Blanche Le Bihan

Blanche Le Bihan
Ecole des hautes études en santé publique | EHESP · Département des sciences humaines, sociales et des comportements de santé

Phd

About

154
Publications
18,310
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,043
Citations

Publications

Publications (154)
Technical Report
Full-text available
report on Long term care policy in France for the European social policy network
Article
Cash‐for‐care (CfC) schemes are monetary transfers to people in need of care who can use them to organize their own care arrangements. Mostly introduced in the 1990s, these schemes combine different policy objectives, as they can aim at (implicitly or explicitly) supporting informal caregivers as well as increasing user choice in long‐term care or...
Technical Report
Full-text available
Actualized country profile concerning social protection and social policies' reforms in France
Article
Due to a significant increase in the complexity of the care demands of older people having multiple care needs, the necessity for integrated care is increasingly acknowledged. Proposing a qualitative approach based on a secondary literature analysis and an empirical survey, this paper explores the integration policy of health and social care for ol...
Article
Cash‐for‐care (CfC) schemes have introduced a key transformation in long‐term care policies across Europe since the 1990s. The article explores the extent to which CfC policies have changed over time and into which directions, the ways in which change (if any) has occurred and the forces underlying it. By combining the literature on institutional c...
Preprint
Full-text available
Published in Korean with the floowing Reference : B. Le Bihan, C. Martin, “French social and long-term care system”, Global Social Security Review, Korean Institute for health and social affairs KIHASA, vol. 7, Winter 2018, p. 5-15. Pre-print on HAL: https://halshs.archives-ouvertes.fr/halshs-02058183 As "community care" has no exact equivalent...
Article
This article describes the changing modalities of action designed to address social inequalities in health recommended in France, in the light of WHO and other international guidelines. Content analysis of policy recommendations identified eleven categories of actions and five types of changes as a function of target populations and the resources d...
Article
Introduction: Reduction of social inequalities in health has been one of the main political pillars of Regional Health Agencies in France since their creation in 2009. This paper presents a contextual analysis of the effects on social inequalities in health of a hospital-based health promotion and disease prevention programme in terms of overall h...
Chapter
Full-text available
The Routledge Handbook of Social Care Work Around the World provides both a comprehensive and authoritative state-of-the-art review of the current research in this subject. It is the first handbook to cover social care work research from around the world, including both low- and middle-income countries as well as high income countries. Each of the...
Technical Report
Full-text available
Country report Quality and cost-effectiveness in long-term care and dependency prevention - CEQUA LTC Network
Technical Report
Full-text available
This policy summary about the PAERPA (elderly people at risk of loss of autonomy) scheme is part of the CEQUA LTC Network
Technical Report
Full-text available
This policy bried about the PTA (Territorial support platforms for coordination) scheme in France is part of CEQUA LTC Network
Technical Report
Full-text available
This policy summary on the MAIA scheme is part of the CEQUA - Quality and cost-effectiveness in long-term care and dependency prevention
Technical Report
Full-text available
This policy brief on respite and support platforms in France is part of the CEQUA LTC Network
Conference Paper
En France, la politique en faveur des personnes âgées en perte d’autonomie ne constitue pas un secteur d’intervention publique homogène (Le Bihan et Martin 2010). Elle est composée d’une série de mesures ou de programmes visant le maintien à domicile des personnes âgées ou leur accueil en établissement, et recoupant différents secteurs d’interventi...
Article
Emotional weight A reflection on the variations of family care intensity delivered to older relatives For the past 15 years, the carers of people in need of regular care have been subjected to a new visibility. Based on the results of a qualitative survey on family carers of relatives affected by Alzheimer’s disease, this article investigates the l...
Conference Paper
Full-text available
In response to increasing care needs, the development of elderly care systems has become a prominent policy concern across the OECD. Since the beginning of the 1990s, the increasing economic constraints led to the rise of policies that focus on the improvement of “coordination” and “integration” of administrations and services – in other words, pol...
