PublicationPractices of cooperation in healthcare: Sociological perspectives

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The result of a workshop held on March 28 and 29, 2019, in Paris as part of a series of meetings organized by the French Sociological Association (AFS) for researchers from the thematic networks RT1 "Knowledge, Work, and Professions" and RT19 "Health, Medicine, Illness, and Disability," this edited volume aims to examine, through close observation of real-world situations, what is at stake behind the calls for cooperation in healthcare, while also considering their effects. For example, it examines the impact of cooperation on professional boundaries, the autonomy of the participants, and the legitimization or invalidation of both professional and lay knowledge. The 32 contributions in this volume offer an opportunity to re-examine the notion of "cooperation" by drawing on a range of theoretical and methodological approaches. Even when focused on healthcare practices, this concept encompasses a wide range of meanings and social uses, both for sociologists and those being studied. Embedded in power dynamics, cooperation requires regulatory mechanisms to endure. Therefore, examining the underlying logic of these mechanisms is particularly stimulating in terms of reflecting on practices and their potential evolution. How and by whom are the modalities of cooperation, and consequently work activity, constructed? Who attempts or is compelled to cooperate, who complies and who does not, and with what motivations? How are cooperative practices mobilized, instrumentalized, displayed, or suppressed in the struggles for control of knowledge and the division of labor in healthcare? This book addresses these questions, targeting students and researchers as well as professionals and users of the healthcare system, and inaugurating, with this first volume, the new collection from Irdes publishing: "Sociology". SUMMARY — Acknowledgments — Preliminary remarks: The sociological construction of the object of «cooperation» in light of practices Thomas Denise, Sophie Divay, Marie Dos Santos, Cécile Fournier, Lucile Girard, Aymeric Luneau Chapter 1: Negotiations regarding the division of labor among stakeholders — The multiple effects of integrating Information and Communication Technologies (ICTs) on cooperative practices in healthcare. The case of telemedicine. Alexandre Mathieu-Fritz — Cooperative practices of hospital healthcare professionals during the transition from pediatrics to adult medicine in the case of type 1 diabetes. Sonia Christophe — Occupational physicians essential to the division of labor in prevention. Gabrielle Lecomte-Ménahès — A step backward from dirty work? The Controversial Delegation of Forensic Expertise to Nurses in the Care of Victims of Sexual Assault (Romain Juston Morival) — Cooperating to Resist Deprofessionalization: The Work of Midwives in Private Maternity Wards (Carine Vassy) — Independent Midwives and Midwives from Maternal and Child Health Services (PMI): Contrasting Collaborative Practices (Florence Douguet, Alain Vilbrod) — Managing Waiting Times in Emergency Departments: Necessary Cooperation (Deborah Ridel) — The Negotiated Order of Coordination Work in Multidisciplinary Health Centers (Cécile Fournier) — Patient Relations in Multidisciplinary Health Centers: Reconfigurations Between Empowerment, Coordination, and Framing (Guillaume Fernandez, Françoise Le Borgne-Uguen, Florian Pedrot) — Patient-Intervener in Therapeutic Education Between Character Development and Improvisation: Aurélien Troisoeufs — Building a Patient Education Program with Users: From Structured Autonomy to the Regulation of Medical Power (Charlotte Bruneau, Philippe Terral, Jean-Paul Genolini, Émilie Gaborit) Chapter 2: Professional territories subject to struggles. Fighting to "make one's place" in an already occupied territory. — Establishing a participatory approach in public health. A survey of coordinators at the City Health Workshop in Île-de-France. Myriam Ahnich, Mauricio Aranda, Juliette Froger-Lefebvre — The professionalization of community health center coordinators. The uncertain emergence of a profession. François-Xavier Schweyer — Health pathway coordinator at the French Muscular Dystrophy Association (AFM)-Téléthon. An emerging professional group facing the challenges of cooperative healthcare practices? Catherine Le Galès, Lynda Lotte Hoareau, Pascal Martin, Sophia Rosman — Advanced practice nurse: a path from auxiliary to cooperative? Sophie Divay, Ljiljana Jovic — A professional group undermined by a neo-managerial tool? The case of coordinating physicians in nursing homes for dependent elderly people (EHPAD). Jingyue Xing-Bongioanni Defensive or offensive strategies at the heart of professional turf wars — When the pharmacist takes an interest in clinical practice: knowledge, coordination, and responsibility in prescribing activities. Camille Lancelevée, Delphine Moreau, Étienne Nouguez, Tonya Tartour — Impact of medical abortion on the family planning services market: strengthening cooperative practices or delegating the dirty work to midwives? Myriam Borel — Expanding the skills of midwives and reconfiguring professional boundaries in the field of screening. Béatrice Jacques — Becoming an educator, remaining a caregiver? Continuities and reconfigurations of professional boundaries within therapeutic education programs and beyond. Vincent Schlegel — Working together to provide care. Social workers and (para)medical professionals: what forms of cooperation and what power dynamics surround care? Chloé Bussi — The uses of confidentiality in the care of homeless people: professional communities and the maintenance of statutory distinctions. Vianney Schlegel — Deserving or undeserving? Patient selection in psychiatric emergency services Ivan Garrec — Coordination policies: organizational and professional challenges Patrick Castel Chapter 3: At the intersection of professional, expert, and lay knowledge — Cooperation and competition in the era of closer ties between nursing education and universities: what strategies for trainers? Lucile Girard — Facilitators-researchers of the Capdroits approach: from a citizen research approach focusing on the exercise of rights as an instituting sociotherapy? Facilitators-researchers of the Capdroits approach [authors] — Participatory practices in working-class neighborhoods: what resistances to the renewal of relationships between general practitioners and their patients in the construction and mobilization of knowledge about health? Julie Cachard — Between cooperation and conflict: the sharing of knowledge between families, relatives and caregivers at the heart of the care of patients in a chronic vegetative/minimally conscious state (CVS/MCS) Léa Castanon — The participation of parents' associations in the fight against pediatric cancers Sylvain Besle, Solenne Carof, Céline Gabarro, Émilien Schultz — Participation in the treatment of chronic disease: what place for children with type 1 diabetes? Lydie Bichet — Cooperative practices and the production of shared knowledge between mutualist physicians in Bouches-du-Rhône health centers and their "raw expert" patients; Benoît Carini-Belloni — A conference on "complementary therapies" as a revealer of new configurations for negotiating the boundaries of care in France; Frédérique Dambre, Patrice Cohen Postscript Patrice Pinell