The link between medical performance and composition of patient base: An econometric study of Ile-de-France doctors

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

Nicolas Da Silva (), Laetitia Fleury, Philippe Batifoulier, Jean-Louis Vanhille and Pierre-Henri Bréchat
Additional contact information
Laetitia Fleury: Service médical d’assurance maladie [Ile-de-France]
Jean-Louis Vanhille: Service médical d’assurance maladie [Ile-de-France]
Pierre-Henri Bréchat: IDS - U1145 - Institut Droit et Santé - UPD5 - Université Paris Descartes - Paris 5 - INSERM - Institut National de la Santé et de la Recherche Médicale

Post-Print from HAL

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.

Date: 2015
Note: View the original document on HAL open archive server: https://hal.parisnanterre.fr/hal-01386031
References: Add references at CitEc
Citations:

Published in Journal de gestion et d’économie médicales, 2015, 33, pp.191-214. ⟨10.3917/jgem.153.0191⟩

Downloads: (external link)
https://hal.parisnanterre.fr/hal-01386031/document (application/pdf)

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:hal:journl:hal-01386031

DOI: 10.3917/jgem.153.0191

Access Statistics for this paper

More papers in Post-Print from HAL
Bibliographic data for series maintained by CCSD ().