the advent of the patient as expert ?

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the advent of the patient as expert ?

• The benefits of a hospital structure for cultural
  mediation in the care of immigrant patients with
  chronic pain

or
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This consultation involves

• The patient and his/her relatives
• The referring physician
• The cultural mediator
• The physician trained in clinical
  ethnopsychiatry

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This structure was offered to

• first- and second- generation immigrants
  consulting the pain center
• with a long history of chronic pain
• whose treatment posed a problem for the medical
  team.

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Who were these patients ?

• All of them are of working age the great
  majority are from the working class.
• All patients have founded families
• Fifteen patients are first generation immigrants,
  two were born in metropolitan France

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The medical problems are varied and complex

• For twelve patients, pain has obviously become
  chronic, and dates back over five years.
• Among the psychological problems,
  depression is in the forefront.

• These pains were caused or aggravated by a
  surgical or medical procedure in almost half of
  the group.

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Reasons for referral
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First observation

• Previous or current recourse to a
• parallel therapeutic system occurred
• in nearly 60 of the cases

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Etiologies suggested by the patients
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Actions carried out or planned
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Summary of changes observed in 17 cases
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Impact on the strategy of treatment
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Prospects

• Widen our approach to include other types of
  chronic pathologies
• Experiment this approach on native French
  patients
• Set up a system of collaboration with other
  European teams to establish a tool of evaluation
  of intercultural mediation in medicine.

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Contact

• IPAOS Association - Paris -
• Dr Serge Bouznah
• ? sbouznah_at_free.fr