<?xml version="1.0" encoding="utf-8"?>
<TEI xmlns="http://www.tei-c.org/ns/1.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:hal="http://hal.archives-ouvertes.fr/" xmlns:gml="http://www.opengis.net/gml/3.3/" xmlns:gmlce="http://www.opengis.net/gml/3.3/ce" version="1.1" xsi:schemaLocation="http://www.tei-c.org/ns/1.0 http://api.archives-ouvertes.fr/documents/aofr-sword.xsd">
  <teiHeader>
    <fileDesc>
      <titleStmt>
        <title>HAL TEI export of hal-04935853</title>
      </titleStmt>
      <publicationStmt>
        <distributor>CCSD</distributor>
        <availability status="restricted">
          <licence target="https://creativecommons.org/publicdomain/zero/1.0/">CC0 1.0 - Universal</licence>
        </availability>
        <date when="2026-05-15T12:12:03+02:00"/>
      </publicationStmt>
      <sourceDesc>
        <p part="N">HAL API Platform</p>
      </sourceDesc>
    </fileDesc>
  </teiHeader>
  <text>
    <body>
      <listBibl>
        <biblFull>
          <titleStmt>
            <title xml:lang="fr">Polyhandicap et Télémédecine</title>
            <title xml:lang="fr" type="sub">Recherches multidisciplinaires Aphp, Cesap, Cnam</title>
            <author role="aut">
              <persName>
                <forename type="first">Isabelle</forename>
                <surname>Barbet</surname>
              </persName>
              <email type="md5">b019bcc50fd023b005a5554185223492</email>
              <email type="domain">lecnam.net</email>
              <idno type="idhal" notation="string">isabelle-barbet</idno>
              <idno type="idhal" notation="numeric">1143253</idno>
              <idno type="halauthorid" notation="string">1104223-1143253</idno>
              <idno type="ORCID">https://orcid.org/0000-0003-4299-5061</idno>
              <idno type="IDREF">https://www.idref.fr/076333620</idno>
              <affiliation ref="#struct-573796"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Thierry</forename>
                <surname>Billette de Villemeur</surname>
              </persName>
              <email type="md5">52c034bcf6dc6d5a74fd42e19c78f21b</email>
              <email type="domain">trs.aphp.fr</email>
              <idno type="idhal" notation="numeric">925170</idno>
              <idno type="halauthorid" notation="string">418388-925170</idno>
              <affiliation ref="#struct-360410"/>
              <affiliation ref="#struct-565099"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Marc-Eric</forename>
                <surname>Bobillier Chaumon</surname>
              </persName>
              <email type="md5">022807b66084a8927c0d3fb26b0510c0</email>
              <email type="domain">lecnam.net</email>
              <ptr type="url" target="https://psychologie-travail.cnam.fr/marc-eric-bobillier-chaumon-1041323.kjsp?RH=pst_psycho"/>
              <idno type="idhal" notation="string">marc-eric-bobillier-chaumon</idno>
              <idno type="idhal" notation="numeric">15206</idno>
              <idno type="halauthorid" notation="string">20901-15206</idno>
              <idno type="IDREF">https://www.idref.fr/143102273</idno>
              <idno type="ORCID">https://orcid.org/0000-0002-4032-9527</idno>
              <affiliation ref="#struct-184091"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Isabelle</forename>
                <surname>Desguerre</surname>
              </persName>
              <idno type="halauthorid">305294-0</idno>
              <affiliation ref="#struct-557826"/>
              <affiliation ref="#struct-414766"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Serge</forename>
                <surname>Ebersold</surname>
              </persName>
              <idno type="idhal" notation="numeric">1201402</idno>
              <idno type="halauthorid" notation="string">340782-1201402</idno>
              <idno type="ORCID">https://orcid.org/0000-0002-2258-5535</idno>
              <affiliation ref="#struct-172735"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Laurence</forename>
                <surname>Hartmann</surname>
              </persName>
              <email type="md5">35d0560e13660159b1dac6a62dd46cb2</email>
              <email type="domain">lecnam.net</email>
              <idno type="idhal" notation="string">laurence-hartmann</idno>
              <idno type="idhal" notation="numeric">174383</idno>
              <idno type="halauthorid" notation="string">44486-174383</idno>
              <affiliation ref="#struct-186209"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Marie</forename>
