Procedure-based/per capita payment: A putative reform that was subsequently aborted (notice n° 583697)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 01899cam a2200157 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121142024.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Bras, Pierre-Louis |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Procedure-based/per capita payment: A putative reform that was subsequently aborted |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2018.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 93 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Per capita payment has long been considered by experts and economists as a mode of remuneration for general practitioners that is more appropriate than procedure-based payment. Indeed, the latter is likely to cause an increase in demand and greater expenditure. However, since 2000, there has been a reduction in general practitioners managing patients in France; incentives for activity, inherent in procedure-based payment, are now seen as a positive aspect of this type of payment. However, procedure-based payment reduces management to simple face-to-face encounters between a physician and a patient and constitutes an obstacle to delegating tasks and building primary care teams. In this respect, per capita payment seems better suited to the major challenge faced by our healthcare system: to ensure the correct management of chronic patients. Nevertheless, the attachment of French physicians to procedure-based payment is such that, until the mid-2000s, it remained the only mode of remuneration for general practitioners. Since then, in the context of negotiations with the medical profession, the authorities have introduced an element of per capita payment. However, the most recent medical contract—in 2016—caused an abrupt halt to what might have appeared to be a catalyst for gradual changes to the organization of the primary care system. |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Les Tribunes de la santé | o 57 | 4 | 2018-03-29 | p. 71-89 | 1765-8888 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/journal-les-tribunes-de-la-sante1-2017-4-page-71?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-les-tribunes-de-la-sante1-2017-4-page-71?lang=en&redirect-ssocas=7080</a> |
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