Rendering explicit key functions of public health interventions could constitute a useful step to their evaluation and transfer. It enables the formulation of hypotheses regarding the potentially standardizable elements of interventions, and elements that can be modified while maintaining the integrity of the intervention.
Résumé La politique nutritionnelle en France, fait du corps actif, un nouvel enjeu de santé publique. L’étude montre, à partir de l’analyse des rapports de santé publique entre 1994 et 2002, que la lutte contre l’obésité inverse les symboliques du risque. L’inactivité physique est une conduite plus dangereuse que la pratique sportive ! L’éducation nutritionnelle accompagne cette inversion par une morale de l’effort et de la responsabilité individuelle. L’analyse de la campagne nationale « mangez-bougez » montre que le « gouvernement des corps » forme à l’autocontrôle en articulant une sociologie des goûts alimentaires à une psychologie de l’engagement physique. Il reproduit les formes classiques de la domination tout en valorisant un accès équitable à la santé par un «style de vie actif ».
The INTERMEDE Project brought together a number of research teams to study the interaction between a patient and their general practitioner, and how this can produce social inequalities in health. The ultimate objective of the project was to formalize a core of common findings by integrating qualitative and quantitative results. The methodology chosen for the integration was inspired by the Delphi participatory method. It involves several rounds of questions and feedback in writing between all members of project teams, in order to compare contradictory opinions and identify key concepts arising from the project. This interdisciplinary research has provided a more nuanced understanding of the mechanisms underlying physician–patient interaction by revealing the convergences of the various disciplinary approaches.
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