L’individualisation des modes de rémunérations dans le secteur public hospitalier français : portée et limites d’une pratique gestionnaire

The introduction of a “pay for performance” towards French hospital surgeons, and its likely extension to all public sector doctors, represents a major evolution of the French healthcare system. In this paper, we go first on the theoretical foundations of this method of remuneration, which refer to the Agency Theory, and we offer an overview of the practical difficulties of implementing such a system, a detailed analysis of the inherent limitations of this individualized remuneration management. [googletranslate_en]