Les pratiques citoyennes et la démocratisation de l’action publique en santé de proximité

Abstract

Citizens play an increasingly important role in the provision of local health services in Western welfare states. Citizen practices have become essential complements to health actions, particularly in vulnerable neighborhoods of large cities where practices carried out by citizens have experienced significant influence, particularly since the Covid-19 pandemic. Based on a cross-reading of some of our research in Quebec and Brazil, this article proposes to empirically examine how citizen practices, the practices of local stakeholders and their arrangements can be vectors of transformation by acting on social inequalities. Today more than ever, citizen practices in local health, like the people who implement them, are precarious and little recognized. In short, these experiences invite us to question more about citizen practices as a work activity, that is to say, to be interested in their conditions of emergence, their deployments, the dynamics that occur there and their potential for transforming established inequalities.

Keywords

• work
• democratization
• public action
• plural knowledge
• citizen practice
• local health