In order to promote biomedical research, the French ministry of Solidarity and Health has developed a software that is used to rate medical doctors according to their scientific production: the SIGAPS points (System of Interrogation, Management and Analysis of Scientific Publications). These points (1-32 points) are attributed after the publication of a scientific paper according to the quality of the journal (based on the impact factor) and the doctor's rank among the authors. These points are then transformed into a sum of money received by the health facility (1 point = approximately 648 euros), 4 years in a row. Does this "fee-for-service" encourage doctors to publish quickly at any price, regardless of the quality of their research?