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La transformation des actes gratuits en actes payants en médecine libérale. Une étude micro-économétrique longitudinale


  • Jeanne Lievaut
  • Philippe Batifoulier


In this article we focus on the issue of free care. Current literature suggests free care is associated with an extreme form of medical altruism. The sensitivity of the practitioner to a particular type of patient originates the price discrimination. Our econometric analysis tests another assumption. The correlation between free care and "paying" care is independent of the demand effects. We use an unbalanced panel data comprising 8002 self-employed physicians who were observed over the 1979-2000 period. Our results offer an empirical understanding of the free/paying care phenomenon. Also, they offer clarification of the practitioner's motivations which take an important place in the literature.

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  • Jeanne Lievaut & Philippe Batifoulier, 2011. "La transformation des actes gratuits en actes payants en médecine libérale. Une étude micro-économétrique longitudinale," EconomiX Working Papers 2011-12, University of Paris Nanterre, EconomiX.
  • Handle: RePEc:drm:wpaper:2011-12

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    References listed on IDEAS

    1. Lise Rochaix & Stéphane Jacobzone, 1997. "L'hypothèse de demande induite : un bilan économique," Économie et Prévision, Programme National Persée, vol. 129(3), pages 25-36.
    2. McGuire, Thomas G., 2000. "Physician agency," Handbook of Health Economics,in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 9, pages 461-536 Elsevier.
    3. 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.
    4. Carine Franc & Romain Lesur, 2004. "Systèmes de rémunération des médecins et incitations à la prévention," Revue économique, Presses de Sciences-Po, vol. 55(5), pages 901-922.
    5. Yann Videau & Philippe Batifoulier & Y Arrighi & Maryse Gadreau & Bruno Ventelou, 2010. "Le cycle de vie des motivations professionnelles en médecine de ville : une étude dans le champ de la prévention," Post-Print halshs-01228541, HAL.
    6. Rochaix, Lise, 1989. "Information asymmetry and search in the market for physicians' services," Journal of Health Economics, Elsevier, vol. 8(1), pages 53-84, March.
    7. Roland Bénabou & Jean Tirole, 2003. "Intrinsic and Extrinsic Motivation," Review of Economic Studies, Oxford University Press, vol. 70(3), pages 489-520.
    8. Olivier Thevenon & Philippe Batifoulier, 2003. "L'éthique (médicale) est elle soluble dans le calcul économique?," Post-Print hal-00442960, HAL.
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    Cited by:

    1. Nicolas Da Silva, 2012. "Motivation et performance des médecins. Un examen de la littérature empirique," Post-Print hal-01480872, HAL.

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    self-employed physicians; free care; paying care; motivations; panel;

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