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Motivations médicales et politiques d'incitations. La motivation intrinsèque contre la théorie de l'agence?

Author

Listed:
  • Nicolas Dasilva

    (CEPN - Centre d'Economie de l'Université Paris Nord - UP13 - Université Paris 13 - USPC - Université Sorbonne Paris Cité - CNRS - Centre National de la Recherche Scientifique)

Abstract

Une des raisons invoquées pour expliquer les effets limités des incitations financières sur le comportement du médecin tient à l'hypothèse de substituabilité des motivations. Les motivations extrinsèques évinceraient les motivations intrinsèques (MI). Nous cherchons ici à montrer que la théorie de l'agence ne permet pas de tirer toutes les conséquences de la notion de MI ce qui rend alors encore plus difficile l'explication du crowding out effect. Dans un premier temps, il semble que le COE soit imputable à une asymétrie d'information entre la tutelle et le médecin. Mais dans un second, temps nous mettons en avant les difficultés soulevées par l'hypothèse de MI. Elle suppose en effet que l'effort ne soit pas strictement « désutile » et que le médecin soit capable d'un authentique désintéressement.

Suggested Citation

  • Nicolas Dasilva, 2011. "Motivations médicales et politiques d'incitations. La motivation intrinsèque contre la théorie de l'agence?," Post-Print hal-01480862, HAL.
    • Handle: RePEc:hal:journl:hal-01480862
    DOI: 10.3917/jgem.118.0351
    Note: View the original document on HAL open archive server: https://hal.science/hal-01480862
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    Cited by:

    1. 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.

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