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Les liens entre la performance médicale et la composition de la patientèle : une étude économétrique sur les médecins d’Ile de France

Abstract : The medical convention signed in 2011 introduced a pay-for-performance (P4P) mechanism in medical compensation : in P4P. Doctors receive monetary incentives for achieving targets on predefined performance measures – in terms of quality of care and financial savings. The aim of this paper is to assess the French P4P with an original study on Ile-de-France physicians. We test the hypothesis that medical performance is partly dependant on composition of patient base – performance is then partly independent of his implication and responsibility. Our results show that doctors having more sick patients have more chances to obtain a good performance. Furthermore, doctors having more poor patients have fewer chances to obtain a good performance.
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Nicolas da Silva, Laetitia Fleury, Philippe Batifoulier, Jean-Louis Vanhille, Pierre-Henri Bréchat. Les liens entre la performance médicale et la composition de la patientèle : une étude économétrique sur les médecins d’Ile de France. Journal de Gestion et d’Économie Médicales, Editions ESKA, 2015, 33, pp.191-214. ⟨10.3917/jgem.153.0191⟩. ⟨hal-01386031⟩

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