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Motivation et performance des médecins. Un examen de la littérature empirique

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  • Nicolas da Silva

    (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

L'introduction de mécanisme de paiement à la performance dans la rémunération des médecins, qui se répand au niveau international, est censée inciter les médecins à l'efficience et à l'efficacité. Or, les études empiriques ne vérifient pas systématiquement cette hypothèse alors qu'elles mettent en évidence des dégâts collatéraux en termes de justice sociale. Nous proposons une explication qui repose sur l'existence d'une pluralité de motivations dont l'agencement est sensible au contexte institutionnel ainsi qu'à la logique professionnelle des médecins qui privilégie l'autonomie des pratiques.

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  • Nicolas da Silva, 2012. "Motivation et performance des médecins. Un examen de la littérature empirique," Post-Print hal-01480872, HAL.
    • Handle: RePEc:hal:journl:hal-01480872
    Note: View the original document on HAL open archive server: https://hal.science/hal-01480872
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    References listed on IDEAS

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    Cited by:

    1. Nicolas da Silva, 2012. "Les médecins sont-ils intéressés à l'intéressement ?," Post-Print hal-01480874, HAL.

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