Nicolas Da Silva, Instituer la performance. Une application au travail du médecin
Health care relation is exemplary of the logic of performance witch illustrates a major change in human resources management strategies. Historically, negotiations between the State and physicians exclusively focused on prices. However, since the beginning of the 90’s, public regulation is carried o...
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| Format: | Article |
| Language: | English |
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Association Recherche & Régulation
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| Series: | Revue de la Régulation |
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| Online Access: | https://journals.openedition.org/regulation/11074 |
| _version_ | 1797314973443031040 |
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| author | Nicolas Da Silva |
| author_facet | Nicolas Da Silva |
| author_sort | Nicolas Da Silva |
| collection | DOAJ |
| description | Health care relation is exemplary of the logic of performance witch illustrates a major change in human resources management strategies. Historically, negotiations between the State and physicians exclusively focused on prices. However, since the beginning of the 90’s, public regulation is carried out through professional norms. The introduction of pay-for-performance in France is the ultimate stage in this metrological turning point defined by a numerically-based assessment of medical work. In an institutionalist viewpoint, our thesis seeks to question the relevance of this reform which aims at instituting performance. We show that this project is neither effective nor efficient. It is implemented regardless of the patients’ interests. Yet, in the contemporary neoliberalism spirit, health is associated with a good as any other, surrounding which it is possible to generate competition among producers and consumers. |
| first_indexed | 2024-03-08T02:54:51Z |
| format | Article |
| id | doaj.art-262f64818bf148c3937d0c1ea49f0f7f |
| institution | Directory Open Access Journal |
| issn | 1957-7796 |
| language | English |
| last_indexed | 2024-03-08T02:54:51Z |
| publisher | Association Recherche & Régulation |
| record_format | Article |
| series | Revue de la Régulation |
| spelling | doaj.art-262f64818bf148c3937d0c1ea49f0f7f2024-02-13T13:01:53ZengAssociation Recherche & RégulationRevue de la Régulation1957-77961710.4000/regulation.11074Nicolas Da Silva, Instituer la performance. Une application au travail du médecinNicolas Da SilvaHealth care relation is exemplary of the logic of performance witch illustrates a major change in human resources management strategies. Historically, negotiations between the State and physicians exclusively focused on prices. However, since the beginning of the 90’s, public regulation is carried out through professional norms. The introduction of pay-for-performance in France is the ultimate stage in this metrological turning point defined by a numerically-based assessment of medical work. In an institutionalist viewpoint, our thesis seeks to question the relevance of this reform which aims at instituting performance. We show that this project is neither effective nor efficient. It is implemented regardless of the patients’ interests. Yet, in the contemporary neoliberalism spirit, health is associated with a good as any other, surrounding which it is possible to generate competition among producers and consumers.https://journals.openedition.org/regulation/11074neoliberalismphysicianperformancenew public managementevidence based medicine |
| spellingShingle | Nicolas Da Silva Nicolas Da Silva, Instituer la performance. Une application au travail du médecin Revue de la Régulation neoliberalism physician performance new public management evidence based medicine |
| title | Nicolas Da Silva, Instituer la performance. Une application au travail du médecin |
| title_full | Nicolas Da Silva, Instituer la performance. Une application au travail du médecin |
| title_fullStr | Nicolas Da Silva, Instituer la performance. Une application au travail du médecin |
| title_full_unstemmed | Nicolas Da Silva, Instituer la performance. Une application au travail du médecin |
| title_short | Nicolas Da Silva, Instituer la performance. Une application au travail du médecin |
| title_sort | nicolas da silva instituer la performance une application au travail du medecin |
| topic | neoliberalism physician performance new public management evidence based medicine |
| url | https://journals.openedition.org/regulation/11074 |
| work_keys_str_mv | AT nicolasdasilva nicolasdasilvainstituerlaperformanceuneapplicationautravaildumedecin |