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Fom representations of older patients to care management practices: Towards an opportunity of co-production between care staff and patients
[Des représentations des patients âgés aux pratiques de gestion des soins : Vers une opportunité de co-production soignant-soigné]

Author

Listed:
  • Abdelmajid Amine

    (IRG - Institut de Recherche en Gestion - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12 - UPEM - Université Paris-Est Marne-la-Vallée)

  • Audrey Bonnemaizon

    (IRG - Institut de Recherche en Gestion - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12 - UPEM - Université Paris-Est Marne-la-Vallée)

  • Margaret Josion-Portail

    (IRG - Institut de Recherche en Gestion - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12 - UPEM - Université Paris-Est Marne-la-Vallée)

Abstract

La relation de service engageant des publics vulnérables (i.e. patients âgés) s'inscrit dans un rapport asymétrique, au désavantage de ce dernier, nourri par les représentations du patient âgé vulnérable et par la légitimité dans l'administration des soins que s'octroient les personnels de santé. Cette asymétrie est amenée à s'incarner dans les pratiques de soins qui vont se (re)configurer le long des expériences de service entre personnels de santé et patients âgés. En mobilisant une approche qualitative auprès du personnel soignant d'un service de Gériatrie, cette recherche montre des instrumentalisations variées de la vulnérabilité du patient âgé soit pour accentuer la tutelle et le contrôle sur ce dernier, soit au contraire pour se délester de certaines tâches rentrant dans la relation de soins sur cette population ouvrant la voie à davantage de co-production des soins, à un « faire avec » les patients âgés (avec une palette de situations intermédiaires liées à la variété des contextes d'interaction). Mots-clés : Représentations du patient âgé, personnel de santé, co-production, service de soins, ruse, bricolage Abstract The service relationship engaging vulnerable individuals (i.e. elderly patients) is seen as an asymmetrical relationship, to the disadvantage of the latter, fed by the representations of the vulnerable elderly patient and by the legitimacy in the administration of the care that the Health workers give themselves. This asymmetry is incumbent on the practices of care that will be (re)configured along the service experiences between health personnel and elderly patients. By mobilizing a qualitative approach with the healthcare staff of a Geriatric service, this research shows a varied instrumentalisation of the vulnerability of the elderly patient either to accentuate the guardianship and the control on the latter or, on the contrary, to relieve certain tasks included within the care relationship on this population paving the way for more co-production of care, and to "do with" elderly patients (with a palette of intermediate situations related to the variety of interaction contexts).

Suggested Citation

  • Abdelmajid Amine & Audrey Bonnemaizon & Margaret Josion-Portail, 2017. "Fom representations of older patients to care management practices: Towards an opportunity of co-production between care staff and patients [Des représentations des patients âgés aux pratiques de g," Post-Print hal-01684213, HAL.
  • Handle: RePEc:hal:journl:hal-01684213
    Note: View the original document on HAL open archive server: https://hal.archives-ouvertes.fr/hal-01684213
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    Keywords

    ruse; bricolage; health care; Representations of elderly patient; health personnel; co-production;
    All these keywords.

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