Technical Report
Full-text available
Analysis of work-life balance measures which have developed in France in the sector of Long term care (disabled people and elderly people).
Chapter
This chapter analyses the development of cash-for-care programs across OECD countries, their effects and their future perspectives. A major commonality of these programs is that they emphasize choice for users, a concept that can be variously declined. With regard to the choice idea behind cash-for-care programs, the chapter distinguishes among thr...
Technical Report
Full-text available
Flash report on the 2015 French Act on adapting society to an ageing population
Conference Paper
Full-text available
Dans un contexte d’augmentation de la demande de soins et d’aide quotidiennes et de restrictions budgétaires liées au contexte de crise économique, l’amélioration de la continuité et de la cohérence de l’accompagnement proposé par les différents acteurs – familiaux, médicaux, sanitaires et sociaux – intervenant auprès des personnes âgées apparaît c...
Article
Full-text available
Disponible sur le site du Cairn. Voir URL joint : https://www.cairn.info/revue-retraite-et-societe-2014-3.htm
Conference Paper
Full-text available
Many European countries consider better coordination and integration as a solution to a common problem – a shift of the burden of disease from acute illness to long-term conditions and multiple comorbidities – permitting to raise the dividing lines between sectors, among governing bodies, health and social organizations and professionals in order t...
Article
La question de la prise en charge de la maladie d’Alzheimer et des maladies apparentées fait débat dans la plupart des pays occidentaux : s’agit-il d’une forme précoce de vieillissement, ou d’une maladie à part entière, plus fréquente aux âges élevés de la vie ? Aujourd’hui, en l’absence de traitements médicamenteux efficaces, le suivi médical est...
Technical Report
Full-text available
Rapport qualitatif dans le cadre de la recherche Comparse (Comparaison du service rendu à la personne atteinte d'une maladie d'Alzheimer et de l'aidant par trois types de prise en charge) pour la Fondation Plan Alzheimer
Article
Full-text available
L'objectif du projet Mapéru consistait à savoir s'il existait des formes de prises en charge professionnelles, des besoins et des trajectoires de la maladie d'Alzheimer spécifiques en milieu rural. Après vingt-quatre mois de recherche, le projet nous montre qu'à l'instar de son diagnostic, l'appréhension géographique de la maladie nous livre des ré...
Chapter
Full-text available
Dépendance, soins de longue durée et Politiques publiques en Europe 1 La dépendance des personnes âgées ou les soins de longue durée représentent un nouveau défi pour les systèmes de protection sociale européens. Ce défi est à la mesure du vieillissement de la population européenne (section 1). Enjeu majeur de politiques publiques (section 2), la d...
Article
Le débat actuel autour de la « médicalisation de l’existence » donne un éclairage nouveau sur la médicalisation de la vieillesse. Dans le cas de la vieillesse justement, quelles formes prend cette médicalisation ? Si l’on peut identifier une offre de médicalisation, principalement portée par les médecins, les propositions médicales de prise en char...
Article
Full-text available
Alzheimer's disease and similar disorders have atracted unprecedented public mobilisation in France. Responses for families include a recent increase in support for carers. Specific mechanisms have been developed, notably respite centres (plateformes de répit). This article compares respite centres with an older mechanism: day centres (accueils de...
Chapter
Full-text available
The definition of a specific long-term care (LTC) policy or—to use the French terminology—a policy toward “dependent elderly people,” only really emerged in France at the end of the 1980s. It has been a long process, which is still open to different scenarios in the forthcoming years. Because it developed slowly over time, the French system is rath...
Article
communication au Réseau thématique 7 Vieillesses, vieillissement et parcours de vie
Book
Full-text available
European welfare states are experiencing tensions between labour market constraints and caring responsibilities of families. This book analyses these tensions by focusing on carers 'Under pressure'. It investigates the care arrangements set up by bi-active parents of Young children and of employed adult children caring for their old parent(s). Base...
Article
Organised support for an aged dependent person living at home requires a wide range of resources and significant commitment by the family members involved. This article, based on empirical studies of carers still working at their own jobs and contributing to the support of one or more aged relatives, aims at an understanding of how they cope with t...
