics of convention -an introduction," Working Papers hal-03584852, HAL.
    2. Philippe Batifoulier & Nicolas da Silva & Mehrdad Vahabi, 2020. "La Sociale contre l'Etat providence. Prédation et protection sociale," CEPN Working Papers hal-02487791, HAL.
    3. Nicolas da Silva, 2018. "La médecine libérale entre Sécurité sociale et capitalisme sanitaire : vers une prolétarisation du travail médical ?," Post-Print hal-02306254, HAL.
    4. Philippe Batifoulier & Rainer Diaz-Bone, 2022. "Perspectives on the economics and sociology of health. Contributions from the institutionalist approach of economics of convention -an introduction," CEPN Working Papers hal-03584852, HAL.
    5. Nicolas da Silva, 2018. "« L'industrialisation de la médecine libérale : une approche par l'économie des conventions »," Post-Print hal-02306255, HAL.
    6. Philippe Batifoulier & Louise Braddock & Victor Duchesne & Ariane Ghirardello & John Latsis, 2021. "Das Targeting von „Lifestyle“-Bedingungen. Welche Rechtfertigungen für die Behandlung? [“Targeting Lifestyle" Conditions: What Justifications for Treatment?]," Post-Print hal-03345323, HAL.
    7. Secondo Rolfo & Sara Pavone & Gian Franco Corio, 2013. "Selling at farmer’s markets: the case of Turin," CERIS Working Paper 201319, CNR-IRCrES Research Institute on Sustainable Economic Growth - Torino (TO) ITALY - former Institute for Economic Research on Firms and Growth - Moncalieri (TO) ITALY.
    8. Nicolas da Silva, 2015. "La nouvelle régulation de la médecine libérale : le salut par la quantification ?," Post-Print hal-01480882, HAL.
    9. Bernard Baudry, 1992. "Contrat, autorité et confiance. La relation de sous-traitance est-elle assimilable à la relation d'emploi ?," Revue Économique, Programme National Persée, vol. 43(5), pages 871-894.
    10. Mario Fernández-Zarza & Santiago Amaya-Corchuelo & Giovanni Belletti & Encarnación Aguilar-Criado, 2021. "Trust and Food Quality in the Valorisation of Geographical Indication Initiatives," Sustainability, MDPI, vol. 13(6), pages 1-22, March.
    11. Nicolas da Silva & Jean-Paul Domin, 2016. "Assurance et métrologie : le grand tournant de la médecine capitaliste," Post-Print hal-02077563, HAL.
    12. Stanziani, Alessandro, 2005. "La construction institutionnelle de la concurrence. Le cas du marché de la viande à Paris au XIXe siècle," Cahiers d'Economie et de Sociologie Rurales (CESR), Institut National de la Recherche Agronomique (INRA), vol. 74.
    13. Philippe Batifoulier & Nicolas Da Silva, 2016. "Is physician behavior too serious a business to be left to economics? Reply to medical altruism in mainstream health economics: theoretical and political paradoxes," Review of Social Economy, Taylor & Francis Journals, vol. 74(2), pages 222-227, June.
    14. Sicsic, Jonathan & Krucien, Nicolas & Franc, Carine, 2016. "What are GPs' preferences for financial and non-financial incentives in cancer screening? Evidence for breast, cervical, and colorectal cancers," Social Science & Medicine, Elsevier, vol. 167(C), pages 116-127.
    15. Karijn Bonne & Wim Verbeke, 2008. "Religious values informing halal meat production and the control and delivery of halal credence quality," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 25(1), pages 35-47, January.
    16. Antje Wahl & Gary Bull, 2014. "Mapping Research Topics and Theories in Private Regulation for Sustainability in Global Value Chains," Journal of Business Ethics, Springer, vol. 124(4), pages 585-608, November.
    17. Diane Rodet, 2015. "Solidarity economy and its qualities: a sector s' diversity analysed using "quality devices" [L'économie solidaire et ses qualités : diversité d'un secteur analysé au regard de ses dispos," Working Papers halshs-02329772, HAL.
    18. Henri Isaac, 1998. "Les normes de qualité dans les services professionnels: une lecture des pratiques à travers la théorie des conventions," Revue Finance Contrôle Stratégie, revues.org, vol. 1(2), pages 89-112, June.
    19. Philippe Batifoulier & Nicolas da Silva & Victor Duchesne, 2019. "The dynamics of conventions: the case of the French Social Security System," Post-Print hal-01994383, HAL.
    20. Amédée Mollard, 2001. "Qualité et développement territorial: une grille d'analyse théorique à partir de la rente," Économie rurale, Programme National Persée, vol. 263(1), pages 16-34.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hal:journl:hal-03185634. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.