6533b7dbfe1ef96bd12711a0

RESEARCH PRODUCT

Strategical behaviours in French ambulatory care (a theoretical and empirical study)

Maryse Gadreau Sophie Bejean

subject

hygiene and public health[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologiestatisticscommunity care servicesoccupational medicinemédecine du travailhealth administrationhygiène et santé publiqueépidémiologieepidemiology[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologiehealth servicesoperations research

description

Specifying agency relationships between the different actors in ambulatory care - the patient, the physician, the insurance and public authorities - allows to render an account of the complexity and the specificity of the health system. After a presentation of the normative approach of the agency theory, we will focus on two agency relationships : the Relationship between the insurance and insured people and the relationship between the patient and the physician. The driving part of supply appears through the analysis of the relationship between the physician and the others : he is the agent of both the patient and public authorities. The issue is then the hypothesis of supplier induced demand that is subjected to an empirical estimation, basedon French data, which of the methodological limits are inevitably stressed. Some rules of the game likely to be enacted in ambulatory care are at lastcautiously brought forward

https://hal.archives-ouvertes.fr/hal-01534387/file/IME-DT_91-10.pdf