Le territoire vécu comme outil du diagnostic territorial et objet de connaissances en santé.

Abstract

Introduction: Territorial diagnosis is an essential tool for any institutional decision-maker, provided that the study area aligns with the issue being studied. Based on geographical and managerial analyses, this study aims to demonstrate how consumers' territorial experience in health care contribute to modeling knowledge management of population spatial practices in care consumption.

Methods: Using health care consumption data from the SNIIRAM, the lived territories of emergency services are defined by relative majority flows; multivariate analysis methods are then applied to produce a typology of these territories. A qualitative analysis is conducted to adapt the MAIKE organizational knowledge management model to these territories.

Results: This study identified 451 areas of emergency services use and developed an 18-class typology grouped into three categories. Group 1 comprises areas close to the national average; Group 2 includes favored areas; and Group 3 covers disadvantaged areas, each showing certain variations within the groups.

Discussion: Identifying the territory enables the transformation of tacit knowledge into explicit knowledge through the interactive exchanges among the involved actors. Since users' spatial practices often diverge from theoretical models developed by public bodies, this knowledge is crucial for public authorities in planning care services. Knowledge management thus becomes essential for public organizations to effectively pursue their objectives.