Uniquement les thèses soutenues
Uniquement les thèses soutenues accessibles en ligne
Thèse de doctorat en Sciences de l'éducation
Sous la direction de Jacques Wittwer.
Soutenue en 1991
à Bordeaux 2 .
mots clésLes facultes du domaine de la sante des universites bresiliennes develpppent dans les annees 70 des actions de soins de sante primaires. Elles s'impliquent, ce faisant, dans le systeme de sante, et ont pour objectif de contribuer a la prestation de services a la population en meme temps que de rendre pertinence la formation des personnels medicaux et paramedicaux. Cette collaboration evolue rapidement en termes de conflits et de solidarites qui opposent ou lient institutions et acteurs. Ces diverses confrontations aboutissent a la marginalisation des groupes defendant une medecine sociale tout en permettant la creation d'un champ de luttes politiques ayant pour ambition de transformer le systeme de sante. Dans ce champ apparaissent non seulement la force de l'institute de chaque institution, mais aussi les enjeux strategiques des acteurs dont les interets personnels, professionnels et ideologiques jouent un role fondamental qui contribue, direct ou indirectement, a faire beneficier la population non-solvable des soins de sante primaires, ce champ d'action se concretise au travers de projets d'action communautaire dont l'universite federale de minas gerais possede une grande experience. L'etude de cas de cette universite montre que, si les concepts de medecine sociale demeurent peripheriques dans l'institution, ils debouchent aussi sur la creation de reseaux internistitutionnels constitutes d'acteurs peripheriques qui, en defendant ces concepts, instaurent un nouveau pouvoir qui contribue a l'evolution institutionnelle dans ce domaine.
Talks and actions in socio-medical innovation in brazil. An analysis of institutional and stragegic stakes in the participation of the federal university of minas gerais in this innovation
In the 70's, the colleges of health in brazillian iniversities have developed various actions in the area of primary health care - in doing so, they got involved in the health system with the aim to contribute to the prestations of the population. At the same time, the training of medical and paramedical staff became more relevant. This collaboration rapidly turned out into terms of conflict or of solidarity opposing or uniting institutions and protagonists. These confrotations led to a marginalization of groups defending a social medecine while allowingthe creation of a field for political struggles aiming to transform the health system. In this field, two trends appeared : firstly the strength of the contest of each institution, and secondly, the strategic stakes of the portagonists whose personal, professional or ideological interests played a fundamental role either directly or indirectly in contributing to make people with no means of support benifit from pimary health care. This sphere of activity materialized through plans of communautary actions in which the university of minas gerais had a long experience. A ressearch on this university has shown that even if concepts in socio-medecine hawe remained peripherical in the institutional, they have neverthelens led to the creation of institutional networks composed of peripheral protagonists who, by defending these concepts, have set up a new power which helped to the
