Psychologie de la santé et éducation thérapeutique : état des lieux et perspectives

The aim of Patient Education (PE) is to make patients with chronic diseases more autonomous by facilitating their adherence to treatments and improving their quality of life. It is a multidisciplinary and expanding device. This article's aim is to propose a state of play of PE and its perspective in relation to psychology, especially health psychology, as a discipline and a practice. First, the development of PE in its historical context is presented as well as its definition. Then, the place and contribution of health psychology and psychologists in PE is presented. The following points deal with the contributions of research to understand the efficacy of PE, the difficulties that the different professionals face and the place of relatives. Finally, a reflexion about the links between the training of psychologists and the training for PE is proposed.     

Inhomogénéité des évaluations de durée d’incapacité totale de travail. Comparaison d’évaluations des durées d’incapacité totale de travail entre les médecins légistes,les médecins généralistes et les urgentistes

Setting a total length for time off work is a forensic act that all physicians must be able to perform. Given the importance of the legal consequences of this evaluation, it seems desirable that this practice is mastered by all practitioners. However, in practice there is often a disparity between forensic assessments and evaluations provided by other practitioners. To assess this difference in evaluation, we conducted a retrospective study, looking at 4 years of archives, of victims of Marseille's forensic service (CHU Timone), and highlighted a disparity between medical examiners, GPs and emergency physician's assessments. In both comparisons between medical examiners versus GPs (n = 367) or medical examiners versus emergency physicians (n = 511), were found in one third of cases of forensic requalification. The majority of checks on where GP's (80%) determined on over 8 days leave were reassessed under this limit by a medical examiner. This trend is reversed for the majority of (61%) requalification cases of emergency assessments (assessment over eight days by medical examiners. This study, proving a fact long suspected, raises many questions about these disparities evaluation we have discussed.     

Sécurité des patients et développement des recherches : de la loi Bertrand à la loi Jardé

The legislator has successively adopted two laws amending deeply the legal framework of research. The first one is the law “Bertrand” no. 2011-2012 of 29 December 2011 on strengthening the safety of the drug and health products, which emphasizes the need for transparency of links of interest and opens wider opportunities for using post-marketing authorization trials. The second one is the law “Jardé” no. 2012-300 of March 5, 2012 on researches involving the human person, reforming all the rules governing researches and which establishes a national commission of researches involving the human person. If the first one is a clear move towards strengthening the protection of patients in research, it is possible to be more reserved about the effects of the latter, which seems more oriented towards an easing of constraints on researchers.