                <surname>Hully</surname>
              </persName>
              <idno type="halauthorid">1178216-0</idno>
              <affiliation ref="#struct-414766"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Naomie</forename>
                <surname>Mahmoudi</surname>
              </persName>
              <email type="md5">ee8e3a9dfef675d3f5ea7786fd4d9d2d</email>
              <email type="domain">univ-eiffel.fr</email>
              <idno type="idhal" notation="string">naomie-mahmoudi</idno>
              <idno type="idhal" notation="numeric">1355808</idno>
              <idno type="halauthorid" notation="string">2131950-1355808</idno>
              <idno type="IDREF">https://www.idref.fr/25682178X</idno>
              <idno type="ORCID">https://orcid.org/0009-0001-7902-0703</idno>
              <affiliation ref="#struct-38701"/>
              <affiliation ref="#struct-186209"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Kim</forename>
                <surname>Maincent</surname>
              </persName>
              <idno type="halauthorid">963389-0</idno>
              <affiliation ref="#struct-360410"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Mathieu</forename>
                <surname>Narcy</surname>
              </persName>
              <email type="md5">7bbf0d0ad62a1d1abe3a04badec26e2d</email>
              <email type="domain">cee.enpc.fr</email>
              <idno type="idhal" notation="numeric">898332</idno>
              <idno type="halauthorid" notation="string">548749-898332</idno>
              <idno type="IDREF">https://www.idref.fr/123491495</idno>
              <idno type="ORCID">https://orcid.org/0000-0003-3243-9264</idno>
              <affiliation ref="#struct-186209"/>
              <affiliation ref="#struct-480325"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Amélie</forename>
                <surname>Sandoval</surname>
              </persName>
              <email type="md5">3253e8f4c17d1cde1563c174116cc341</email>
              <email type="domain">gmail.com</email>
              <idno type="idhal" notation="string">ameliesandoval</idno>
              <idno type="idhal" notation="numeric">1198302</idno>
              <idno type="halauthorid" notation="string">1703810-1198302</idno>
              <idno type="IDREF">https://www.idref.fr/133707601</idno>
              <idno type="ORCID">https://orcid.org/0009-0006-4760-1040</idno>
              <affiliation ref="#struct-184091"/>
            </author>
            <editor role="depositor">
              <persName>
                <forename>Isabelle</forename>
                <surname>Barbet</surname>
              </persName>
              <email type="md5">b019bcc50fd023b005a5554185223492</email>
              <email type="domain">lecnam.net</email>
            </editor>
            <funder>IResP – INSERM - CNSA</funder>
          </titleStmt>
          <editionStmt>
            <edition n="v1" type="current">
              <date type="whenSubmitted">2025-02-07 19:59:28</date>
              <date type="whenModified">2025-07-09 15:16:02</date>
              <date type="whenReleased">2025-02-07 19:59:28</date>
              <date type="whenProduced">2024-09-25</date>
            </edition>
            <respStmt>
              <resp>contributor</resp>
              <name key="334025">
                <persName>
                  <forename>Isabelle</forename>
                  <surname>Barbet</surname>
                </persName>
                <email type="md5">b019bcc50fd023b005a5554185223492</email>
                <email type="domain">lecnam.net</email>
              </name>
            </respStmt>
          </editionStmt>
          <publicationStmt>
            <distributor>CCSD</distributor>
            <idno type="halId">hal-04935853</idno>
            <idno type="halUri">https://cnam.hal.science/hal-04935853</idno>
            <idno type="halBibtex">barbet:hal-04935853</idno>
            <idno type="halRefHtml">Cnam; Aphp; Cesap. 2024</idno>
            <idno type="halRef">Cnam; Aphp; Cesap. 2024</idno>
            <availability status="restricted"/>
          </publicationStmt>
          <seriesStmt>
            <idno type="stamp" n="SHS">Sciences de l'Homme et de la Société</idno>
            <idno type="stamp" n="CNRS">CNRS - Centre national de la recherche scientifique</idno>
            <idno type="stamp" n="UNIV-LYON1">Université Claude Bernard - Lyon I</idno>
            <idno type="stamp" n="CNAM">Conservatoire National des Arts et Métiers</idno>
