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Chapitre 9 : Rémunération mixte et comportement professionnel des spécialistes

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Listed:
  • Étienne Dumont

    (CIRPEE - Centre interuniversitaire sur le risque, les politiques économiques et l'emploi [Montréal] - UQAM - Université du Québec à Montréal = University of Québec in Montréal, ULaval - Université Laval [Québec])

  • Bernard Fortin

    (ULaval - Université Laval [Québec], CIRANO - Centre interuniversitaire de recherche en analyse des organisations - UQAM - Université du Québec à Montréal = University of Québec in Montréal, CIRPEE - Centre interuniversitaire sur le risque, les politiques économiques et l'emploi - Centre Interuniversitaire sur le Risque, les Politiques Economiques et l'Emploi, IZA - Forschungsinstitut zur Zukunft der Arbeit - Institute of Labor Economics)

  • Nicolas Jacquemet

    (PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement)

  • Bruce Shearer

    (CIRPEE - Centre interuniversitaire sur le risque, les politiques économiques et l'emploi [Montréal] - UQAM - Université du Québec à Montréal = University of Québec in Montréal, ULaval - Université Laval [Québec], CIRANO - Centre interuniversitaire de recherche en analyse des organisations - UQAM - Université du Québec à Montréal = University of Québec in Montréal, IZA - Forschungsinstitut zur Zukunft der Arbeit - Institute of Labor Economics)

Abstract

Jusqu'en 1999, le mode de rémunération largement dominant chez les médecins spécialistes du Québec était la rémunération à l'acte. Ce mode permet le paiement de tout acte médical posé par un médecin, selon les tarifs en vigueur établis par le Ministère de la santé et des services sociaux (MSSS) et les fédérations médicales. Cependant, en septembre 1999, le MSSS et la Fédération des médecins spécialistes du Québec (FMSQ) se sont entendus sur la mise en oeuvre d'un nouveau mode de rémunération des activités en établissement des spécialistes: la rémunération mixte. Cette rémunération optionnelle combine salariat et rémunération partielle à l'acte. L'objectif de cette réforme consistait en particulier à augmenter le temps consacré aux patients ainsi que certaines tâches non rémunérées sous la rémunération à l'acte, tels l'enseignement et les tâches administratives. L'impact de la réforme est potentiellement très important puisqu'en 2010, près de 50% des médecins spécialistes avaient adhéré à ce nouveau mode de rémunération.

Suggested Citation

  • Étienne Dumont & Bernard Fortin & Nicolas Jacquemet & Bruce Shearer, 2012. "Chapitre 9 : Rémunération mixte et comportement professionnel des spécialistes," PSE-Ecole d'économie de Paris (Postprint) halshs-01114074, HAL.
    • Handle: RePEc:hal:pseptp:halshs-01114074
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-01114074
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    1. Dumont, Etienne & Fortin, Bernard & Jacquemet, Nicolas & Shearer, Bruce, 2008. "Physicians' multitasking and incentives: Empirical evidence from a natural experiment," Journal of Health Economics, Elsevier, vol. 27(6), pages 1436-1450, December.
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