Format du dépôt |
Fichier |
Type de dépôt |
Pré-publication, Document de travail |
Résumé |
en
Delegating tasks to paramedics is a fairly recent development in France. So far it has essentially been developed in hospitals and is incipient in general practice. This paper focuses on the willingness of general practitioner to do so. A 2012 survey of 2,000 GPs might help anticipate GPs’ willingness to delegate. This paper tests whether a more favourable funding system might help increase GP willingness. We implement a quasi-experimental design wherein GPs are randomly selected to form three groups of equal size, each of them being exposed to a different funding scheme when declaring their willingness to delegate tasks to nurses: Fully Funded (FF) by the social security administration, self-funded by GPs’ revenues (Self-Funded, SF) and half-funded by both the social security administration and GPs (Half-Funded, HF). GPs’ likelihood to favour task delegation is estimated with a probit model that especially considers a GP’s attitude towards risk (aversion or tolerance) among a set of covariates, such as age, gender, rural/urban area, GP density and funding scheme. This article shows that, first, GPs are more likely to favour delegation, when they share a lower proportion of the cost. Second, the effect of risk aversion on the likelihood of favouring delegation is not altered by the funding scheme.
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Titre |
en
French GPs’ Willingness to Delegate Tasks: May Financial Incentives Balance Risk Aversion?
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Auteur(s)
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Simon Jean-Baptiste Combes
1, 2, 3
, Alain Paraponaris
4, 5
, Yann Videau
6, 7
1
IC Migrations -
Institut Convergences Migrations [Aubervilliers]
( 1071705 )
- Campus Condorcet, Hôtel à projets, 8, cours des Humanités, 93322 Aubervilliers Cedex
- France
2
ARENES -
Arènes: politique, santé publique, environnement, médias
( 2577 )
- 104 Bvd Duchesse Anne 35700 RENNES
- France
-
Université de Rennes ( 105160 )
;
-
Institut d'Études Politiques [IEP] - Rennes ( 300381 )
;
-
École des Hautes Études en Santé Publique [EHESP] ( 301986 )
;
-
Université de Rennes 2 ( 406201 )
;
-
Centre National de la Recherche Scientifique UMR6051 ( 441569 )
3
EHESP -
École des Hautes Études en Santé Publique [EHESP]
( 301986 )
- 15, avenue du Pr. Léon Bernard - 35043 Rennes Cedex
- France
4
AMSE -
Aix-Marseille Sciences Economiques
( 526949 )
- 5-9 Boulevard Bourdet
CS 50498
13205 Marseille Cedex 1
- France
-
École des hautes études en sciences sociales UMR7316 ( 99539 )
;
-
Aix Marseille Université UMR7316 ( 198056 )
;
-
École Centrale de Marseille UMR7316 ( 300415 )
;
-
Centre National de la Recherche Scientifique UMR7316 ( 441569 )
5
ORS PACA -
Observatoire régional de la santé Provence-Alpes-Côte d'Azur [Marseille]
( 521833 )
- France
6
ERUDITE -
Equipe de Recherche sur l’Utilisation des Données Individuelles en lien avec la Théorie Economique
( 74242 )
- UPEM, 5 boulevard Descartes, 77454 Marne-la-Vallée CEDEX 2
UPEC - Faculté de sciences économiques et de gestion
Mail des mèches Rue Poète et Sellier 94010 Créteil Cedex
- France
-
Université Paris-Est Marne-la-Vallée ( 301243 )
;
-
Université Paris-Est Créteil Val-de-Marne - Paris 12 EA437 ( 420786 )
7
TEPP -
Travail, Emploi et Politiques Publiques
( 188024 )
- Université Paris-Est Marne-la-Vallée
5 boulevard Descartes - Champs sur Marne
Bâtiment Camus
77454 Marne-la-Vallée Cedex 2
- France
-
Université Paris-Est Marne-la-Vallée ( 301243 )
;
-
Centre National de la Recherche Scientifique FR3435 ( 441569 )
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Date de production/écriture |
2019-03
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Langue du document |
Anglais
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Référence interne |
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Working paper AMSE 2019-10
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Mots-clés (JEL) |
-
I - Health, Education, and Welfare/I.I1 - Health/I.I1.I12 - Health Behavior
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I - Health, Education, and Welfare/I.I1 - Health/I.I1.I18 - Government Policy • Regulation • Public Health
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J - Labor and Demographic Economics/J.J3 - Wages, Compensation, and Labor Costs/J.J3.J33 - Compensation Packages • Payment Methods
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M - Business Administration and Business Economics • Marketing • Accounting • Personnel Economics/M.M5 - Personnel Economics/M.M5.M55 - Labor Contracting Devices
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Domaine(s) |
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Sciences de l'Homme et Société/Economies et finances
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Sciences du Vivant [q-bio]/Santé publique et épidémiologie
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Mots-clés |
en
Risk aversion, Skill mix, Task shifting, Financial incentives, France, GPs
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