Sociologies (Jun 2014)
Variations de la « démocratie sanitaire » et politique publique de santé mentale en France
Abstract
The paper is an overview of the characters that shape the variation of health policies and practices into a panorama of « health democracy ». It is grounded on empirical investigations results ant theoretical developments undertaken since 2004. It shows that the expression witch appears in French political domain in the first years of 21st century is polysemous: change of « governance » towards relocation of empowerment nearest of population needs, civil rights of users, reshaping of patient/practitioner relation, reduce of health inequalities, destigmatization of some pathologies. The papers shows the emergence of new stages where innovative forms of local democracy, and production, share and strengthening of local and lay knowledge. But law modifications end globally in increase of control regulation, enhanced by new management software. The ambition of « health democracy » results in a splitting in the frame of actors’ confrontation. Some users are employed on arenas that remain safe from inquiry of health inequalities, pharmaceutical industrial power and classification of pathologies.
