[Cognitive dimensions of public health intervention: support for two primary healthcare projects in rural areas]

Some public health interventions are designed to support transformation of primary health care services, by transforming an individual structure into a collective healthcare structure. These interventions can be considered to be knowledge-generating processes, as they help the actors involved in development of a healthcare project to objectify and collectively share a common position on the future supply of primary care. This shared vision helps them to adopt a project approach in that this shared knowledge provides meaning to their action. They can also help project stakeholders to know and recognize each other as primary care partners, thus initiating the development of a health care team. This approach helps to enhance and formalize coordination of existing practices and event new coordination practices. Collective knowledge is therefore generated by actors and capitalized by the third party. This knowledge can be used to objectify individual experiences and consequently facilitates reflexivity of the actors. Finally, the field response can be considered to be a dynamic conversion.