La médiation en santé : Contribution à une étude des conflits et des différends dans la relation de soins

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La médiation en santé : Contribution à une étude des

conflits et des différends dans la relation de soins

Anne Gibelin

To cite this version:

Délivré par l’Université de Montpellier

Préparée au sein de l’école doctorale

Droit et Science politique

Et de l’unité de recherche

UMR 5815

Spécialité : Droit privé et sciences criminelles

Présentée par Anne Gibelin

Soutenue le 9 décembre 2015 devant le jury composé de

Madame Marion GIRER, Maître de conférences, Université Jean Moulin Lyon III

Rapporteur

Monsieur Bruno PY, Professeur, Université de Lorraine

Rapporteur

Madame Caroline BERLAND-BENHAIM, Maître de conférences, Université Aix-Marseille

Examinateur

Madame Anne-Marie SAVARD, Professeur, Université de Sherbrooke, Québec, Canada

Examinateur

Monsieur François VIALLA, Professeur, Université de Montpellier Directeur de recherches ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

La médiation en santé

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Résumé en français :

La médiation peut se définir comme l’action de celui qui est médiateur et qui s’interpose entre deux ou plusieurs personnes pour résoudre un conflit ou un différend. Dans le domaine de la santé et plus particulièrement dans la relation de soins, des conflits et des différends peuvent survenir. La santé touche en effet à l’état des personnes, à leur intimité, à leur intégrité et les relations qui en découlent avec les professionnels de santé sont nécessairement empreintes d’une certaine sensibilité. C’est pourquoi ce secteur est considéré comme pourvoyeur potentiel de tensions. Il est donc intéressant d’étudier la résolution des conflits ou différends inhérents à la relation de soins, par un mode singulier et alternatif de règlement des différends : la médiation. L’étude de la nature juridique de ce processus est indispensable pour le différencier des autres modes alternatifs et exposer clairement ses forces et ses faiblesses. Ceci permettra ensuite de lui appliquer un régime juridique adéquat. En raison des manquements actuels, particulièrement au regard de l’encadrement du statut de médiateur, le constat d’un inévitable remaniement du régime de la médiation devra être effectué. Celui-ci devra impérativement allier souplesse et encadrement du mécanisme dans le but d’une efficacité optimale.

Titre et résumé en anglais :

Mediation in health, contributing to a study of conflicts and disputes in relation of care.

Mediation may be defined as the action of the mediator who mediates between two or more persons to resolve a conflict or dispute. In the field of health, especially in caring relationships conflicts and disputes may happen actually. Health affects the state of being of the persons, their privacy, their integrity and so relationships which arise from this with health care providers are necessarily influenced with a certain sensitivity. That is why this area is regarded as a potentiel provider of stress. Therefore, it is of interest to study the mediation as an unique alternative to resolve a dispute. To focus on the legal nature of the mediation is essential to differentiate it from other alternatives and to assess strengths and weaknesses of such an approach. This will then allow to apply a suitable legal regime to mediation. Because of the current shortcomings, particularly with regard to the supervision of the mediator, the finding of an inevitable reshuffle mediation scheme should be made. This will necessarily combine flexibility and supervision for an optimal efficiency.

Discipline :

Droit privé et sciences criminelles (section CNU 01).

Mots-clés :

Médiation – relation de soin – médecin – patient – conflit – différend – mode alternatif de règlement des différends

Mediation – caring relationship – doctor – patient – conflict – alternative dispute resolution

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