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Master Thesis

Le Contrat d'Amélioration des Pratiques Individuelles‎ : vers un nouveau mode de rémunération pour les médecins généralistes français ?‎ : enquête qualitative auprès de 31 médecins isérois

Abstract : Purpose : The Contrat d'Amélioration des Pratiques Individuelles (CAPI) has introduced pay for performance for French general practitioners since 2009. Part of their remuneration depends on the achievement of health targets. This study analyzed the acceptability of this new payment scheme for French general practitioners. Methods : A qualitative survey was conducted at the beginning of 2010, in Isère. It included 31 general practitioners, with liberal practices. Everyone has had information about the CAPI from Health Insurance and agreed to an individual interview at their office. Results : The 13 (41,9%) practitioners in favour of the CAPI founded it interesting for the patient and practices improvement. 13 doctors (41,9%) were against this contract. According to 24 practitioners (77,4%), the CAPI did not change the relationship between patients and doctors. 13 doctors (41,9%) had an ethical problem because the contract undermined their liberty and was not justified. 16 practitioners (51,6%) wanted to change the payment system. 8 (25,8%) preferred a wage remuneration. 11 doctors (35,5%) preferred a fee-for-service payment to protect their liberty and show the costs of care. Conclusions : The CAPI experiments with pay for performance for French general practitioners. They quite agree. Its acceptability depends on the questions of its legitimacy, the doctors' motivations to sign it, their professional independence and the respect for the relation with the patient. Today, usual payment schemes are called into question and the benefits of pay for performance must be clarified. Those points will determine the issue for the remuneration of French general practitioners.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00622707
Contributor : Jean-Hugues Morneau <>
Submitted on : Thursday, May 17, 2012 - 5:30:08 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
Long-term archiving on: : Tuesday, December 13, 2016 - 6:47:12 PM

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  • HAL Id : dumas-00622707, version 1

Citation

Mélanie Brenon. Le Contrat d'Amélioration des Pratiques Individuelles‎ : vers un nouveau mode de rémunération pour les médecins généralistes français ?‎ : enquête qualitative auprès de 31 médecins isérois. Médecine humaine et pathologie. 2010. ⟨dumas-00622707⟩

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