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                <term xml:lang="en">reflexive cooperation</term>
                <term xml:lang="en">bibliometric</term>
                <term xml:lang="en">patient participation</term>
                <term xml:lang="en">health democracy</term>
                <term xml:lang="en">participatory medicine</term>
                <term xml:lang="en">participatory research</term>
                <term xml:lang="en">patient engagement</term>
                <term xml:lang="fr">participation des patients</term>
                <term xml:lang="fr">bibliométrie</term>
                <term xml:lang="fr">recherche participative</term>
                <term xml:lang="fr">engagement des patients</term>
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              <p>The discourse on patient participation and cooperation development between health professionals and users are increasing at present. They suggest that our health systems are in transition between two eras: the first was that of the recognition of the experiential knowledge of patients; the second, announced as imminent, would be that of a systematization of reflexive cooperation of all types between patients, groups of patients and professionals. Through bibliographic and bibliometric analyzes in biomedical publications, this article aims to objectify this intermediate situation. Three investigations are deployed for this purpose : (1) identification of publications indexed by the keywords “participation”, “involvement” and “engagement” in PubMed biomedical bibliographic database; (2) their meta-analysis showing the relationships between these terms and others also close to the idea of reflexive cooperation; (3) a lexical analysis of these publications using a corpus gradually expanded to a file of the French School of Advanced Studies in Public Health (EHESP) and contents of the Journal of Participatory Medicine, to compensate for the virtual absence of publications on collective cooperation.</p>
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              <p>Les discours sur la participation des patients et sur le développement des coopérations entre usagers de la santé et professionnels se multiplient à l’heure actuelle. Ils suggèrent que nos systèmes de santé sont en transition entre deux époques : la première a été celle de la reconnaissance des savoirs expérientiels des malades ; la seconde, annoncée comme imminente, serait celle d’une systématisation descoopérations réflexives de tous types entre malades, groupes de malades et professionnels. Par des analyses bibliométriques des termes concernant la « participation des patients » dans les publications biomédicales, cet article vise à objectiver cette situation intermédiaire. Trois investigations sont déployées dans ce but : le repérage des publications indexées par les mots-clés « participation », « involvement » et « engagement » dans la base de données bibliographique biomédicale PubMed ; leur méta­analyse montrant les relations entre ces termes et d’autres également proches de l’idée des coopérations réflexives ; une analyse lexicale de ces publications à partir d’un corpus progressivement élargi à un dossier de l’École des hautes études en santé publique (ÉHÉSP) et à des contenus du Journal of Participatory Medicine.</p>
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