Coordination et parcours

Health and Social Case Management for the Inclusion of People Living with a Schizophrenic Disorder: The PASSVers Experience

“…Reducing the gap between care, support, and integration into society has become a major public health challenge (Mintzberg, 2017). The coordination of actions and parties in the pathways of people in complex clinical and social situations appears necessary to ensure better coherence of health systems (Bloch & Hénaut, 2014). Faced with this challenge, the response of developed countries has been to set up recovery-oriented follow-up based on the principle of intensive case management (ICM).…”

The Patient as an Actor in His Care Pathway: Insights From the French Case

“…4 The evolution of the very concept of "pathway" over the last 10 years reflects this situation: the concept of a (coordinated) "care pathway," overseen by the primary care physician, has gradually been supplemented with the notions of "health pathway" and "life trajectory." 5 Yet even with this broader scope, the concept of pathway appears ambivalent. On the one hand, a pathway-based approach implies considering each person's situation as singular, due to the interactions between the illness and patients' personal characteristics (age, gender, resources, life trajectory, etc.).…”

“…The desire to rethink the patient’s role has gone hand in hand with growing awareness of the fact that the needs to take into account exceed the strictly curative management of the illness: they include other needs—prevention, therapeutic education, as well as social and medico-social needs—, stemming from the impact of the illness(es) and the associated dependence on the daily lives of patients. 4 The evolution of the very concept of “pathway” over the last 10 years reflects this situation: the concept of a (coordinated) “care pathway,” overseen by the primary care physician, has gradually been supplemented with the notions of “health pathway” and “life trajectory.” 5 …”

“…On the one hand, a pathway-based approach implies considering each person’s situation as singular, due to the interactions between the illness and patients’ personal characteristics (age, gender, resources, life trajectory, etc.). It also involves taking into account a patient’s subjective perception, their “lived experience” of their situation, 5 , 6 with a view to co-developing their pathway. On the other hand, the emphasis on organizing pathways better has led to the development of a protocolization of care, influenced by Evidence Based Medicine (EBM) approaches, following a standardization-of-care logic.…”

Portraits d'acteurs clés du système de santé pendant la Covid-19

“…L a multiplicité des acteurs du système de santé est au coeur des enjeux de coordination autour des parcours de soins et de santé (Bloch et Hénaut, 2014). Au niveau des établissements de santé, la question des rapports entre hospitalisations publique et privée s'apparente à une forme de coopétition (Grenier et Guitton-Philippe, 2011) oscillant entre complémentarité (Routelous, Vedel et Lapointe, 2011) et concurrence (Pascal et al, 2009).…”