            <idno type="stamp" n="APHP" corresp="INSERM">AP-HP</idno>
            <idno type="stamp" n="CDFT-CNAM" corresp="SHS">Collection thématique Travail et formation</idno>
            <idno type="stamp" n="CRTD-CNAM" corresp="CNAM">Centre de recherche sur le travail et le développement</idno>
            <idno type="stamp" n="LISE-CNRS">Laboratoire interdisciplinaire pour la sociologie économique</idno>
            <idno type="stamp" n="LABO-SAF" corresp="UNIV-LYON1">Laboratoire de Sciences Actuarielle et Financière</idno>
            <idno type="stamp" n="LARA">LARA</idno>
            <idno type="stamp" n="CEET" corresp="CNAM">Centre d'études de l'emploi et du travail</idno>
            <idno type="stamp" n="CHU-UNIV-PARIS5">Les centres hospitaliers de Paris Descartes</idno>
            <idno type="stamp" n="SORBONNE-UNIVERSITE">Sorbonne Université</idno>
            <idno type="stamp" n="SORBONNE-UNIV" corresp="SORBONNE-UNIVERSITE">Sorbonne Université 01/01/2018</idno>
            <idno type="stamp" n="LIRSA-CNAM" corresp="CNAM">Laboratoire interdisciplinaire de recherche en sciences de l'action </idno>
            <idno type="stamp" n="CEDRIC-CNAM" corresp="CNAM">Centre d'études et de recherche en informatique et communications </idno>
            <idno type="stamp" n="SU-MEDECINE" corresp="SORBONNE-UNIVERSITE">Faculté de Santé de Sorbonne Université</idno>
            <idno type="stamp" n="SU-MED" corresp="SORBONNE-UNIVERSITE">Médecine - Sorbonne Université</idno>
            <idno type="stamp" n="UDL">UDL</idno>
            <idno type="stamp" n="UNIV-LYON">Université de Lyon</idno>
            <idno type="stamp" n="UNIV-PARIS">Université Paris Cité</idno>
            <idno type="stamp" n="UNIVERSITE-PARIS" corresp="UNIV-PARIS">Université Paris Cité</idno>
            <idno type="stamp" n="ALLIANCE-SU"> Alliance Sorbonne Université</idno>
            <idno type="stamp" n="HESAM-CNAM" corresp="HESAM">Conservatoire National des Arts et Métiers - Hesam</idno>
            <idno type="stamp" n="HESAM">Hesam</idno>
          </seriesStmt>
          <notesStmt/>
          <sourceDesc>
            <biblStruct>
              <analytic>
                <title xml:lang="fr">Polyhandicap et Télémédecine</title>
                <title xml:lang="fr" type="sub">Recherches multidisciplinaires Aphp, Cesap, Cnam</title>
                <author role="aut">
                  <persName>
                    <forename type="first">Isabelle</forename>
                    <surname>Barbet</surname>
                  </persName>
                  <email type="md5">b019bcc50fd023b005a5554185223492</email>
                  <email type="domain">lecnam.net</email>
                  <idno type="idhal" notation="string">isabelle-barbet</idno>
                  <idno type="idhal" notation="numeric">1143253</idno>
                  <idno type="halauthorid" notation="string">1104223-1143253</idno>
                  <idno type="ORCID">https://orcid.org/0000-0003-4299-5061</idno>
                  <idno type="IDREF">https://www.idref.fr/076333620</idno>
                  <affiliation ref="#struct-573796"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Thierry</forename>
                    <surname>Billette de Villemeur</surname>
                  </persName>
                  <email type="md5">52c034bcf6dc6d5a74fd42e19c78f21b</email>
                  <email type="domain">trs.aphp.fr</email>
                  <idno type="idhal" notation="numeric">925170</idno>
                  <idno type="halauthorid" notation="string">418388-925170</idno>
                  <affiliation ref="#struct-360410"/>
                  <affiliation ref="#struct-565099"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Marc-Eric</forename>
                    <surname>Bobillier Chaumon</surname>
                  </persName>
                  <email type="md5">022807b66084a8927c0d3fb26b0510c0</email>
                  <email type="domain">lecnam.net</email>
                  <ptr type="url" target="https://psychologie-travail.cnam.fr/marc-eric-bobillier-chaumon-1041323.kjsp?RH=pst_psycho"/>
                  <idno type="idhal" notation="string">marc-eric-bobillier-chaumon</idno>
                  <idno type="idhal" notation="numeric">15206</idno>
                  <idno type="halauthorid" notation="string">20901-15206</idno>
                  <idno type="IDREF">https://www.idref.fr/143102273</idno>
                  <idno type="ORCID">https://orcid.org/0000-0002-4032-9527</idno>
