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Master Thesis

Comment les médecins généralistes ont-ils intégré la ROSP à leur pratique ? ‎ Étude qualitative auprès de 14 médecins généralistes en Haute-Normandie

Abstract : Background : In a context of increasing control health spending, National Health Insurance integrates within the convention of 2011 the pay for performance in accordance with union partners for 5 years. Entered into force on 1 January 2012, the ROSP is required as an alternative to fee-symbol of liberal medicine. The doctor receives an additional compensation based on the achievement of the goals he has chosen. Objective : Analyze the perceptions of general practitioners on the integration of pay for performance in their practice. Method : Qualitative analysis by semi-structured individual interviews (n = 14) with a cross-thematic analysis conducted among general practitioners who works in Normandy and who signed the ROSP. Results : The signatory doctors adhere in various ways to the device. Some are convinced of improved practices, others see only one economic goal. Doctors join to denounce the risk of Unethical: Financial conflict on the health of the patient, the risk of selecting patients and adapt the practice to paying indicators. The relationship with National Health Insurance is based on distrust, fearing an attack on private practice. Conclusion : Doctors seem willing to concede part of their act on a pay for performance but they find little change in their practice in an announced goal of improving practice. If ROSP must continue, the choice of indicators should be independent of the National Health Insurance.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01081665
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Submitted on : Monday, November 10, 2014 - 2:41:51 PM
Last modification on : Monday, December 2, 2019 - 10:24:01 AM
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Pierra Lefèvre. Comment les médecins généralistes ont-ils intégré la ROSP à leur pratique ? ‎ Étude qualitative auprès de 14 médecins généralistes en Haute-Normandie. Médecine humaine et pathologie. 2014. ⟨dumas-01081665⟩

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