Christine Rolland

• Institut Franco Europeen de Chiropratique

Introduction : La relation soignant/soigné a fait l’objet de nombreux travaux dans le cadre de la médecine mais est peu étudiée dans le contexte de la chiropraxie, notamment en France. But de l’étude : Cette étude ethnographique et sociologique vise à mieux connaître les caractéristiques de la relation de soin en chiropraxie à travers l’observation...

Parler de « système de santé » pour désigner un secteur sanitaire français historiquement balkanisé, cloisonné, dans lequel les services de l’État et de l’Assurance-maladie peinaient à réguler les stratégies inflationnistes des acteurs professionnels et politiques, a longtemps relevé de l’abus de langage. En contrepoint de la littérature internatio...

From the outset, reform of regional health agencies in France, has been torn between two conflicting approaches: traditional state planning and the more recent New Public Management. In fact, the "Hôpital Patients Santá Territoires" (Hospital Patients Health Territories) bill juxtaposes rather than supplants these conflicting approaches. Based on a...

La réforme des Agences régionales de santé en France est traversée, dès l’origine, par la tension entre deux rationalités contradictoires?: celle, traditionnelle, de l’État planificateur et celle, plus récente, du New Public Management . De fait, la loi Hôpital Patients Santé Territoires de 2009 juxtapose ces logiques plus qu’elle ne les dépasse. À...

Best practice recommendations in health Best practice recommendations illustrate neo-liberal governance in the health sector, as expressed by New Public Management doctrine. They are principally based on knowledge stemming from evidence-based medicine and benefit from scientific legitimacy. In France, they are produced and disseminated by state age...

Best practice recommendations, stemming from evidence based medicine, are part of a well versed process aiming to claim medical legitimacy based on science and are used as policy tools in practice. How do they relate to professional values, and to the practice of medicine?This question is examined within the framework of recommendations regarding t...

Although the education of patients on their hygieno-nutritional habits is officially a part of a specialization in general practice, it hardly counts as a real medical act. The present study analyses how recommendations on hygiene are dispensed during a usual medical consultation. The interactions between doctors and patient are scrutinized over 50...

This study sought to ascertain whether disagreement between patients and physicians on the patients' health status varies according to patients' education level. INTERMEDE is a cross-sectional multicentre study. Data were collected from both patients and doctors via pre- and post consultation questionnaires at the GP's office over a two-week period...

Understanding interactions between patients and GPs may be important for optimising communication during consultations and improving health promotion, notably in the management of cardiovascular risk factors. To explore the agreement between physicians and patients on the management of cardiovascular risk factors, and whether potential disagreement...

Is patient education in general practice on the border or at the center of care relation? Although the education of patients on their hygieno-nutritional habits is officially a part of a specialization in general practice, it hardly counts as a real medical act. The present study analyses how recommendations on hygiene are dispensed during a usual...

The way in which patients and their doctors interact is a potentially important factor in optimal communication during consultations as well as treatment, compliance and follow-up care. The aim of this multidisciplinary study is to use both qualitative and quantitative methods to explore the 'black box' that is the interaction between the two parti...

Because of social and personal implications, disclosing an Alzheimer's disease diagnosis to a person is not a simple task for a physician. Positions stated in medical literature and in the legal framework converge towards the idea of informing patients in a clear and detailed manner. The researcher conducted 23 semi-structured interviews involving...

La bibliographie proposée (550 références) permet de faire un état de la littérature scientifique française, européenne et québécoise sur le vieillissement de la population en mettant l'accent sur la question du logement. Trois notions clés : les usages, les normes, l'autonomie permettent de vérifier la pertinence de l'entrée par l'habitat pour déf...

Résumé Les auteurs présentent une recherche conduite auprès de six réseaux de soins et de santé associant professionnels des soins hospitaliers, soignants de ville et associations de bénévoles. Ils mettent en évidence et analysent les tensions qui se manifestent lors de la création des « cadres » définissant l’action à conduire. Ils présentent in f...