L'industrialisation de la médecine libérale: une approche par l'économie des conventions

Nicolas Da Silva ()

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Abstract: The aim of this article is to analyze the industrialization of physician private practice from the French convention theory framework. This industrialization can be illustrated by recent reforms seeking to regulate medical practice around the respect of quantified and standardized norms of quality of health care. Everything happens as if health care was a homogenous product easily reproducible from one patient to another – irrespective to their singularities. Rather than considering it to be a "rationalization", we show that it is a modification of the health care convention of quality – from inspired/domestic convention to industrial convention. Equally legitimate, deliberation or compromise between theses conventions should be the subject of a political debate which is not the case. Worst, in the actual context, it is likely that industrialization, which is a response to legitimates critics, become an accelerator of commodification – harmful for patients and for physicians.

Keywords: commodification; quality of health care; industrialization; Physician private practice; doctor; French convention theory.; économie des conventions.; industrialisation; qualité des soins; marchandisation; médecin; Médecine libérale (search for similar items in EconPapers)
Date: 2018
New Economics Papers: this item is included in nep-ias
Note: View the original document on HAL open archive server: https://hal.science/hal-02306255v1
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Citations: View citations in EconPapers (3)

Published in Management & Avenir Santé, 2018

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-02306255

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