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Session T

Health Inequalities with Regard to Temporalities: From Care Trajectories to Life Trajectories

Facilitators: Virginie CHASLES (EVS), Anne-Cécile HOYEZ (ESO) & Clélia GASQUET-BLANCHARD (EHESP)

This session aims to investigate the processes of construction of social health inequalities with regard to timescales (Demazière & Samuel, 2010) in which individuals and territories are involved, at different scales (Hoyez et al., 2019). Priority will be given to the following approaches. The first will focus on the life and care trajectories of populations (Strauss, 1978), with an emphasis on the ways in which the different social, economic, institutional, professional, family and health dimensions fit together depending on the individuals or groups (women, foreigners, the elderly, children) in question, in order to illustrate the complexity of the processes at work in social health inequalities (Gasquet & Hoyez, 2015). The second will focus on the spatio-temporal dynamics across the health and care sector and their impact on health inequalities. More specifically, the focus will be on showing that the increased metropolisation of the supply of care is accompanied by an increase in the distances to care that forces patients to be more mobile. The aim will then be to show to what extent this relationship to distance and mobility is socially and spatially differentiated, and thus contributes to health inequalities. The question of timescales might be addressed on the basis of the issue of chronic diseases, which places patients in complex care pathways (multiple and frequent consultations) and this should prompt us to reconsider the process of health inequality construction (Fayet et al., 2018).
Thus, a variety of issues may be raised and discussed during this session: How do the timescales of different trajectories (biographical, migratory, professional, care) contribute to the genesis of health inequalities? What type of mobility is associated with these inequalities and what is the impact at different scales? How do health and social professionals approach the issue of timescales? How do patients respond to the remoteness of care and the chronicity of care?

Indicative bibliographical references

Demazière D., Samuel O., 2010, « Inscrire les parcours individuels dans leurs contextes », Temporalités, n° 11.
Fayet Y., Chasles V., Ducimetière F., Ray-Coquard I., 2018, « Le territoire, générateur d’inégalités face aux cancers », Revue francophone sur la santé et les territoires RFST.
Gasquet-Blanchard C., Hoyez A.-C., 2015, Parcours et trajectoires dans le domaine de la santé. Quelques réflexions issues de l’analyse d’entretiens effectués auprès de femmes migrantes enceintes ou ayant récemment accouché dans la ville de Rennes, Travaux et documents, Rennes.
Hoyez A.-C., Gasquet-Blanchard C., 2019 (à paraître), « Lieu(x) », in S. Fleuret, C. Gasquet-Blanchard & A.-C. Hoyez (dir.), 26 mots pour situer la santé, Abécédaire de la santé dans sa dimension territoriale, Paris, éd. Matériologiques.
Strauss A., 1978, Negotiations. Varieties, Contexts, Processes and Social Order, San Francisco, Jossey-Bass.
Strauss A., Baszanger I., 1992, La trame de la négociation. Sociologie qualitative et interactionnisme, Paris, L’Harmattan.

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