| Le partenariat de soin avec le patient : analyses |  |
5 | 2e semestre 2022
Ce numéro s’ouvre sur la perception de professionnels de santé de l’approche du partenariat, des savoirs expérientiels des patients et d’un chemin des possibles ou des freins à ce dernier. Il se poursuit avec une contribution de Laurence Beer, pédopsychiatre, qui propose un éclairage sur le processus de recherche qui l’a mené à étudier la professionnalisation des patients partenaires. Il se conclut par un retour d’expérience d’un patient partenaire qui a été médiateur de santé pair. Dans une posture de praticien chercheur à postériori, Sébastien Rubinstein éclaire l’approche psychoéducative mobilisée dans le courant du rétablissement proposé à travers la médiation de santé pair en France.
1. Comment la réflexivité des malades est-elle envisagée par les professionnels de santé dans le cadre de l'accompagnement médical ?
The interactions between sick people and health professionals, taking place within the framework of medical support, constituts a challenge for the health system. Indeed, more and more patient-centered approaches to care (cooperation, co-decision, coconstruction of the therapeutic project) are being promoted with the aim of offering greater autonomy to the latter. These new forms of cooperation in health are based, among other things, on the reflexive capacities shown by sick people. This investigation seeks to understand how health professionals consider the reflexivity of patients. The survey questionnaire used allowed the collection of data from 197 health professionals in the territories of Niamey (n=124) and Lille (n=73). Descriptive statistical analyses and Principal Component Analysis (PCA) were applied. The results showed two categories of approaches to care and representations of the reflexivity of patients made by health professionals. This is the paternalistic approach which is less interested in the reflexivity of patients and consists of unilateral and collegial modalities (characteristic of health professionals in Niamey) and the cooperative approach which is more interested in reflexivity patients and composed of bilateral and partnership modalities (characteristic of health professionals in Lille). This research has made it possible to characterize the representations that health professionals have of the reflexivity of patients. Although quite mixed, these […]
2. Patient partenaire et transfert dans le soin
Carrier of a chronic disease and child psychiatrist, I get to know the movement of patient partners by seeking to testify to this double look at the heart of the system and care institutions. Starting from the initial desire to work on the caregiving potential of transfer in care relationships including body care, I worked on a master's thesis entitled "professionalization of partner patients". To do this after reading autobiographies of patients as preparatory work I met ten subjects who socialized their experiential knowledge of living with a chronic disease In their evolution towards professionalization, in addition to the experience of life with the disease, formation has an essential place for each subject encountered, as a possibility of meeting and taking a step back necessary for the installation of a reflection. At the institutional and administrative level, breaches are opening up in care structures, still marginally, or as an original experience. This in certain specialties, or as part of the practice and education of doctors and patients. The highlight of the partner patient's work is the symbolic posture he proposes to the patient, which the latter seizes or not. The transferential question arises in the relationship between patient and patient partner. It remains posed in the sick doctor relationship.
3. Médiateur de Santé/Pair et psychoéducation en santé mentale : une rencontre sous les auspices de l'innovation dans le soin
This article deals with the psycho-educational approach mobilised in the programme initiated by the World Health Organisation (WHO) through the action carried out by the Collaborating Centre for Mental Health Europe with the Health Mediator/Air Mediator programme (MSP). The analysis is carried out by the author, who has been a Health/Pair Mediator since the beginning of this programme, based on his experience in this type of position. An approach deployed with patients and families. A form of partnership in mental health developed in France for more than a decade.