Altering Frontiers. Группа авторов

Altering Frontiers - Группа авторов


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member of the healthcare team (Karazivan et al. 2015). It therefore integrates the capacity of patients and their relatives to produce care (Coulter 2011). Patients are recognized for their experiential knowledge of living with the disease (Jouet et al. 2010) and the skills they mobilize (Flora 2012, 2015).

Schematic illustration of the continuum of care practices. Schematic illustration of various approaches to care.

      On the theoretical and conceptual level of the “Montreal model”, the partnership focuses on the recognition of experiential knowledge of patients (Flora 2012; Karazivan et al. 2015; Pomey et al. 2015), caregivers and citizens. This knowledge, derived from living with the disease, from experience of care and services or from living in the community, is seen as complementary to the knowledge of healthcare professionals (whether clinicians, managers or public decision-makers).

Schematic illustration of patients’ skills in frame of reference.

      On the methodological level, the implementation of the partnership at the meso and macro levels, it is through the identification of the experiential knowledge of patients mobilized through skills that the partnerships were organized (Flora 2012).

      These cross-references of reference systems integrated during the training of professionals gradually entering the healthcare environment made it possible, with greater frequency, to gradually support patients in making free and informed choices and in assuming them on a daily basis (self-determination), both in the care relationship with the various care providers and in the management of their lives (self-management). To enable the development of this culture of care in partnership with the patient, institutions have been created to support this process.

Schematic illustration of the competence framework for collaborative practice and patient partnership. Schematic illustration of distinctive record of the nature of patient-professional relationships.
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