                  <affiliation ref="#struct-184091"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Isabelle</forename>
                    <surname>Desguerre</surname>
                  </persName>
                  <idno type="halauthorid">305294-0</idno>
                  <affiliation ref="#struct-557826"/>
                  <affiliation ref="#struct-414766"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Serge</forename>
                    <surname>Ebersold</surname>
                  </persName>
                  <idno type="idhal" notation="numeric">1201402</idno>
                  <idno type="halauthorid" notation="string">340782-1201402</idno>
                  <idno type="ORCID">https://orcid.org/0000-0002-2258-5535</idno>
                  <affiliation ref="#struct-172735"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Laurence</forename>
                    <surname>Hartmann</surname>
                  </persName>
                  <email type="md5">35d0560e13660159b1dac6a62dd46cb2</email>
                  <email type="domain">lecnam.net</email>
                  <idno type="idhal" notation="string">laurence-hartmann</idno>
                  <idno type="idhal" notation="numeric">174383</idno>
                  <idno type="halauthorid" notation="string">44486-174383</idno>
                  <affiliation ref="#struct-186209"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Marie</forename>
                    <surname>Hully</surname>
                  </persName>
                  <idno type="halauthorid">1178216-0</idno>
                  <affiliation ref="#struct-414766"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Naomie</forename>
                    <surname>Mahmoudi</surname>
                  </persName>
                  <email type="md5">ee8e3a9dfef675d3f5ea7786fd4d9d2d</email>
                  <email type="domain">univ-eiffel.fr</email>
                  <idno type="idhal" notation="string">naomie-mahmoudi</idno>
                  <idno type="idhal" notation="numeric">1355808</idno>
                  <idno type="halauthorid" notation="string">2131950-1355808</idno>
                  <idno type="IDREF">https://www.idref.fr/25682178X</idno>
                  <idno type="ORCID">https://orcid.org/0009-0001-7902-0703</idno>
                  <affiliation ref="#struct-38701"/>
                  <affiliation ref="#struct-186209"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Kim</forename>
                    <surname>Maincent</surname>
                  </persName>
                  <idno type="halauthorid">963389-0</idno>
                  <affiliation ref="#struct-360410"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Mathieu</forename>
                    <surname>Narcy</surname>
                  </persName>
                  <email type="md5">7bbf0d0ad62a1d1abe3a04badec26e2d</email>
                  <email type="domain">cee.enpc.fr</email>
                  <idno type="idhal" notation="numeric">898332</idno>
                  <idno type="halauthorid" notation="string">548749-898332</idno>
                  <idno type="IDREF">https://www.idref.fr/123491495</idno>
                  <idno type="ORCID">https://orcid.org/0000-0003-3243-9264</idno>
                  <affiliation ref="#struct-186209"/>
                  <affiliation ref="#struct-480325"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Amélie</forename>
                    <surname>Sandoval</surname>
                  </persName>
                  <email type="md5">3253e8f4c17d1cde1563c174116cc341</email>
                  <email type="domain">gmail.com</email>
                  <idno type="idhal" notation="string">ameliesandoval</idno>
                  <idno type="idhal" notation="numeric">1198302</idno>
                  <idno type="halauthorid" notation="string">1703810-1198302</idno>
                  <idno type="IDREF">https://www.idref.fr/133707601</idno>
                  <idno type="ORCID">https://orcid.org/0009-0006-4760-1040</idno>
                  <affiliation ref="#struct-184091"/>
                </author>
              </analytic>
              <monogr>
                <imprint>
                  <date type="datePub">2024-09-25</date>
                </imprint>
                <authority type="institution">Cnam</authority>
                <authority type="institution">Aphp</authority>
                <authority type="institution">Cesap</authority>
              </monogr>
            </biblStruct>
          </sourceDesc>
          <profileDesc>
            <langUsage>
