Réseaux de soins, réseaux de santé
Culture prométhéenne ou liberté de l'impuissance
Economic globalisation and the technological revolution induce, in Western countries, important reforms of health systems and call into being new models of health management. Increasingly, the convergence of medical, economic and technical rationalities results in the evaluation of health care in terms only of efficiency. The concern for therapeutic effectiveness becomes inseparable from the question of financial cost. In the face of broad changes in the epidemiological panorama, health care providers worldwide question their traditional roles and interrogate the growing gap between research and practice. In this context, public health organizations in Switzerland rework their relations to care management contractual partners. They react to changes toward rationalization and reorganization in their work by forming networks. Caught between constraint and innovation, these networks work ambivalently to modify knowledge and practice. While associating themselves with no tions of technological progress, they also call for an examination of the political goals, ethical issues and cultural values at the heart of the systems they work within.
Ilario Rossi, anthropologue (PhD), est chef de projet au Département universitaire de médecine et santé communautaire et professeur extraordinaire à la Faculté des sciences sociales et politiques de l'Université de Lausanne.