L’effet combiné de l’exercice en maison de santé pluriprofessionnelle et des paiements à la coordination sur l’activité des médecins généralistes

Christophe Loussouarn, Carine Franc, Yann Videau and Julien Mousquès

Revue économique, 2023, vol. 74, issue 3, 441-470

Abstract: In France, the joint evolution of both primary care supply—with a GP shortage—and demand have led to an increasing imbalance. The trend towards horizontal and vertical integration in primary care, with the support given to the development of multi-professional primary care groups (MPCGs) or Primary Care Team (PCTs) combine with practice pay-for-coordination mechanism, aims to improve the productive efficiency. Using exact matching and difference-in-differences estimations on panel data (2013–2017 period), we find that practicing in MPCG with pay-for-coordination significantly increases general practitioners (GPs)’ number of working days, patients seen and visits. Stratification tests point out that our findings especially hold for female, young and GPs practicing in medically underserved areas. Results are mainly driven by organizational design and not by pay-for-coordination schemes.

Keywords: primary care; general practitioners; productive efficiency; exact matching; difference-in-differences (search for similar items in EconPapers)
Date: 2023
References: Add references at CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
http://www.cairn.info/load_pdf.php?ID_ARTICLE=RECO_743_0441 (application/pdf)
http://www.cairn.info/revue-economique-2023-3-page-441.htm (text/html)
free

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:cai:recosp:reco_743_0441

Access Statistics for this article

More articles in Revue économique from Presses de Sciences-Po
Bibliographic data for series maintained by Jean-Baptiste de Vathaire ().