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Motivations médicales et politiques d’incitations


  • 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.

Suggested Citation

  • Nicolas Da Silva, 2011. "Motivations médicales et politiques d’incitations," EconomiX Working Papers 2011-35, University of Paris Nanterre, EconomiX.
  • Handle: RePEc:drm:wpaper:2011-35

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    Cited by:

    1. Nicolas Da Silva, 2012. "Les médecins sont-ils intéressés à l'intéressement ?," Post-Print hal-01480874, HAL.
    2. Philippe Batifoulier & Nicolas Da Silva, 2014. "The economic behaviour of doctors: medical altruism without an ethic?," EconomiX Working Papers 2014-9, University of Paris Nanterre, EconomiX.
    3. Nicolas Da Silva, 2012. "Motivation et performance des médecins. Un examen de la littérature empirique," Post-Print hal-01480872, HAL.

    More about this item


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

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