              <language ident="fr">French</language>
            </langUsage>
            <textClass>
              <keywords scheme="author">
                <term xml:lang="fr">polyhandicap télémédecine</term>
              </keywords>
              <classCode scheme="halDomain" n="shs">Humanities and Social Sciences</classCode>
              <classCode scheme="halDomain" n="qfin">Quantitative Finance [q-fin]</classCode>
              <classCode scheme="halTypology" n="REPORT">Reports</classCode>
              <classCode scheme="halOldTypology" n="REPORT">Reports</classCode>
              <classCode scheme="halTreeTypology" n="REPORT">Reports</classCode>
            </textClass>
            <abstract xml:lang="en">
              <p>CONTEXTIn France, difficulties and deficits in access to care for children with Profound Intellectual and Multiple Disabilities have been highlighted in scientific literature and reports.  To improve follow-up of these children, a telemedicine program has been developed between five neuropediatric departments of the APHP and medico-social establishments in the Ile-de-France region. It was expected that these new forms of medical practice would improve access to care and quality of life for patients. However, the scientific literature suggests that certain precautions should be taken when deploying them.OBJECTIVESThe aim of our intervention research was to support the deployment of teleconsultation systems in healthcare establishments. We made the general hypothesis that the expected benefits for children with multiple disabilities depend on the strategies put in place to legitimize its use institutionally, organizationally and functionally, on the level of acceptability, and on the added value that stakeholders derive from it. This hypothesis was tested by a multiscalar, multidisciplinary analysis (sociology, psychology, health economics and medicine) involving a team of neuropediatricians from APHP, a team from CESAP, and three teams of researchers from the Conservatoire National des Arts et Métiers.METHODSA participatory approach was adopted with the various stakeholders (children, families, caregivers, project leaders, associations managing the medical-social establishments and funding bodies). Different methodologies were used, depending on the nature of the data: analysis of interviews, armed observations in situ, econometric analysis using the “double differences” method, and using two matched data sources, those from the APHP enabling us to identify the population of children with Profound Intellectual and Multiple Disabilities, and those from the SNDS, enabling us to characterize their care pathways over several years.MAIN RESULTSThe results of our multiscale analysis confirm, through qualitative data, that the use of teleconsultation in the medical care of children with Profound Intellectual and Multiple Disabilities improves their access to care and the quality of their medical follow-up. However, its deployment may encounter obstacles and difficulties. Many factors contribute to the success of its implementation, as well as to the stabilization of its use over time, given that this device does not always become a “routine” instrument for professionals.OUTCOMES OR POTENTIAL IMPACTS This intervention research invites public authorities and project leaders practicing or wishing to develop telemedicine to consider several points to watch out for, and to think about the introduction of telemedicine practices in terms of their links with existing practices. The introduction of these socio-technical tools must consider what is already there and be accompanied by the identification and monitoring of the resulting reconfigurations. These elements may lead to changes or adjustments in projects, particularly when the practices developed are no longer serving patients' care pathways and/or are unsustainable for professionals.</p>
            </abstract>
            <abstract xml:lang="fr">
