Décision médicale pour autrui : évaluation du dispositif de la personne de confiance
Project holders :
- Carine KHALIL (Université de Paris, LIRAES)
- Maïva ROPAUL (Université de Paris, LIRAES)
Research team :
- Sophie BIENENSTOCK (Université Paris 1 Panthéon-Sorbonne, CES)
- Elisa DARRIET (CNAM Paris, LIRSA)
Project description :
The surrogate decision-maker program was established by a series of French law: Kouchner law (2002), Leonetti law (2005) and Claeys-Leonetti law (2016). This health policy states that when a person is unable to express their will, the physician has an obligation to inquire about the patient's will throughout a third party. In the absence of advance directives, physicians collect the testimony of the surrogate decision-maker or, failing that, they collect it throughout family members or relatives. This situation of medical decision making for others is becoming very common with the increase in the aging population and the size of the population with cognitive impairment. Nursing homes (Ehpad) represent a main spot where surrogate decision-makers do medical decision-making for others. Indeed, in 2015, 150,000 people residing in Ehpad died, which represents a quarter of the deaths recorded on the entire French territory. The goal of this research project is to assess the impact of the surrogate decision-maker's program on the quality of care of elderly and dependent patients living in Ehpad as well as on the well-being of their families.
Poster of the project - June 2022
Related publications:
- Maïva ROPAUL, Luigi GONTARD, Colin SIDRE, Trusted Person with Eldery Patients in France: Protocol of a Scoping Review, OSF Preprints, July 2021
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Publications of the Research Group
- Mark STABILE, Sarah THOMSON, The Changing Role of Government in Financing Health Care: An International Perspective LIEPP Working Paper n°26, mai 2014
- Hugo BERTILLOT, Quand l’évaluation modifie les institutions : Comment l’hôpital est transformé par les indicateurs qualité , LIEPP Policy Brief n°20, septembre 2015
- Léa TOULEMON, Laurent DAVEZIES, Does moving to a system with more generous public health insurance increase medical care consumption? LIEPP Working Paper n°37, February 2015
- Etienne NOUGUEZ, Solenne CAROF, At the Boundaries of Food and Medicine: The Genesis and Transformation of the ‘Functional Food’ Markets in France and Europe LIEPP Working Paper n°90, Septembre 2019
- Sophie DUBUISSON-QUELLIER, Benoît GRANIER, Comment inciter les entreprises à afficher les impacts environnementaux sur les produits de grande consommation ? LIEPP Policy Brief, n°40, avril 2019
- Henri BERGERON, Patrick CASTEL, Etienne NOUGUEZ An ungovernable tool of government? The problematic use of labels in public health policies LIEPP Working Paper n°106, February 2020
- Thomas RAPP, ROLLAND, Y., NEDA TAVASSOLI, N., SOUTO BARRETO, P., PERRIN, A., LAFFON DE MAZIERES, C., HERMABESSIERES, S., TOURNAY, E., VELLAS, B., ANDRIEU, S. Systematic dementia screening by multidisciplinary team meetings in nursing homes for reducing emergency department transfers: the IDEM cluster-randomised controlled trial JAMA network Open 2020 3(2) , p. 1-13 2020
- Thomas RAPP, BUSSIERE, C. SIRVEN, N., SEVILLA DEDIEU, C. Adherence to medical follow-up recommendations reduces hospital admissions: Evidence from diabetic patients in France. Accepted for publication Health Economics 29 (2) 2020
- Thomas RAPP, CHAUVIN, P, BELLANGER, M, SIRVEN, N, Heterogeneity in Drug Recommendation Compliance: Evidence from France of a Gender Bias in the Treatment of Alzheimer’s Patients Journal de gestion et d'économie de la santé 2020/2 (2), p. 93-109 2020
- Thomas RAPP, SICSIC, J., RAVESTEJIN, B Are frail elderly people in Europe high-need subjects? First evidence from the SPRINTT data. Health Policy Volume 124, Issue 8, p. 865-872, August 2020
- Thomas RAPP, SICSIC, J., The contribution of the immigrant population to the US long-term care workforce Social Science and Medicine Volume 263, October 2020
- Lawrence D. BROWN, The Discrete Charm of Managed Competition in Health Policy Reform LIEPP Working Paper n°123, Septembre 2021
- Thomas RAPP, MCHUGH, J., MOTAMASUR, S., MOR, V. Higher Hospital Referral Concentration Associated with Lower Risk Patients in Skilled Nursing Facilities Health Services Research Accepted for publication, 2021
- Thomas RAPP, Jérôme RONCHETTI, Jonathan SICSIC Are long-term care jobs harmful? Evidence from Germany The European Journal of Health Economics avril 2021
- Thomas RAPP, Quitterie ROQUEBERT, Jonathan SICSIC Mettre le « value-based aging » au cœur des politiques de dépendance LIEPP Policy Brief n°53, Juin 2021
- Thomas RAPP, Jérôme RONCHETTI, Jonathan SICSIC Les métiers du grand âge, métiers à risque ? LIEPP Policy Brief n°56, Novembre 2021
- Thomas RAPP, ROQUEBERT, Q., SICSIC, J., SANTOS-EGGIMANN, B. et al. Frailty, Sarcopenia and Long Term Care Utilization In Older Populations: A Systematic Review The Journal of Frailty & Aging 2021
- Thomas RAPP, ROQUEBERT, Q., SICSIC, J., et al. Health measures and long-term care use in the European frail population The European Journal of Health Economics 22, p. 405–423 2021
- Thomas RAPP, RONCHETTI, J., SICSIC, J. Are long-term care jobs harmful? Evidence from Germany The European Journal of Health Economics Accepted for publication, 2021
- Lucille GALLARDO, Lara GAUTIER, Fanny CHABROL, Lola TRAVERSON, Sydia OLIVEIRA, Valery RIDDE, Les cabinets de conseil privés dans l'action publique contre les épidémies : une revue exploratoire LIEPP Working Paper n°139 2023
