{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T11:07:03Z","timestamp":1778843223836,"version":"3.51.4"},"reference-count":26,"publisher":"CAIRN.INFO","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,15]]},"abstract":"<jats:p>La d\u00e9prescription, entendue comme la r\u00e9duction ou l\u2019arr\u00eat de m\u00e9dicaments inappropri\u00e9s dans un objectif de qualit\u00e9 des soins, s\u2019impose aujourd\u2019hui comme un enjeu de sant\u00e9 publique majeur. Longtemps guid\u00e9e par des consid\u00e9rations cliniques et \u00e9conomiques, elle int\u00e8gre d\u00e9sormais une dimension environnementale croissante, li\u00e9e notamment \u00e0 l\u2019empreinte \u00e9cologique du cycle de vie des m\u00e9dicaments. Cet article pr\u00e9sente une synth\u00e8se des enseignements issus d\u2019une journ\u00e9e d\u2019\u00e9tude interdisciplinaire organis\u00e9e \u00e0 Sciences Po en d\u00e9cembre 2024, r\u00e9unissant chercheurs, cliniciens, repr\u00e9sentants institutionnels et acteurs du syst\u00e8me de sant\u00e9. Les discussions ont montr\u00e9 que la France reste un pays \u00e0 forte consommation m\u00e9dicamenteuse, exposant les patients \u00e0 des risques d\u2019iatrog\u00e9nie et g\u00e9n\u00e9rant des impacts environnementaux significatifs. Les intervenants ont soulign\u00e9 l\u2019existence d\u2019initiatives internationales structur\u00e9es de d\u00e9prescription, dont la transposition n\u00e9cessite une adaptation au syst\u00e8me de sant\u00e9 fran\u00e7ais. Malgr\u00e9 des efforts institutionnels port\u00e9s par l\u2019Assurance maladie, la HAS, l\u2019ANSM ou les OMEDIT, diff\u00e9rents obstacles persistent\u00a0: manque de donn\u00e9es consolid\u00e9es, culture prescriptive ancr\u00e9e, contraintes organisationnelles et attentes ambivalentes des patients. Des leviers d\u2019action ont \u00e9t\u00e9 identifi\u00e9s, tels que la valorisation du travail de r\u00e9\u00e9valuation, le d\u00e9veloppement d\u2019outils d\u2019aide \u00e0 la d\u00e9cision acceptables pour les professionnels, les dynamiques territoriales pluriprofessionnelles et l\u2019implication active des patients. Le cas des psychotropes illustre particuli\u00e8rement la complexit\u00e9 de la d\u00e9prescription. Au-del\u00e0 des approches existantes, une strat\u00e9gie nationale structur\u00e9e appara\u00eet n\u00e9cessaire pour inscrire la d\u00e9prescription dans une perspective de sant\u00e9 durable, articulant qualit\u00e9 des soins, \u00e9quit\u00e9 et transition \u00e9cologique.<\/jats:p>","DOI":"10.3917\/spub.262.0153","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T10:10:21Z","timestamp":1778839821000},"page":"153-159","source":"Crossref","is-referenced-by-count":0,"title":["D\u00e9prescription et sant\u00e9 durable\u00a0: enseignements d\u2019une journ\u00e9e interdisciplinaire"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Matthias","family":"Brunn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9tienne","family":"Nouguez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Stahl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Cocard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrice","family":"Berna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9line","family":"Bougl\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvain","family":"Bouquet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Bounoure","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delphine","family":"Cabelguenne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Castel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Chirac","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Odessa","family":"Dariel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anneliese","family":"Depoux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Duprat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Gigon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Pascal","family":"Fournier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Halpern","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Fran\u00e7ois","family":"Huon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Kelley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agn\u00e8s","family":"Laforest-Bruneaux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herv\u00e9","family":"Leneel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Le Quinio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Masia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maeva","family":"Musso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeynep","family":"Or","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurice-Pierre","family":"Planel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raoul","family":"Santucci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Senn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Pierre","family":"Thierry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Traon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","DOI":"10.1111\/bcp.12732"},{"key":"rb2","unstructured":"2. 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