              <p>CONTEXTEEn France, les difficultés et déficits d’accès aux soins des enfants polyhandicapés ont été soulignés dans la littérature scientifique et rapports.  Afin de permettre un meilleur suivi de ces enfants, une plateforme de télémédecine a été développée entre cinq services de neuropédiatrie de l’APHP et des établissements médico-sociaux d’Ile-de-France. Il était attendu que ces nouvelles formes de pratiques médicales améliorent l’accès aux soins et la qualité de vie des patients. Pour autant, la littérature scientifique invite à prendre certaines précautions pour leur déploiement. OBJECTIFSNotre recherche intervention visait à accompagner le déploiement des dispositifs de téléconsultation dans les établissements. Nous avons fait l’hypothèse générale que les bénéfices attendus pour les enfants polyhandicapés dépendent des stratégies mises en place pour légitimer institutionnellement, organisationnellement et fonctionnellement son usage, du niveau d’acceptabilité ainsi que de la plus-value qu’en retirent les parties prenantes. Cette hypothèse a été testée par une analyse multiscalaire et multidisciplinaire (sociologie, psychologie, économie de la santé et médecine) impliquant une équipe de neuropédiatres de l’APHP, une équipe du CESAP, et trois équipes de chercheurs du Cnam.MÉTHODOLOGIEUne approche participative a été privilégiée avec les différentes parties prenantes (enfants, familles, soignants, accompagnants, porteurs du projet, associations gestionnaires des établissements médico-sociaux et financeurs). Différentes méthodologies ont été utilisées en fonction de la nature des données extraites : analyses d’entretiens, d’observations armées in situ, analyse économétrique mobilisant la méthode des "doubles différences" et s'appuyant sur deux sources de données appariées, celles issues de l'EDS de l'APHP permettant de repérer la population d'enfants polyhandicapés et celles du SNDS permettant de caractériser leur parcours de soins sur plusieurs années.PRINCIPAUX RÉSULTATSLes résultats de notre analyse multiscalaire confirment, par des données qualitatives, que l’utilisation de la téléconsultation dans le parcours médical des enfants polyhandicapés améliore leur accès aux soins et la qualité de leur suivi médical. Pour autant, son déploiement peut rencontrer des obstacles et des difficultés. De nombreux facteurs contribuent à la réussite de son implémentation ainsi qu’à la stabilisation de son usage dans la durée, étant donné que ce dispositif ne devient pas toujours un instrument « routinier ».APPORTS OU IMPACTS POTENTIELSCette recherche intervention invite les acteurs publics et les porteurs de projet pratiquant ou souhaitant développer la télémédecine à prendre en compte un ensemble de points de vigilance et à penser l’introduction des pratiques de télémédecine dans leurs articulations avec l’existant. L’introduction de ces instruments sociotechniques doit prendre en compte le « déjà là » et s’accompagner d’une identification et d’un suivi des reconfigurations engendrées. Ces éléments pourront amener à des inflexions ou des ajustements dans les projets, notamment quand les pratiques développées ne sont plus au service du parcours de soins des patients et/ou ne sont pas soutenables pour les professionnels.</p>
            </abstract>
          </profileDesc>
        </biblFull>
      </listBibl>
    </body>
    <back>
      <listOrg type="structures">
        <org type="researchteam" xml:id="struct-573796" status="VALID">
          <orgName>CEDRIC - Interactivité pour Lire et Jouer</orgName>
          <orgName type="acronym">CEDRIC - ILJ</orgName>
          <date type="start">2019-11-01</date>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation active="#struct-16574" type="direct"/>
            <relation name="EA4629" active="#struct-179741" type="indirect"/>
            <relation name="EA4629" active="#struct-300351" type="indirect"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-360410" status="VALID">
          <orgName>CHU Trousseau [APHP]</orgName>
          <desc>
            <address>
              <addrLine>26 Avenue du Dr Arnold Netter, 75012 Paris</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.aphp.fr/contenu/hopital-armand-trousseau-1</ref>
          </desc>
          <listRelation>
            <relation active="#struct-300068" type="direct"/>
            <relation active="#struct-413221" type="direct"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-565099" status="VALID">
          <orgName>CHU La Roche-Guyon [AP-HP]</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation active="#struct-300068" type="direct"/>
            <relation active="#struct-413221" type="direct"/>
          </listRelation>
        </org>
        <org type="laboratory" xml:id="struct-184091" status="VALID">
          <idno type="IdRef">155499947</idno>
          <idno type="ISNI">0000 0004 7766 1659</idno>
          <idno type="RNSR">200715376M</idno>
          <idno type="ROR">https://ror.org/027z2pe53</idno>
          <orgName>Centre de recherche sur le travail et le développement</orgName>
