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Santé communautaire: une analyse comparative des domaines du VIH/sida et des maladies cardio-vasculaires en Suisse

Applicant Hausser Dominique
Number 61384
Funding scheme Project funding (special)
Research institution Laboratoire d'intermodalité des transports et de planification EPFL-ENAC-INTER-LITEP
Institution of higher education EPF Lausanne - EPFL
Main discipline Infectious Diseases
Start/End 01.01.2000 - 31.01.2002
Approved amount 92'850.00
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Keywords (8)

ACTION COMMUNAUTAIRE, VIH; SIDA, MALADIES CARDIO-; VASCULAIRES, PRÉVENTION; POLITIQUE DE LA SANTÉ; COMPARAISON ENTRE VILLES; WELFARE PLURALISM; COMMUNAUTARISME; COMMUNITY CARE

Lay Summary (English)

Lead
Lay summary
Objectives: By an empirical analysis and a theoretical conceptualisation, this research tries to explore the role of community action in health policies. The goal is to define the potential of new action lines in health policy established in the field of HIV/aids and their transferability to other stakes, like cardiovascular disease.DescriptionStrategies of action in the field of HIV/aids have innovated the way to solve a health problem. A strong community orientation has been adopted in Switzerland that has its effects in prevention, treatments, but also in the political process that started to integrate actors out of the civil society in the development of organisational responses. This new subject matter has been discussed as "proposal for a new public health policy". We follow this track by analysing - on different regional territories - the advantages of community action in the field of HIV/aids, its weaknesses, and finally the challenges it is confronted with in the current times of revalorisation of traditional medical interventions in treatment (e.g. multitherapies). The potential of the community action, as observed in the field of HIV/aids is confronted to the strategy/ies that have been developed in domains of "traditionally" medical action, as for example cardiovascular disease, in which prevention of risk is still essentially individually treated. This domain is used as a measure of the innovative character of HIV/aids regulation as well as indicator for alternative regulation.MethodsWe proceed by comparative analysis between domains and local territories. The comparative analysis will allow to outline orientations of the current reform in public health. The innovating local experiences in Switzerland will be analysed in order to determine if an organisational learning process has started. The content of the theoretical part is supposed to contribute to the debate on community action as it is developed in the context of political philosophy as well as on welfare pluralism. Research questions? What are the models of community action? What is the impact of these models on the population in general and on user of health services in particular? Community action has made its entrance to the public services and hospitals and the pioneering organisations seem to be in an orientation crisis. What is the evolution? To what extent the integration of public and private actors (having a lucrative goal or not) in the organisation of care reflects the necessity to make less technocratic health policies?
Direct link to Lay Summary Last update: 21.02.2013

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