ABSTRACT
The two five-year pilot programs introduced in Article 51 of the 2018 Social Security Funding Act (Loi de Financement de la Sécurité Sociale, LFSS) -one with additional performance-type payment to improve coordination between hospital and primary care (IPEP, Incitation à une prise en charge partagée), and another one with a lump sum payment scheme for primary care teams for GPs and nurses (PEPS, Paiement en équipe de professionnels de santé en ville)-, allow for pilot experiment that derogate from standard funding and organizational rules for health care delivery organisations. (…)
Anchored in the sociological part of the programme of assessment of the experiments aimed at finding alternatives to fee-for-service payments in the context of Article 51 (Évaluation d'expérimentations Article 51 de rémunération alternative à l'acte, Era2), this study is based on interviews conducted with private doctors designated as IPEP or PEPS project leaders. Focusing on their professional careers enables us to understand how they have helped them to take such opportunities and meet the demands of the public authorities.
See also Questions d'économie de la santé n° 273 in French: Des médecins entrepreneurs de la transformation des soins primaires.
Une analyse des conditions d'engagement des porteurs libéraux dans les expérimentations Ipep et Peps.
See also Podcast n° 3 in French: Les soins pour tous, des dispensaires aux centres de santé.