          <orgName type="acronym">CRTD</orgName>
          <date type="start">2007-03-01</date>
          <desc>
            <address>
              <addrLine>41, rue Gay-Lussac75005 Paris</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://crtd.cnam.fr</ref>
          </desc>
          <listRelation>
            <relation name="EA4132" active="#struct-300351" type="direct"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-557826" status="VALID">
          <idno type="IdRef">236453505</idno>
          <idno type="ISNI">0000 0004 7885 7602</idno>
          <idno type="ROR">https://ror.org/05f82e368</idno>
          <orgName>Université Paris Cité</orgName>
          <orgName type="acronym">UPCité</orgName>
          <date type="start">2020-01-01</date>
          <desc>
            <address>
              <addrLine>85 boulevard Saint-Germain75006 Paris</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://u-paris.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-414766" status="VALID">
          <orgName>Hôpital Necker - Enfants Malades [AP-HP]</orgName>
          <desc>
            <address>
              <addrLine>149 Rue de Sèvres 75015 Paris</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://hopital-necker.aphp.fr/</ref>
          </desc>
          <listRelation>
            <relation active="#struct-300068" type="direct"/>
          </listRelation>
        </org>
        <org type="laboratory" xml:id="struct-172735" status="VALID">
          <idno type="IdRef">092947360</idno>
          <idno type="RNSR">201119435G</idno>
          <idno type="ROR">https://ror.org/01b8mj511</idno>
          <orgName>Laboratoire interdisciplinaire pour la sociologie économique</orgName>
          <orgName type="acronym">LISE</orgName>
          <date type="start">2004-01-01</date>
          <desc>
            <address>
              <addrLine>2 rue Conté - 1LAB40 75003 Paris</addrLine>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation name="UMR3320" active="#struct-300351" type="direct"/>
            <relation name="UMR3320" active="#struct-441569" type="direct"/>
          </listRelation>
        </org>
        <org type="laboratory" xml:id="struct-186209" status="VALID">
          <idno type="IdRef">157219399</idno>
          <idno type="RNSR">201119497Z</idno>
          <idno type="ROR">https://ror.org/05mdg8117</idno>
          <orgName>Laboratoire interdisciplinaire de recherche en sciences de l'action</orgName>
          <orgName type="acronym">LIRSA</orgName>
          <date type="start">2011-01-01</date>
          <desc>
            <address>
              <addrLine>CNAM 292 rue Saint Martin 75 141 PARIS Cédex 03</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://lirsa.cnam.fr/</ref>
          </desc>
          <listRelation>
            <relation name="EA4603" active="#struct-300351" type="direct"/>
          </listRelation>
        </org>
        <org type="laboratory" xml:id="struct-38701" status="VALID">
          <idno type="IdRef">148075495</idno>
          <idno type="ISNI">0000000104708661</idno>
          <idno type="RNSR">199713961T</idno>
          <orgName>Laboratoire de Sciences Actuarielle et Financière</orgName>
          <orgName type="acronym">LSAF</orgName>
          <desc>
            <address>
              <addrLine>50, avenue Tony Garnier 69007 Lyon</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://isfa.univ-lyon1.fr/recherche/</ref>
          </desc>
          <listRelation>
            <relation name="EA2429 / UR SAF" active="#struct-194495" type="direct"/>
            <relation active="#struct-301088" type="indirect"/>
          </listRelation>
        </org>
        <org type="department" xml:id="struct-480325" status="VALID">
          <idno type="ROR">https://ror.org/04jtw9y77</idno>
          <orgName>Centre d'études de l'emploi et du travail</orgName>
          <orgName type="acronym">CEET</orgName>
          <date type="start">2016-10-01</date>
          <desc>
            <address>
              <addrLine>61 rue du Landy - 93210 Saint-Denis - France</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://ceet.cnam.fr</ref>
          </desc>
          <listRelation>
            <relation active="#struct-300351" type="direct"/>
            <relation active="#struct-301855" type="direct"/>
            <relation active="#struct-301901" type="direct"/>
          </listRelation>
        </org>
        <org type="laboratory" xml:id="struct-16574" status="VALID">
          <idno type="IdRef">155463381</idno>
