Qu’en est-il en Angleterre et en Italie, ou le payement à l’acte n’est pas la règle (même si ce n’est pas vraiment du salariat non plus) ? Avez-vous des données sur leur productivité ?
Ce document apporte quelques réflexions sur le sujet (en anglais), mais pas de données chiffrées : Physician Productivity in the UK NHS
http://rcpsc.medical.org/publicpolicy/imwc/9_phyprod_uk.pdf
"Historically, it appears that there has been an implicit assumption that ‘productivity’
per doctor is constant, and therefore overall activity can only be affected by
increasing the size of the medical (and more recently clinical) workforce. This limits
the potential to make any changes without the substantial time lag of training more
clinical staff. It also neglects the role of incentive systems, both financial (e.g.
payment methods) and non-financial (e.g. regulation) in influencing rates of
productivity. There may be potential for improving productivity of this workforce, for
example by changing reward systems and incentive structures, or by better
regulation and management, challenging the assumption that the only way to
increase activity in the NHS is to increase the number of clinical staff."