Penser la coordination de la prévention à l’échelle territoriale : une approche qualitative exploratoire (notice n° 1414858)
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fixed length control field | 04849cam a2200457 4500500 |
005 - DATE AND TIME OF LATEST TRANSACTION | |
control field | 20250821141917.0 |
041 ## - LANGUAGE CODE | |
Language code of text/sound track or separate title | fre |
042 ## - AUTHENTICATION CODE | |
Authentication code | dc |
100 10 - MAIN ENTRY--PERSONAL NAME | |
Personal name | Kerouedan, Astrid |
Relator term | author |
245 00 - TITLE STATEMENT | |
Title | Penser la coordination de la prévention à l’échelle territoriale : une approche qualitative exploratoire |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Date of publication, distribution, etc. | 2025.<br/> |
500 ## - GENERAL NOTE | |
General note | 2 |
520 ## - SUMMARY, ETC. | |
Summary, etc. | Introduction: In the context of the localization of health policies in France, prevention has historically been relegated to the background. The need to improve the coordination of preventive efforts at the regional level is frequently emphasized, particularly since the emergence of structures with prevention mandates, such as the Health Territorial and Professional Communities (HTPC). This study aims to describe and characterize the regional organization of prevention, and to discuss various models of cooperation proposed by actors in a pilot region. Method: The pilot area studied is that of the Sud Yvelines CPTS. A series of focus groups was conducted, involving professional, community, and institutional actors from the region. Participants were invited, in small groups, to design an “ideal” cooperation framework for implementing prevention initiatives, selecting and discussing the approaches they considered most appropriate. Results: The regional organization of prevention appears relatively complex, involving a wide range of actors and diverse relationships among them. The cooperation models proposed by professionals show significant heterogeneity. Health professionals tend to favor coordination through mutual adjustment, while community actors prefer more formalized coordination, such as direct supervision. Discussion: The regional coordination of prevention is part of a broader process of localizing public health. Primary care actors are now formally mandated to take part in the implementation of regional prevention efforts. |
520 ## - SUMMARY, ETC. | |
Summary, etc. | Introduction : Au sein du processus de territorialisation de la santé en France, la prévention a historiquement été reléguée au second plan. La nécessité d’œuvrer à une meilleure coordination territoriale de la prévention est souvent soulignée, en particulier depuis l’émergence de structures ayant des missions de prévention comme les communautés professionnelles territoriales de santé (CPTS). L’objectif de cette étude est de décrire et caractériser l’organisation territoriale de la prévention, puis de discuter différents modèles de coopération proposés par des acteurs d’un territoire pilote. Méthode : Le territoire pilote est celui de la CPTS Sud Yvelines. Une série de focus groups a été réalisée, impliquant acteurs professionnels, associatifs et institutionnels du territoire. Les participants étaient invités à élaborer, en sous-groupes, un dispositif de coopération « idéal » pour mener des actions de prévention, en choisissant et discutant les modalités qu’ils jugeaient les plus appropriées. Résultats : L’organisation territoriale de la prévention apparaît relativement complexe, avec une multiplicité d’acteurs et des relations variées entre eux. Les modèles de coopération proposés par les professionnels révèlent une grande hétérogénéité. Les professionnels de santé expriment une préférence pour une organisation sur un mode de coordination par ajustement mutuel tandis que les acteurs associatifs privilégient une coordination plus formalisée de type supervision directe. Conclusion : La coordination territoriale de la prévention s’inscrit dans une démarche plus large de territorialisation de la santé publique. Les acteurs des soins primaires trouvent aujourd’hui mandat pour participer à la mise en œuvre de la prévention territoriale. |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | coordination |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | méthode qualitative |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | organisation. |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | prévention |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | systèmes de santé |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | territoire |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | . |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | coordination |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | health system |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | organization |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | prevention |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | qualitative method |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | territory |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Diallo, Dieinaba |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Medougou, Rayniéne Liinsy |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Martinez, Jessica |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Cottin, Marin |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Miserey, Gilles |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Diallo-Keita, Fatoumata |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Carré-Crétois, Sophie |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Miliani, Katiuska |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Josseran, Loïc |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Delarocque-Astagneau, Elisabeth |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Gautier, Sylvain |
Relator term | author |
786 0# - DATA SOURCE ENTRY | |
Note | Santé Publique | 37 | HS1 | 2025-08-14 | p. 25-36 | 0995-3914 |
856 41 - ELECTRONIC LOCATION AND ACCESS | |
Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-sante-publique-2025-HS1-page-25?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sante-publique-2025-HS1-page-25?lang=fr&redirect-ssocas=7080</a> |
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