L’âge et la fragilité dans l’accès aux soins : oncogériatrie et Covid-19 (notice n° 652963)
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fixed length control field | 02848cam a2200289 4500500 |
005 - DATE AND TIME OF LATEST TRANSACTION | |
control field | 20250121185731.0 |
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 | Desbruyères, Clément |
Relator term | author |
245 00 - TITLE STATEMENT | |
Title | L’âge et la fragilité dans l’accès aux soins : oncogériatrie et Covid-19 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Date of publication, distribution, etc. | 2022.<br/> |
500 ## - GENERAL NOTE | |
General note | 44 |
520 ## - SUMMARY, ETC. | |
Summary, etc. | S’appuyant sur une démarche inductive et une méthodologie qualitative, cet article vise à questionner le poids du critère d’âge dans les décisions de soins lors de l’épidémie de Covid-19 en France. Pour cela, nous nous saisissons des pratiques « ordinaires » de tri des malades dans le champ de l’oncogériatrie pour éclairer celles observées et débattues durant la crise sanitaire. Au cœur des orientations politiques en santé et des pratiques de soin, le critère d’âge chronologique, jugé trop discriminant et peu pertinent pour aiguiller les décisions thérapeutiques, fait l’objet d’une relative mise à distance. Il reste toutefois intégré au processus de catégorisation des individus malades via l’évaluation de leur « fragilité », processus censé guider les médecins vers des décisions plus « justes ». Cette catégorisation des malades selon leur fragilité confère alors au critère d’âge un statut complexe et ambigu, imprégnant plus ou moins directement la priorisation des soins. |
520 ## - SUMMARY, ETC. | |
Summary, etc. | Based on an inductive approach and a qualitative methodology, this article aims to question the importance of the age criterion in care decisions during the COVID-19 pandemic in France. We refer to common practices for sorting medical patients in the field of geriatric oncology in order to shed light on those specifically observed and debated during the health crisis. In health policy orientations and care practices, the chronological age criterion is generally considered too discriminating and largely irrelevant for guiding treatment decisions, and it therefore tends to be minimized. However, it remains inherent to the process of categorizing sick individuals via the assessment of their “frailty,” a process supposed to guide doctors toward “fairer” decisions. This categorization of patients according to their frailty gives the age criterion a complex and ambiguous role, with both direct and indirect impacts on the prioritization of care. |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | oncogériatrie |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | Covid-19 |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | décisions de soin |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | âge |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | fragilité |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | health decisions |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | COVID-19 |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | geriatric oncology |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | frailty |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | age |
786 0# - DATA SOURCE ENTRY | |
Note | Gérontologie et société | 44 / 168 | 2 | 2022-10-03 | p. 183-197 | 0151-0193 |
856 41 - ELECTRONIC LOCATION AND ACCESS | |
Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-gerontologie-et-societe-2022-2-page-183?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-gerontologie-et-societe-2022-2-page-183?lang=fr&redirect-ssocas=7080</a> |
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