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The Industrialization of "Liberal Medicine" in France. A Labor Quality Conventions Approach

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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

This article seeks to analyze the evolution of the regulation of liberal medicine in France from the theoretical framework of the economics of convention. The recent introduction by the state of multiple management devices aimed at quantifying and evaluating the performance of physicians could be interpreted as a process of rationalization of medical practices. However, we propose to analyze the transformations in the regulation of liberal medicine as the transition from an inspired/domestic convention of healthcare quality to an industrial convention of healthcare quality. What is at stake is not improving the quality of care, but changing the conception of quality. Do doctors treat sick people or illnesses? This induces significant changes not only in the entire healthcare system but also in medical ethics. While the profession has historically been built against the market, it seems that the industrialization of healthcare opens the door to its commodification.

Suggested Citation

  • Nicolas da Silva, 2021. "The Industrialization of "Liberal Medicine" in France. A Labor Quality Conventions Approach," Post-Print hal-03185634, HAL.
    • Handle: RePEc:hal:journl:hal-03185634
    DOI: 10.12759/hsr.46.2021.1.85-111
    Note: View the original document on HAL open archive server: https://hal.science/hal-03185634
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    References listed on IDEAS

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    1. Jonathan Sicsic & Carine Franc, 2017. "Impact assessment of a pay-for-performance program on breast cancer screening in France using micro data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(5), pages 609-621, June.
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    4. Nicolas da Silva, 2018. "« L'industrialisation de la médecine libérale : une approche par l'économie des conventions »," Post-Print hal-02306255, HAL.
    5. Philippe Batifoulier & Nicolas Da Silva, 2014. "Medical Altruism in Mainstream Health Economics: Theoretical and Political Paradoxes," Review of Social Economy, Taylor & Francis Journals, vol. 72(3), pages 261-279, September.
    6. Da Silva, Nicolas & Gadreau, Maryse, 2015. "La médecine libérale en France," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    7. Nicolas da Silva & Jean-Paul Domin, 2016. "Assurance et métrologie : le grand tournant de la médecine capitaliste," Post-Print hal-02068434, HAL.
    8. François Eymard-Duvernay, 1989. "Conventions de qualité et formes de coordination," Revue Économique, Programme National Persée, vol. 40(2), pages 329-360.
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    10. Monique Kerleau, 1998. "L'hétérogénéité des pratiques médicales, enjeu des politiques de maîtrise des dépenses de santé," Post-Print hal-00264694, HAL.
    Full references (including those not matched with items on IDEAS)

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