How can we envision a more collaborative and participatory approach to healthcare? This seminar provides a platform for patients, healthcare professionals, and researchers to share their experiences and insights.
This study day will focus on these community health centers and clinics while also broadening the scope to include other care settings based on collective practices, with the aim of fostering a cross-disciplinary and reflective dialogue. The discussion will be guided by contributions from service users, professionals, and researchers working on these issues.
In recent years, the topic of participation has increasingly become a focus in both the fields of research and health. Participatory research and participatory health are at the forefront of the objectives and strategies of universities, public research institutes, agencies, and ministries.
However, the recent controversy sparked by the Ministry of Health’s announcement that it would end the pilot program for funding participatory coordinated care models (SECPa) raises questions about the true political will to support such a participatory initiative, particularly when it originates from the practitioners on the ground themselves. What exactly are we talking about in this specific case?
So-called “participatory coordinated care” structures are primarily community health centers and clinics that promote collective health practices, practices that seek to move beyond a purely medical approach to care and toward a so-called “community-based” approach, involving the coordinated participation of various professionals and the users themselves.
What do these collective practices consist of? What are the conditions for their sustainability? What social changes are these experiences likely to bring about?
Partnership
LPED (IRD-AMU), Fondation de France, the garden
Schedule for the Day
9:00–9:45 a.m.: Welcome
9:00 a.m. – Welcome reception and coffee
9:30 a.m. – Opening remarks by Michèle Rubirolà, First Deputy Mayor of Marseille, in charge of municipal projects and quality of life in the city.
9:45 a.m. – Overview of the day’s program by Aude Fanlo, Anne Faure, Gwenaëlle Ferré, and Fabienne Orsi
10 a.m.–12 p.m.: Why work in a care team, why commit to it, and what are the goals?
Moderator: Laure Pitti, sociologist, Sorbonne Paris Nord University
Speakers:
- Santé commune, community health center, Vaulx-en-Velin; and Le Jardin, community and global health center, Bron.
- The Paris-Marseille Bus (a merger of Bus 31/32 and PROSES), by Nicolas Bonnet, Maela Le Brun Gadelius (subject to change), and members of the team.
- The Peyssonnel Health Center, Marseille, by Jérémy Khouani and a patient
- *La Maison de Gardanne*, by Jean-Marc La Piana and members of the team.
The goal will be to spark a discussion based on presentations by individuals who work or receive care in various settings. They will describe their motivations for getting involved, how they work as part of a care team, what their experience is like, and the effects on their work and on the care they provide.
The discussion will also focus on the conditions for collective practice in healthcare, drawing on real-life experiences, and the reasons why such collective work is either possible or, conversely, hindered. The role of patients and service users, as well as their perspectives on how collaborative work affects them, will also be discussed. This issue will be addressed in terms of practical organization, work hours, changes in approach, and so on.
1:30 p.m.–3:30 p.m.: What Governance Models Are Best for Collective Health Practices?
Moderator : Fabienne Orsi, economist and researcher at LPED
Speakers:
- The Antonin Artaud Day Center (CMP and CATTP), Reims, by the Artaud Collective
- *Le château en santé* by Carole Coquantif and Bénédicte Gaudillière, and *MaRePoSa* by Yann Magot, Marseille.
- APHM Health Centers (to be confirmed)
- The Pyrénées Health Center, Belleville, Paris, by Dora Levy
Governance refers to the various ways in which rights and powers (such as ownership, management, decision-making, access, etc.) are distributed and organized among the different actors who participate in the collective or contribute to its conditions of existence, ranging from vertical, hierarchical models to horizontal ones.
What are the governance models of these different healthcare settings? What are the various rights and powers that define them? How and by whom are they distributed and shared? How does this influence collective healthcare practices? What is the role of patients depending on whether the healthcare facility is public, run by a nonprofit organization, a cooperative, or a private practice? The discussion will be based on the experiences shared by the panelists.
4:00–5:30 p.m.: What funding models are available for community health centers and clinics, as well as for healthcare collectives?
Debate Moderator : Gwenaëlle Ferré, coordinator of the Jardin
Panelists: Didier Ménard, founder of La Place Santé, Saint Denis; Élisa Francfort representing the Collective of Participatory Coordinated Care Organizations; François Crémieux, Executive Director of the APHM; Antony Gonçalves, Deputy Mayor of Marseille, in charge of health.
