Advanced Search
MyIDEAS: Login to save this paper or follow this series

Motivations médicales et politiques d’incitations


Author Info

  • Nicolas Da Silva


One reason cited for the limited effect of financial incentives on physician behaviour is the assumption of substituability of motivations. Extrinsic motivations crowd out intrinsic motivation (IM). We seek to highlight the theorical conditions for this "crowding out effect" (COE). At first time it seems that the COE is consequently to an asymmetry of information between the authority and the physician. The latter is then likely to interpret the incentive as a bad news on his capabilities to succed the task or as a negative signal source of loss of social prestige. In a second step we highlight the difficulties raised by the assumption of IM. It assumes that the effort is not strictly « unuseful » and that the doctor is able of genuine selflessness.

Download Info

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
File URL:
Download Restriction: no

Bibliographic Info

Paper provided by University of Paris West - Nanterre la Défense, EconomiX in its series EconomiX Working Papers with number 2011-35.

as in new window
Length: 22 pages
Date of creation: 2011
Date of revision:
Handle: RePEc:drm:wpaper:2011-35

Contact details of provider:
Postal: 200 Avenue de la République, Bât. G - 92001 Nanterre Cedex
Web page:
More information through EDIRC

Related research

Keywords: Physician; Intrinsic motivation; Extrinsic motivation; Prestige; Selflessness; Crowding out effect;

This paper has been announced in the following NEP Reports:


No references listed on IDEAS
You can help add them by filling out this form.



This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.


Access and download statistics


When requesting a correction, please mention this item's handle: RePEc:drm:wpaper:2011-35. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Valérie Mignon).

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 references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.

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