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“Self-righteous abuse” or “How to disguise an umbrella factory as an ethics committee”

Par : Type de matériel : TexteTexteLangue : français Détails de publication : 2023. Sujet(s) : Ressources en ligne : Abrégé : The highly justified concern for “quality of care” and “good treatment” in hospitals and medico-social institutions is falling by the wayside since the HPST (hospital, patients, health, and territories) law (Sarkosi-Bachelot: 2009, which was further reinforced by the Hollande-Touraine GHT: 2016). This concern for care is lost under scores of time-consuming and guilt-inducing protocols and procedures, all of which eat up the time allotted to the caregiver-patient relationship and put a strain on care team dynamics (with personnel suspected of collusion to increase spending!) The ability to provide care to the other is flattened and crushed, under the aegis of a deleterious “bureaucracy,” which produces more suffering than it appeases and causes a massive disaffection for the professions of care, support, and social assistance. Paradoxically, the professionals are as badly treated (dispossession, suspicion, robotization) as the user-patients! This article focuses on the mechanisms and workings of a “mind-boggling machine” worthy of Alfred Jarry ( Ubu roi), which the author describes, using the totemic metaphor of “homo formaticus” created by Dr. Jacques Miermont in one of his works. A few local vignettes illustrate the suffering caused, under the pretext of reducing it.
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The highly justified concern for “quality of care” and “good treatment” in hospitals and medico-social institutions is falling by the wayside since the HPST (hospital, patients, health, and territories) law (Sarkosi-Bachelot: 2009, which was further reinforced by the Hollande-Touraine GHT: 2016). This concern for care is lost under scores of time-consuming and guilt-inducing protocols and procedures, all of which eat up the time allotted to the caregiver-patient relationship and put a strain on care team dynamics (with personnel suspected of collusion to increase spending!) The ability to provide care to the other is flattened and crushed, under the aegis of a deleterious “bureaucracy,” which produces more suffering than it appeases and causes a massive disaffection for the professions of care, support, and social assistance. Paradoxically, the professionals are as badly treated (dispossession, suspicion, robotization) as the user-patients! This article focuses on the mechanisms and workings of a “mind-boggling machine” worthy of Alfred Jarry ( Ubu roi), which the author describes, using the totemic metaphor of “homo formaticus” created by Dr. Jacques Miermont in one of his works. A few local vignettes illustrate the suffering caused, under the pretext of reducing it.

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