How can we envision a more collaborative and participatory approach to healthcare? This seminar provides a platform for patients, healthcare professionals, and researchers to share their experiences and insights.
This study day will focus on these community health centers and clinics while also broadening the scope to include other care settings based on collective practices, with the aim of fostering a cross-disciplinary and reflective dialogue. The discussion will be guided by contributions from service users, professionals, and researchers working on these issues.
In recent years, the topic of participation has increasingly become a focus in both the fields of research and health. Participatory research and participatory health are at the forefront of the objectives and strategies of universities, public research institutes, agencies, and ministries.
However, the recent controversy sparked by the Ministry of Health’s announcement that it would end the pilot program for funding participatory coordinated care models (SECPa) raises questions about the true political will to support such a participatory initiative, particularly when it originates from the practitioners on the ground themselves. What exactly are we talking about in this specific case?
So-called “participatory coordinated care” structures are primarily community health centers and clinics that promote collective health practices, practices that seek to move beyond a purely medical approach to care and toward a so-called “community-based” approach, involving the coordinated participation of various professionals and the users themselves.
What do these collective practices consist of? What are the conditions for their sustainability? What social changes are these experiences likely to bring about?
Partnership
LPED (IRD-AMU), Fondation de France, the garden
Schedule for the Day
9:00–9:45 a.m.: Welcome
9:00 a.m. – Welcome reception and coffee
9:30 a.m. – Opening remarks by Michèle Rubirolà, First Deputy Mayor of Marseille, in charge of municipal projects and quality of life in the city.
9:45 a.m. – Overview of the day’s program by Aude Fanlo, Anne Faure, Gwenaëlle Ferré, and Fabienne Orsi
10 a.m.–12 p.m.: Why work in a care team, why commit to it, and what are the goals?
Moderator: Laure Pitti, sociologist, Sorbonne Paris Nord University
Speakers:
- Santé commune, community health center, Vaulx-en-Velin; and Le Jardin, community and global health center, Bron.
- The Paris-Marseille Bus (a merger of Bus 31/32 and PROSES), by Nicolas Bonnet, Maela Le Brun Gadelius (subject to change), and members of the team.
- The Peyssonnel Health Center, Marseille, by Jérémy Khouani and a patient
- *La Maison de Gardanne*, by Jean-Marc La Piana and members of the team.
The goal will be to spark a discussion based on presentations by individuals who work or receive care in various settings. They will describe their motivations for getting involved, how they work as part of a care team, what their experience is like, and the effects on their work and on the care they provide.
The discussion will also focus on the conditions for collective practice in healthcare, drawing on real-life experiences, and the reasons why such collective work is either possible or, conversely, hindered. The role of patients and service users, as well as their perspectives on how collaborative work affects them, will also be discussed. This issue will be addressed in terms of practical organization, work hours, changes in approach, and so on.
1:30 p.m.–3:30 p.m.: What Governance Models Are Best for Collective Health Practices?
Moderator : Fabienne Orsi, economist and researcher at LPED
Speakers:
- The Antonin Artaud Day Center (CMP and CATTP), Reims, by the Artaud Collective
- *Le château en santé* by Carole Coquantif and Bénédicte Gaudillière, and *MaRePoSa* by Yann Magot, Marseille.
- APHM Health Centers (to be confirmed)
- The Pyrénées Health Center, Belleville, Paris, by Dora Levy
Governance refers to the various ways in which rights and powers (such as ownership, management, decision-making, access, etc.) are distributed and organized among the different actors who participate in the collective or contribute to its conditions of existence, ranging from vertical, hierarchical models to horizontal ones.
What are the governance models of these different healthcare settings? What are the various rights and powers that define them? How and by whom are they distributed and shared? How does this influence collective healthcare practices? What is the role of patients depending on whether the healthcare facility is public, run by a nonprofit organization, a cooperative, or a private practice? The discussion will be based on the experiences shared by the panelists.
4:00–5:30 p.m.: What funding models are available for community health centers and clinics, as well as for healthcare collectives?
Debate Moderator : Gwenaëlle Ferré, coordinator of the Jardin
Panelists: Didier Ménard, founder of La Place Santé, Saint Denis; Élisa Francfort representing the Collective of Participatory Coordinated Care Organizations; François Crémieux, Executive Director of the APHM; Antony Gonçalves, Deputy Mayor of Marseille, in charge of health.