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Master Thesis

Facteurs modifiant les pratiques des médecins généralistes suite à l’introduction de la rémunération sur objectif de santé publique du médecin traitant de l’enfant en 2017 : étude qualitative en Rhône-Alpes

Abstract : Introduction: The individual payment for performance only for physicians dealing with children was introduced in 2017, after the new convention of 2016. Since then, the national health system describes a continuous improvement of medical practices, attributed to the payment for performance without taking into account other factors. The first objective of the study would be to identify the factors responsible for improvement of medical practices since the payment for performance’s introduction. The second objective would be to know the general practitioner’s feeling concerning this new pay for performance. Methodology: Qualitative study with semi-structured interviews with general practitioners doing paediatric medicine, working in Isère and Savoie in 2020. Results: Twelve interviews were made. Different factors were found modifying medicinal practises: formation, experience, obligation to vaccinate, third-party payment system, investment, patients behavior and the pay for performance. The pay for performance didn’t receive a unanimous answer from the general practitioners. On the contrary, two concepts stand out: the ignorance and the misunderstanding of this pay for performance. Conclusion: We can question the benefit of the pay for performance. A better understanding and/or an updating of this system could allow a greater effect on the medicinal practises.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02975181
Contributor : Jean-Hugues Morneau <>
Submitted on : Thursday, October 22, 2020 - 2:41:07 PM
Last modification on : Tuesday, November 24, 2020 - 4:00:15 PM

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Aulde Payerne, Loïc Valat. Facteurs modifiant les pratiques des médecins généralistes suite à l’introduction de la rémunération sur objectif de santé publique du médecin traitant de l’enfant en 2017 : étude qualitative en Rhône-Alpes. Médecine humaine et pathologie. 2020. ⟨dumas-02975181⟩

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