How is the reflexivity of patients considered by health professionals in the context of medical support? ; Comment la réflexivité des malades est-elle envisagée par les professionnels de santé dans le cadre de l'accompagnement médical ?

International audience ; The interactions between sick people and health professionals, taking place within the framework of medical support, constituts a challenge for the health system. Indeed, more and more patient-centered approaches to care (cooperation, co-decision, coconstruction of the therapeutic project) are being promoted with the aim of offering greater autonomy to the latter. These new forms of cooperation in health are based, among other things, on the reflexive capacities shown by sick people. This investigation seeks to understand how health professionals consider the reflexivity of patients. The survey questionnaire used allowed the collection of data from 197 health professionals in the territories of Niamey (n=124) and Lille (n=73). Descriptive statistical analyses and Principal Component Analysis (PCA) were applied. The results showed two categories of approaches to care and representations of the reflexivity of patients made by health professionals. This is the paternalistic approach which is less interested in the reflexivity of patients and consists of unilateral and collegial modalities (characteristic of health professionals in Niamey) and the cooperative approach which is more interested in reflexivity patients and composed of bilateral and partnership modalities (characteristic of health professionals in Lille). This research has made it possible to characterize the representations that health professionals have of the reflexivity of patients. Although quite mixed, these representations can be improved in order to better take into account the reflexivity of patients. ; Les interactions entre les personnes malades et les professionnels de santé, s’effectuant dans le cadre de l’accompagnement médical, représentent un enjeu pour le système de santé. En effet, de plus en plus d’approches des soins centrées sur le patient (coopération, codécision, co-construction de projet thérapeutique) sont promues dans le but d’offrir une plus grande autonomie à ces derniers. Ces nouvelles coopérations ...