Acquisition et circulation du savoir « profane » et médical pour la prise en charge des maladies chroniques, en France, à l'essor du numérique et de la « démocratie sanitaire »

Abstract : Within the framework of a "CIFRE convention, this work concerns the acquisition and the circulation of a " lay" and medical knowledge for the care of people who suffer from chronic diseases. Supervised by Dominique Desjeux, emeritus Professor, specialised in consumption and innovation, we have analyzed the diffusion process of three "innovations" of the French health system since the beginning of the 21th century: patients' associations, Therapeutic Education, and finally the ICT, and more exactly the serious games. Respectively social, symbolic and material, these three solutions have, for institutional issues, to decrease the costs of health care and management, by improving the "apprenticeship of life with disease" of patients, but also the professionnals trainning, initial as continuous. For each solution, in a qualitative, comprehensive and inductive approach, we wondered about the roughnesses which can slow down their "reception" by the final user, the patients or the doctors. With a rather original viewpoint, a "socio-anthropological" look at the heart of the branch of occidental industry, we finally reconstructed a part of the "action system" (Crozier, 1963) involved in the circulation of knowledges in health, from patients or medical way, in this transitory period of sanitary crisis and technological explosion.
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Caroline Simonpietri. Acquisition et circulation du savoir « profane » et médical pour la prise en charge des maladies chroniques, en France, à l'essor du numérique et de la « démocratie sanitaire ». Sociologie. Université Sorbonne Paris Cité, 2017. Français. ⟨NNT : 2017USPCB180⟩. ⟨tel-02185532⟩

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