Dominique Letourneau
Créteil University School of Medicine, France
Title: Practices advanced care in France, point of view of users, the policy response
Biography
Biography: Dominique Letourneau
Abstract
For 10 years the France is engaged in an in-depth study on the evolution of its health system. Th e issue of collaboration between doctors and nurses is redesigned on the mode of practice advanced care. Th e ageing of the population, medical demography and technological development accelerate this change. Once the principles lay down, the actors struggle to agree to their implementation as professional hierarchies are debates. But most importantly, this has remained a debate between specialists. We drove the fi rst survey to query the French population on this development concerned fi rst. Th e results are very interesting because they show the lack of information and overall expressed objections. Surprisingly, it is those who would be most recipients (elderly, isolated people in rural areas) which are more reluctant. With the issue of advanced care practices, it is the entire process of the transfer of nursing education to the University which is at stake with the prospect of clinical masters and then PhD in care as exists in many countries. Th e development of clinical training at the University will feed nursing research and contribute to the knowledge on the evolution of the practices of care for the benefi t of users.