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L'agir sanitaire. Processus et formes d'expression à travers le cas aquitain

Abstract : Health, appears to be a complex construction. Configurations observed in a French regional space reveal a constant reconstruction process has taken place, linked to the scope of health intervention - and thus to the concept of health - as well as to the legitimate forms of political engagement in this field. Thus, health overflows the boundaries of sectoral interventions - and analysis. Tackling what it is becoming, rather than what it is, requires a descriptive approach in the Latourian sense. Such an approach reveals cognitive and normative dynamics and multiple commitments of heterogeneous actors. We aim to uncover the grid of actors, objects and representations that form collective action in health, through the connexions they form. This analysis highlights the construction of an action that does not take the form of a structured network, or a systemic project developed in a consistent manner and collectively pursued, but through a fundamental adjustment process: adjustment between actors, adjustment of missions to the changing framework of legitimacy and perceived situational constraints, adjustment of the French model of health policy. Observation of local policies in this field shows that dynamics of updating rather than reform of the patterns of engagement are at work. Actors take on their consistency through a kaleidoscopic process of endless adaptation: endless because without any situated end in time and space, but also because interventions do not contribute to the achievement of a purpose that is collectively formulated and recognized as the political legitimate reference for all types of engagement, and that constitutes a principle of governance in health.
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https://tel.archives-ouvertes.fr/tel-00441948
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Submitted on : Thursday, December 17, 2009 - 4:39:24 PM
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  • HAL Id : tel-00441948, version 1

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Lise Monneraud. L'agir sanitaire. Processus et formes d'expression à travers le cas aquitain. Histoire, Philosophie et Sociologie des sciences. Université Montesquieu - Bordeaux IV; Institut d'études politiques de Bordeaux, 2009. Français. ⟨tel-00441948⟩

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