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Intrinsic and extrinsic motivations in primary care: An explanatory study among French general practitioners

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  • Sicsic, Jonathan
  • Le Vaillant, Marc
  • Franc, Carine

Abstract

Like many other OECD nations, France has implemented a pay-for-performance (P4P) model in primary care. However, the benefits have been debated, particularly regarding the possibly undesirable effects of extrinsic motivation (EM) on intrinsic motivation (IM).

Suggested Citation

  • Sicsic, Jonathan & Le Vaillant, Marc & Franc, Carine, 2012. "Intrinsic and extrinsic motivations in primary care: An explanatory study among French general practitioners," Health Policy, Elsevier, vol. 108(2), pages 140-148.
    • Handle: RePEc:eee:hepoli:v:108:y:2012:i:2:p:140-148
    DOI: 10.1016/j.healthpol.2012.08.020
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    8. Jinhu Li & Jeremiah Hurley & Philip DeCicca & Gioia Buckley, 2014. "Physician Response To Pay‐For‐Performance: Evidence From A Natural Experiment," Health Economics, John Wiley & Sons, Ltd., vol. 23(8), pages 962-978, August.
    9. James, Harvey Jr., 2005. "Why did you do that? An economic examination of the effect of extrinsic compensation on intrinsic motivation and performance," Journal of Economic Psychology, Elsevier, vol. 26(4), pages 549-566, August.
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    12. Gene-Badia, Joan & Escaramis-Babiano, Georgia & Sans-Corrales, Mireia & Sampietro-Colom, Laura & Aguado-Menguy, Francoise & Cabezas-Pena, Carmen & Puelles, Pedro Gallo de, 2007. "Impact of economic incentives on quality of professional life and on end-user satisfaction in primary care," Health Policy, Elsevier, vol. 80(1), pages 2-10, January.
    13. Roland Bénabou & Jean Tirole, 2003. "Intrinsic and Extrinsic Motivation," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 70(3), pages 489-520.
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    Citations

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    Cited by:

    1. Peter Zweifel & Katharina Janus, 2017. "Medical ethics: enhanced or undermined by modes of payment?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(1), pages 119-129, January.
    2. Claudia Keser & Emmanuel Peterlé & Cornelius Schnitzler, 2014. "Money talks - Paying physicians for performance," CIRANO Working Papers 2014s-41, CIRANO.
    3. Saint-Lary, Olivier & Sicsic, Jonathan, 2015. "Impact of a pay for performance programme on French GPs’ consultation length," Health Policy, Elsevier, vol. 119(4), pages 417-426.
    4. Allen, Thomas & Whittaker, William & Sutton, Matt, 2017. "Does the proportion of pay linked to performance affect the job satisfaction of general practitioners?," Social Science & Medicine, Elsevier, vol. 173(C), pages 9-17.
    5. Olivier Saint-Lary & Erik Bernard & Jonathan Sicsic & Isabelle Plu & Irène François-Purssell & Carine Franc, 2013. "Why Did Most French GPs Choose Not to Join the Voluntary National Pay-for-Performance Program?," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-7, September.
    6. 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.
    7. Pedersen, Line Bjørnskov & Andersen, Merethe Kirstine Kousgaard & Jensen, Ulrich Thy & Waldorff, Frans Boch & Jacobsen, Christian Bøtcher, 2018. "Can external interventions crowd in intrinsic motivation? A cluster randomised field experiment on mandatory accreditation of general practice in Denmark," Social Science & Medicine, Elsevier, vol. 211(C), pages 224-233.
    8. Zweifel, Peter & Janus, Katharina, 2016. "Physician ethics: undermined or enhanced by modes of payment?," VfS Annual Conference 2016 (Augsburg): Demographic Change 145708, Verein für Socialpolitik / German Economic Association.
    9. 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.
    10. Zweifel, Peter, 2021. "Innovation in health care through information technology (IT): The role of incentives," Social Science & Medicine, Elsevier, vol. 289(C).

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    More about this item

    Keywords

    General practitioners; Intrinsic motivation; Extrinsic motivation; Payment for performance; Multiple correspondence analysis; Multilevel analysis;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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