, Le patient a-t' il véritablement le choix d'utiliser ou de refuser d'utiliser une technologie ? Il s'avère difficile de parler de choix technologique si l'on considère qu'en son absence, le patient ne pourrait vivre. Ainsi, le vécu du patient semble dépendre de son positionnement face à la technologie. Les patients rapportent que les décisions médicales sont généralement prises par les médecins et adoptent de ce fait une attitude passive face à « ces choix

. Chewning, Le patient s'astreint aux prescriptions du médecin. Il est ainsi instrumentalisé et subit passivement l'examen technologique. Appliquées sur, ou dans, le corps du patient, les technologies sont généralement entièrement contrôlées et manutentionnées par les soignants ou les techniciens. D'autres technologies, en revanche, sont utilisées directement par le patient pour dépister ou surveiller sa santé ou sa maladie, à distance de l'hôpital ou du médecin, en usage unique ou répétée, lui permettant ainsi une autonomie relative. Quoi qu'il en soit, que le patient soit astreint à la technologie ou qu'il soit acteur de son utilisation, il en est bien souvent dépendant pour faire face à ses problèmes de santé. S'il possède toujours le choix d'accepter ou de refuser, dans la pratique, il n'en est rien. La technologie médicale s'impose généralement au patient, la refuser revient à refuser de se soigner, Ce positionnement est d'autant plus visible que la maladie présente une gravité manifeste. Parfois, il peut exister plusieurs solutions thérapeutiques que le médecin va soumettre au patient. Ce dernier peut alors intervenir, plus ou moins, dans le choix qui lui parait le mieux adapté compte tenu des informations prodiguées par le médecin, 2004.

F. De-ce, de les comprendre et d'adopter, si besoin, un comportement de santé face à ces résultats, tels qu'adapter seul sa posologie ou encore prévenir le médecin d'un problème. Cette dynamique diffère donc fondamentalement du positionnement passif où le patient applique sans réfléchir, les recommandations du professionnel de santé. Ainsi, en début de traitement, le patient est demandeur d'un accompagnement médical étayant (e.g., consultations médicales régulières, accompagnement à l'aide de technologies utilisées par les soignants, il lui devient possible de lire les résultats issus de la technologie, 2011.

, S'il subsiste un écart entre les attentes du médecin et celles du patient, des sentiments de méfiance et une attitude d'opposition à ses prescriptions risquent de se faire jour chez les patients

, dès lors qu'ils n'obtiennent pas ce qu'ils veulent, changent de médecin (nomadisme médical) ou refusent de continuer le suivi. Si un médecin conteste une IRM pour une douleur à l'orteil, il sera facile d'aller en voir un autre qui acceptera. La confiance perçue par le patient vis-à-vis du médecin qui le soigne est en cela une dimension, Certains vont jusqu'à percevoir le rapport au médecin comme un lien de consommation où

, En effet, notre seconde étude a mis en évidence que les patients éprouvant un faible niveau de confiance envers le médecin étaient plus réceptifs à l'utilisation d'une technologie d'auto-surveillance plutôt qu'à une technologie encadrée par prise de sang

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