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When the history of economic thought meets the history of medical epistemology

Quand l’histoire de la pensée économique rencontre l’histoire de l’épistémologie médicale

Nicolas da Silva
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Nicolas da Silva: Université Sorbonne Paris Nord

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Abstract: The aim of this article is to show that recent developments in healthcare systems worldwide call for a return to the parallel history of economic thought and medical epistemology. While the reforms of the last forty years are based on the idea that medical care can be tailored to numerical standards, a growing body of literature shows that it leads to a decline in quality. Solving these problems means returning to the pioneering writings on medical care published in the 1960s. Two texts that are of major importance are examined. The first is the paper by Arrow (1963) the reception of which was paradoxical. The second text is the book by Georges Canguilhem, The Normal and The Pathological published in French in 1966. It is proposed to demonstrate here that the development of economic policy on healthcare is problematic because it disregards the teachings of Arrow and Canguilhem.

Keywords: Health economics; Medical epistemology; Pay for performance; Healthcare; Épistémologie médicale; Paiement à la performance; Économie de la santé; Soins de santé (search for similar items in EconPapers)
Date: 2024-07-31
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Published in European Review of Service Economics and Management, 2024, 2024-1 (17), pp.57-88. ⟨10.48611/isbn.978-2-406-17198-0.p.0057⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05556438

DOI: 10.48611/isbn.978-2-406-17198-0.p.0057

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