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Paiement à l'acte et régulation du système de soins : les leçons d'une analyse de longue période

Author

Listed:
  • Jean-Paul Domin

    (REGARDS - Recherches en Économie Gestion AgroRessources Durabilité Santé- EA 6292 - URCA - Université de Reims Champagne-Ardenne - MSH-URCA - Maison des Sciences Humaines de Champagne-Ardenne - URCA - Université de Reims Champagne-Ardenne)

Abstract

Ce travail propose une lecture rétrospective du système de santé et notamment de l'évolution du mode de rémunération. La profession s'est constituée autour de certains principes gravés dans le marbre en 1927 dans la Charte médicale. Paradoxalement, ces principes issus de la guérilla menée par les médecins contre les assurances sociales dans les années 1930 vont accompagner le développement de la socialisation de la médecine. Aujourd'hui, la socialisation recule progressivement et les pouvoirs publics tentent de mettre en place de nouvelles formes de rémunération qui vont à l'encontre de certains principes de la Charte (notamment la liberté de thérapeutique). Les praticiens seraient ainsi prêts à abandonner certains principes pour maintenir leur niveau de revenu.

Suggested Citation

  • Jean-Paul Domin, 2016. "Paiement à l'acte et régulation du système de soins : les leçons d'une analyse de longue période," Post-Print hal-02025898, HAL.
    • Handle: RePEc:hal:journl:hal-02025898
    DOI: 10.7202/1033875ar
    as

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    Keywords

    Santé - travail; Rémunération;

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