Précarité, santé et soins: les PASS, une perspective psychosociologique
Precarity, health and healtcare: the PASS, a psychosociological perspective

Summary/Abstract: In a context of increasing specialization, general medicine seems to become slack the latest medical techniques, marginalized, practiced outside the hospital. Situations of extreme suffering of patients treated in large social insecurity of humanitarian associations were created in the late 1980s. The act of 29 July 1998 to “fight against exclusion” formalized constant access to health care in hospitals, PASS, which existed in several hospitals in Paris since 1992. Thus, medical consultations resists standardization and segmentation of medical activities (Lecarpentier, 2010). The division of labor at the hospital reveals a process of social structure by exclusion of trades and professions considered less prestigious and offers reduced career opportunities. It thus creates hospitals specialized in treating what is far removed from society: health care for the poor, immigrants, deviance and social work. But PASS professionals are regarded as less competent, have a less noble work in the “moral division of labor”. Permanent access to health services occupy a marginal position, created in the last step of the “hierarchy stature” (Elias, 1965). The work of these professionals represents the position abandoned by those who experience social ladder, an activity that allows the operation of hospitals and social inclusion of patients in precarious social situation.

• Details
• Contents