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Designed to contribute to an assessment of the effects of the second agreement withgeneral practitioners, the study analyzes the effects produced on the medical practices ofgeneral practitioners by pay range of a) the individual income ceiling and b) various typesof fee restrictions on supplementary medical procedures provided under theagreement.The methodology used consisted basically in analyzing the variations of selectedindicators of professional activity and medical practice among general practitioners by payrange following the implementation of the second agreement. Control groups were used tofacilitate the assessment of other factors that may have influenced the variations referredto.The study shows that the income ceiling has resulted in a significant slowdown in theprofessional activity of general practitioners whose income had been in excess of the incomeceiling in the year preceding the agreement. The shorter work period was accompanied by alonger vacation period.From the second part of the study it appears that the implementation of the secondagreement has also appreciably reduced differences in medical procedures by pay range. Thefee restrictions on supplementary procedures have produced a very considerable drop in thenumber of supplementary procedures performed by general practitioners in the top pay ranges,whereas in the past such procedures had been particularly prevalent in those payranges

Effets de certaines mesures de la deuxième entente des médecins omnipraticiens sur leur activité dans le cadre du régime d’assurance-maladie