Réguler la répartition des médecins libéraux sur le territoire. Quelles réponses aux enjeux économiques et de santé publique ?
The expected decline in the medical density of active physicians under the age of 70 over the next three years is giving rise to legitimate concerns among healthcare system stakeholders, first and foremost patients. The freedom of physicians to choose their practice location in France leads to inequ...
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| Format: | Article ou chapitre numérique |
| Idioma: | Français |
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2024
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| Accés en línia: | Accès Université d'Orléans et IFPM Accès Université d'Orléans et IFPM |
| Sumari: | The expected decline in the medical density of active physicians under the age of 70 over the next three years is giving rise to legitimate concerns among healthcare system stakeholders, first and foremost patients. The freedom of physicians to choose their practice location in France leads to inequalities in access to care but also causes systemic failures within the healthcare system. These result in excessive healthcare expenditures in areas with a high density of doctors and a poorer quality of care in areas with a low density. This situation is typical of what economists call a ’market failure’, i.e. the inability of those involved in the healthcare market to reach an optimal equilibrium that is economically (efficient), socially desirable and in line with the promises of the welfare state. Based on the economic literature, the aim of this article is, firstly, to justify increased and rapid intervention by the public authorities in combatting medical deserts and, secondly, to examine the effectiveness of the monetary or non-monetary incentivising mechanisms that are used or are to be implemented. |
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