Book
Full-text available
In many European countries tensions have arisen between the demands of the labor market and the caregiving responsibilities workers must fulfill at home. Examining these tensions, Work and Care under Pressure focuses on two groups of people who must juggle work and caregiving: parents of young children who work nonstandard hours and working adults...
Article
Journées d'études organisées par la Chaire Social Care (CNSA, EHESP, titulaire Claude Martin), et les Réseaux Thématiques 7 (Vieillesses, vieillissement et parcours de vie) et 19 (Santé, médecine, maladie et handicap) de l'Association Française de Sociologie
Article
Colloque organisé par le Centre de recherche sur le droit privé (CRDP-UBO), l'Atelier de recherche sociologique (ARS-UBO), le centre d'études sur les soins de longue durée et la vulnérabilité (SOLO-EHESP)
Article
Full-text available
Originally part of the private domain of families, care of the older people is now the concern of public policy. Yet, in the European context of cost containment, it is not easy to make a case for increasing public support and the caring function of families remains prominent in social policy. In this paper, the authors question public policies aro...
Article
Originally part of the private domain of families, care of the older people is now the concern of public policy. Yet, in the European context of cost containment, it is not easy to make a case for increasing public support and the caring function of families remains prominent in social policy. In this paper, the authors question public policies aro...
Article
Full-text available
This article investigates the impact of policy measures on the organisation of home-based care for older people in France, by examining the balance between formal and informal care and the redefinition of the initial familialist model. It focuses on the specific cash for care scheme (the Allocation personnalisée d'autonomie - Personalised allowance...
Article
This article investigates the impact of policy measures on the organisation of home-based care for older people in France, by examining the balance between formal and informal care and the redefinition of the initial familialist model. It focuses on the specific cash for care scheme (the Allocation personnalisée d'autonomie - Personalised allowance...
Article
Form and Effect of Multi-Disciplinary Diagnosis and Management of Alzheimer's Disease Alzheimer's disease and related disorders have, for a few years, constituted a major challenge for public health. This recognition has been accompanied by the setting up of graded and specialised devices, in particular, via the resource and research memory centres...
Article
Full-text available
Dans l’ensemble des pays européens, le vieillissement de la population est devenu un enjeu politique et social majeur. L’augmentation de la participation des femmes au marché du travail, la mobilité géographique des familles et le care deficit (déficit d’aidant) qui en découle pose aujourd’hui, et de façon cruciale, la question de la prise en charg...
Article
A partir d'une enquête auprès de 67 patients ou de leurs aidants, suivis dans 3 centres de mémoire ressources et recherche, le rapport analyse la manière dont sont structurées les trajectoires de maladie d'Alzheimer. Le rapport met en évidence la manière dont les spécialités médicales construisent, de manière différenciée, pour les neurologues, les...
Article
L'allongement de la durée de vie fait que la question de la dépendance est un enjeu majeur de santé publique. En France - ou l'investissement des pouvoirs publics est réel quoique insuffisant - on constate la diversité des dispositifs et celle des secteurs d'intervention concernés. Malgré certaines apparences, il n'y a pas de véritable système assu...
Chapter
In response to the ageing of the population and increasing care needs, long-term care has become a key policy issue in all European countries. The introduction of cash-for-care schemes — allowances provided to elderly dependent people and their families which they can either pass on to informal caregivers or use to employ a paid caregiver — has rep...
Article
Since the 1990s', cash for care schemes have been introduced in most European countries to meet the needs of frail elderly people. Though free choice given to family in the organization of the care arrangement is a major argument in favor of such policy measure, the situation is more complex and ambiguous. This article investigates the impact of ca...
Article
Since the 1990s', cash for care schemes have been introduced in most European countries to meet the needs of frail elderly people. Though free choice given to family in the organization of the care arrangement is a major argument in favor of such policy measure, the situation is more complex and ambiguous. This article investigates the impact of ca...