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              <p>In this chapter, Claude Martin looks at how other countries, notably the United Kingdom, have understood and talked about what we call ‘medico-social’. This term, he explains, has no direct equivalent in English, the language of comparative research. In the United Kingdom, the notion of social care was used from the 1940s-1950s onwards to designate systems that combined social and health dimensions. The author takes us on a historical journey to explain how, in the UK, this field developed in relation to and in contrast to the health field. Based on a review of international literature, he then highlights the similar problems that social care  - as it has developed in the UK and other countries, particularly the Scandinavian countries - and medico-social care - as it has developed in France - have faced and continue to face: the discussion on the relationship between age and disability, the necessary and impossible coordination of support services, the importance of informal help and the shift to the home, the development of managerial techniques and the commercialisation of services, and the personalisation and individualisation of benefits and services. While the English case differs in some respects from what we call medico-social care, it sheds light on the issues, tensions and challenges.Translated with DeepL.com (free version)</p>
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              <p>Dans ce chapitre, Claude Martin s’interroge sur la manière dont d’autres pays, notamment le Royaume-Uni, ont saisi et parlent de ce que nous nommons le “médico-social”. Ce terme, nous explique-t-il, n’a pas d’équivalent direct en anglais, la langue des recherches comparatives. Au Royaume-Uni, la notion de social care a été utilisée, à partir des années 1940-1950, pour désigner des dispositifs qui articulent des dimensions sociales et sanitaires. L’auteur nous propose ainsi une plongée historique pour nous raconter comment, au Royaume Uni, ce champ se développe en relation et par contraste au champ sanitaire. Il souligne ensuite à partir d’une revue de littérature internationale, les problèmes similaires auxquels le Social care   tel qu’il s’est construit au Royaume Uni et dans d’autres pays, notamment les pays scandinaves – et le médico-social, tel qu’il s’est construit en France, ont été et sont confrontés : la discussion sur la relation entre âge et handicap, la nécessaire et impossible coordination des accompagnements, l’importance de l’aide informelle et le tournant domiciliaire, le développement des techniques managériales et de la marchandisation des services, ou encore celui de la personnalisation et de l’individualisation des prestations et services. Si le cas anglais diverge, sur certains points, de ce que nous nommons médico-social, il en éclaire les problématiques, les tensions et les défis.</p>
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