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Master Thesis

Représentations des médecins généralistes libéraux sur la généralisation du tiers payant : étude qualitative

Abstract : A proposed law concerning the wider adoption of third-party payment schemes for private doctors in France was announced on September 23, 2013. This study seeks to explore the views of private physicians on this possible change as well as perceptions of the relationship between access to care and way to pay doctors. A qualitative study was undertaken through a series of semi-structured interviews from May to September 2014 across a sample of sixteen private physicians practicing in Aquitaine and Midi-Pyrénées. Participants were purposefully selected to ensure maximum sample variation. The study was able to point out strong reservations for certains physicians for whom their practice of medecine should inherently be liberal ; they expressed concerns over the inflation of demand and a dissolution of the patient's responsibility due to this scheme. Other physicians highlighted the expect beneficial impact on access to care and the doctor-patient relations, dismissing any purpoted liberal perception as a debatable reality. Both sides shared worries about the technical aspects of the change. Despite wide disparities in actual usage of third-party payment systems, a will to lower financial barriers to entry predominated in the sample. Questions to access to health care provoked a variety of responses. The potential change in how physicians received their income, though divisive, was seen as having little connection to the issue of access to care. The panel raised numerous limitations within the pay-for-service model.
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Master Thesis
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Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Friday, January 30, 2015 - 9:47:53 AM
Last modification on : Wednesday, August 23, 2017 - 4:32:33 PM
Long-term archiving on: : Saturday, September 12, 2015 - 6:26:05 AM


  • HAL Id : dumas-01111296, version 1



Brice Chauvin. Représentations des médecins généralistes libéraux sur la généralisation du tiers payant : étude qualitative. Médecine humaine et pathologie. 2014. ⟨dumas-01111296⟩



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