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Having demonstrated that the traditional economic model of the market cannot be usedin its present form to understand what is happening in the field of medical services, apresentation will be made of the factors affecting the behavior of physicians as purveyorsof services, thus showing the importance of analyzing the influence of economic incentiveson physician behavior. The analysis consists of measuring the change in the practiceprofiles of physicians from 1971 to 1973, and evaluating the influence of the fee scheduleon this change. This research allows us to show that the personal characterictics ofphysicians, the characteristics associated with the organization of their practice and thearea in which they practise are only very slightly related to the changes in the mix of themedical services produced by physicians; that the change in the profile of practice cannotbe associated with changes in the populations' needs, and that the financial incentivesincorporated in the fee schedule have been found to be mainly responsible for the shiftsobserved in the profiles of practice. We conclude by showing how these results arecompatible with the hypothesis that physicians can influence demand for medical services

Stimulants économiques et utilisation des services médicaux