          <idno type="RNSR">201119480F</idno>
          <idno type="ROR">https://ror.org/044j5mm75</idno>
          <orgName>Centre d'études et de recherche en informatique et communications</orgName>
          <orgName type="acronym">CEDRIC</orgName>
          <desc>
            <address>
              <addrLine>292 rue Saint-Martin 75141 PARIS Cedex 03Case courrier 2D4P30</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://cedric.cnam.fr/</ref>
          </desc>
          <listRelation>
            <relation name="EA4629" active="#struct-179741" type="direct"/>
            <relation name="EA4629" active="#struct-300351" type="direct"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-179741" status="VALID">
          <orgName>Ecole Nationale Supérieure d'Informatique pour l'Industrie et l'Entreprise</orgName>
          <orgName type="acronym">ENSIIE</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.ensiie.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-300351" status="VALID">
          <idno type="IdRef">027404978</idno>
          <idno type="ISNI">0000000121690459</idno>
          <idno type="ROR">https://ror.org/0175hh227</idno>
          <orgName>Conservatoire National des Arts et Métiers [Cnam]</orgName>
          <orgName type="acronym">Cnam</orgName>
          <desc>
            <address>
              <addrLine>292 Rue Saint-Martin, 75003 Paris</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.cnam.fr/</ref>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-300068" status="VALID">
          <idno type="ROR">https://ror.org/00pg5jh14</idno>
          <orgName>Assistance publique - Hôpitaux de Paris (AP-HP)</orgName>
          <orgName type="acronym">AP-HP</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-413221" status="VALID">
          <idno type="IdRef">221333754</idno>
          <idno type="ROR">https://ror.org/02en5vm52</idno>
          <orgName>Sorbonne Université</orgName>
          <orgName type="acronym">SU</orgName>
          <date type="start">2018-01-01</date>
          <desc>
            <address>
              <addrLine>21 rue de l’École de médecine - 75006 Paris</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.sorbonne-universite.fr/</ref>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-441569" status="VALID">
          <idno type="IdRef">02636817X</idno>
          <idno type="ISNI">0000000122597504</idno>
          <idno type="ROR">https://ror.org/02feahw73</idno>
          <orgName>Centre National de la Recherche Scientifique</orgName>
          <orgName type="acronym">CNRS</orgName>
          <date type="start">1939-10-19</date>
          <desc>
            <address>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.cnrs.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-194495" status="VALID">
          <idno type="IdRef">026402823</idno>
          <idno type="ISNI">0000000121686185</idno>
          <idno type="ROR">https://ror.org/029brtt94</idno>
          <orgName>Université Claude Bernard Lyon 1</orgName>
          <orgName type="acronym">UCBL</orgName>
          <desc>
            <address>
              <addrLine>43, boulevard du 11 novembre 1918, 69622 Villeurbanne cedex</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.univ-lyon1.fr/</ref>
          </desc>
          <listRelation>
            <relation active="#struct-301088" type="direct"/>
          </listRelation>
        </org>
        <org type="regroupinstitution" xml:id="struct-301088" status="VALID">
          <idno type="ROR">https://ror.org/01rk35k63</idno>
          <orgName>Université de Lyon</orgName>
          <desc>
            <address>
              <addrLine>92 rue Pasteur - CS 30122, 69361 Lyon Cedex 07</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.universite-lyon.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-301855" status="VALID">
          <orgName>Ministère de l'Education nationale, de l’Enseignement supérieur et de la Recherche</orgName>
          <orgName type="acronym">M.E.N.E.S.R.</orgName>
          <desc>
            <address>
              <addrLine>1 rue Descartes - 75231 Paris cedex 05</addrLine>
              <country key="FR"/>
            </address>
          </desc>
        </org>
        <org type="institution" xml:id="struct-301901" status="VALID">
          <idno type="ROR">https://ror.org/018k53h31</idno>
          <orgName>Ministère du Travail, de l'Emploi et de la Santé</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
        </org>
      </listOrg>
    </back>
  </text>
</TEI>