title: [Therapeutic education and internal medicine].
abstract: Therapeutic education is not a recent idea. It arouses renewed interest thanks to the article 84 of French law no. 2009-879 from July 21, 2009 reforming the hospital and concerning patients, health and territory. This article inserts in the public health code no less than five articles devoting patient therapeutic education. Nevertheless, the conditions imposed by the legislator raise questions, which should be outstripped in favor of a widespread implementation of integrated care pathways in which therapeutic education is enclosed. In France, internists should be involved in the development of new programs of therapeutic education in the field of rare diseases, especially systemic autoimmune diseases. A pilot project for systemic lupus erythematosus is ongoing, before an expected geographic extension through referent centers, as well as the progressive development of additional programs aiming all rare diseases. Content, funding and evaluation are key points that remain to be defined.
authors.affiliation: Collectif interassociatif sur la santé (CISS), 10, Villa Bosquet, 75007 Paris, France. csaout@leciss.org
authors.forename: C
authors.initials: C
authors.lastname: Saout
authors.forename: L
authors.initials: L
authors.lastname: Chiche
mesh_terms: D005602:France; D007388:Internal Medicine; D010353:Patient Education as Topic / Q000331:legislation & jurisprudence