Self-management education, éducation du patient et chronic disease management : uneréflexion sur les termes employésen Suisse. (French)

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    • Alternate Title:
      Self-management education, patient education and chronic disease management: a reflection on the terms used in Switzerland. (English)
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    • Abstract:
      Aiming at improving care continuity for non-communicable disease patients, the Swiss health care system increasingly encourages health care professionals to engage directly with chronic disease management organizations concerned with systematic self-management support. Rather than the concept 'self-management support', French-speaking Europe to date draws on the concept of patient education. As some scholars have questioned the compatibility of the notion Chronic disease management and patient education, this article aims at critically reflecting on this aspect with respect to French-speaking Switzerland and explores the concepts of patient education, selfmanagement support and chronic disease management. Initially, we note the potential for linguistic ambiguity regarding self-management support that in turn might induce a conceptual confusion in health care professionals. Nevertheless, we observe a shift from a treatment-centered support approach to a patient-centered one. Despite health professionals espoused preference for the latter, organizational, institutional and professional aspects can prevent its realization in practice. Thus, we conclude that "Patient education", "self-management support" and "chronic disease management" seem to be deemed compatible as long as they are patient-centered. Further studies need to identify and specify the professional skill set required by health care professionals as well as the institutional setting affording patient-centered self-management support. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Soucieux d'améliorer la continuité des prises en charge des personnes vivant avec une ou des maladie(s) chronique(s), le département de la santé publique helvétique souhaite inciter les professionnels à s'engager dans des organisations de type chronic disease management qui comprennent systématiquement des prestations de ⪡ selfmanagement support ⪢, notion peu utilisée en Europe francophone au profit de celle d'⪡ éducation du patient ⪢. Cet article vise à investiguer la compatibilité, remise en question par certains auteurs, des notions de ⪡ Disease management ⪢ avec celles d' ⪡ éducation du patient ⪢ et celles de ⪡ self-management support ⪢ en Suisse romande. Après avoir mis en évidence un certain nombre de divergences linguistiques, source potentielle de confusions au sein des équipes soignantes, nous relevons l'évolution paradigmatique d'un soutien centré sur le traitement vers un soutien centré sur la personne. Bien que la plupart des professionnels affirment leur préférence pour ce dernier, des résistances d'ordre organisationnelles, institutionnelles et professionnelles freinent cette évolution dans la pratique. Nous constatons endéfinitive que les notions d'⪡ éducation du patient ⪢, de ⪡ self-management support ⪢ et de ⪡ chronic disease management ⪢, sont réellement compatibles entre elles pour autant qu'elles soient centrées sur la personne. Des recherches complémentaires sont nécessaires pour identifier et spécifier les compétences et les organisations de soins favorables au développement d'un soutien au ⪡ self-management ⪢ centré sur la personne [ABSTRACT FROM AUTHOR]
    • Abstract:
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