With tact and moderation? French GPs struggling with the idea of measuring their practice
Avec tact et mesure ? Les médecins généralistes aux prises avec les évaluations chiffrées de leur pratique
Géraldine Bloy () and
Laurent Rigal
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Géraldine Bloy: LEG - Laboratoire d'Economie et de Gestion - UB - Université de Bourgogne - CNRS - Centre National de la Recherche Scientifique
Laurent Rigal: INED - Institut national d'études démographiques, CESP - Centre de recherche en épidémiologie et santé des populations - UVSQ - Université de Versailles Saint-Quentin-en-Yvelines - UP11 - Université Paris-Sud - Paris 11 - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Paul Brousse - INSERM - Institut National de la Santé et de la Recherche Médicale
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Abstract:
The article focuses on the effects of statistically evaluating the quality of practice in general medicine. Putting the reforms that have affected the private practice of medicine in France in perspective shows that the gradual deployment of ways of governing it has recently taken a decisive metrological turn. We envision the impact on GPs through two original studies devoted to preventive care. Criticism and professional forms of resistance are examined before delving into the experience and arguments of practitioners who consent to the idea of measuring medical work, or even agree to do it themselves, in order to assess the current inflections of the professional model as well as of the organization of medicine in the private sector.
Keywords: General Medicine; Private Medical Practice; Evaluation; Measurement; Rationalisation; Quality; Medical Profession; Prevention; Médecine générale; Médecine libérale; Évaluation; Mesure; Qualité; Profession médicale; Prévention (search for similar items in EconPapers)
Date: 2012
Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-01225368v1
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Published in Sociologie du Travail, 2012, 54 (4), pp.433-456. ⟨10.4000/sdt.2099⟩
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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:halshs-01225368
DOI: 10.4000/sdt.2099
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