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Impacts des incitatifs économiques en médecine générale : Analyse des préférences et des motivations des médecins

Editor

Listed:
  • Franc, Carine

Author

Listed:
  • Sicsic, Jonathan

Abstract

This thesis addresses several issues raised by the introduction in France of economic incentives such as pay-For-Performance applied to general practice. These incentive schemes are designed to improve the quality of care, but they are discussed both in terms of effectiveness and potential side effects. Initially, we assess the impact of the CAPI scheme on various indicators of quality of care: the consultation length and cancers screening. Then, using the discrete choice experiment methodology, we reveal general practitioners (GPs) preferences for devices aimed at improving the early detection of cancers. Finally, we analyse empirically the relationship between French GPs' intrinsic and extrinsic motivations. We show that the CAPI has not had a significant impact on the selected quality indicators. In addition, GPs would be sensitive to potentially less costly nonmonetary devices. Eventually, we highlight a negative relationship between GPs' intrinsic and extrinsic motivations. Our results call for greater caution in the definition of economic incentives in general practice.

Suggested Citation

  • Sicsic, Jonathan, 2014. "Impacts des incitatifs économiques en médecine générale : Analyse des préférences et des motivations des médecins," Economics Thesis from University Paris Dauphine, Paris Dauphine University, number 123456789/14625 edited by Franc, Carine.
    • Handle: RePEc:dau:thesis:123456789/14625
    Note: dissertation
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    References listed on IDEAS

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    More about this item

    Keywords

    Dépistage des cancers; Économie de la santé; Incitatifs économiques; Médecine générale; Méthodologie des choix discrets; Motivations intrinsèques; Paiements à la performance; Révélation des préférences; Cancer screening; Health economics; Economic incentives; General practice; Discrete choice experiment; Intrinsic motivations; Pay-For-Performance; Stated preferences;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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