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            <title xml:lang="fr">Quantifier la qualité des soins : une critique de la « rationalisation » de la médecine libérale française</title>
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              <p>With the logic of quantification of medical work, patients are asked to trust the numerical standards determined by independent health agencies-rather than on the personal relationship with their doctor. If regulation by practices seems to be a rationalization of practices, we propose to show how it is useful to review the method of production of these standards-how can we use Evidence based medicine and randomized clinical trial for health policy?</p>
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              <p>Avec la logique de quantification de la qualité du travail médical, les patients sont invités à faire confiance aux normes chiffrées déterminées par les agences de santé indépendantes-plutôt que de se fier à la relation personnelle avec leur médecin. Si cette nouvelle régulation ressemble à une rationalisation des pratiques, nous proposons de montrer en quoi il est utile de revenir sur la méthode de production de ces normes du travail médical-il faut questionner l'usage politique des essais cliniques randomisés.</p>
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