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Les h?pitaux nippons en plein chaos
Japon . Avec la fermeture de 250 services d?urgence, les cas de d?c?s pour faute de prise en charge se multiplient.
<small> <small>TOKYO, de notre correspondant</small> MICHEL TEMMAN </small>
Apr?s avoir ?t? rejet? par 14 h?pitaux qui ont invoqu? tant?t un manque de lits, tant?t l?absence de m?decins sp?cialis?s, un homme de 69 ans, gravement bless? dans un accident alors qu?il circulait ? v?lo, ? Itami, dans la pr?fecture de Hyogo (pr?s de Kobe), est mort d?une h?morragie, dans la clinique qui avait fini par l?accueillir. C??tait le 20 janvier. Il est la derni?re victime en date d?une s?rie noire dans les h?pitaux de l?archipel, li?e ? la fermeture de services d?urgence et au manque de m?decins sp?cialis?s en unit?s de soins intensifs.
Urgences ferm?es. ?La crise est sans pr?c?dent, explique le docteur d?un grand h?pital de Tokyo, pr?f?rant garder l?anonymat. C?est le r?sultat de mauvaises politiques de sant?. Les budgets coup?s et les quotas instaur?s au cours des derni?res ann?es dans notre syst?me de sant? ont des effets d?sastreux. La v?rit? est qu?au final, les gens que nous sommes cens?s soigner meurent !? D?apr?s ce m?decin, pr?s de 250 services d?urgence ont ?t? ferm?s depuis quatre ? cinq ans ? travers le pays. Tokyo aurait ainsi perdu ?15 ? 20 services d?urgence?. Une information que le minist?re de la Sant? confirme indirectement, sans entrer dans le d?tail des chiffres, en reconnaissant que des ?plans d??conomies ont ?t? adopt?s dans la plupart des pr?fectures de l?archipel?.
Autre illustration d?une m?decine en crise : en septembre, une Japonaise enceinte de neuf mois, accept?e en dernier recours ? 7 heures du matin dans un service de soins intensifs apr?s avoir ?t? rejet?e par six h?pitaux durant quatre heures, a ?t? victime d?une h?morragie c?r?brale juste apr?s son accouchement. Son nouveau-n? a ?t? sauv?, mais elle est plong?e, depuis, dans un coma profond.
Dans une affaire similaire survenue quelques jours plus tard ? Tokyo, une femme de 36 ans, qui avait accouch? in extremis, est d?c?d?e, trois jours apr?s sa prise en charge, d?une h?morragie c?r?brale. Elle avait ?t? refus?e auparavant par sept h?pitaux. En 2006, dans la pr?fecture de Nara, une femme devant accoucher d?urgence avait, elle aussi, succomb? ? une h?morragie c?r?brale apr?s avoir ?t? refus?e par dix-neuf h?pitaux, pour la plupart situ?s ? Osaka.
Sp?cialis?s. Cador de l?aide humanitaire, d?ployant ses docteurs et ses infirmi?res sur tous les continents, le Japon manque sur son propre territoire de centres pr?nataux et d?unit?s de soins intensifs pour femmes enceintes et enfants en bas ?ge. Le pays ne peut compter que sur 20 ? 30 docteurs sp?cialis?s dans la p?diatrie d?urgence. Selon une enqu?te de l?agence Kyodo, 2 780 centres hospitaliers nippons ont refus? de prendre en charge des femmes sur le point d?accoucher entre 2004 et 2006.
Pour le professeur Kiyoshi Kurokawa, un responsable de l?Institut de la politique de la sant? du Japon, ?le soin [au Japon] s??croule. Il n?y a pas assez de docteurs. La profession m?dicale est ?reint?e. Ce qui ne manque pas, en revanche, ce sont les affaires illustrant l??tat critique de notre syst?me de sant??.
http://www.liberation.fr/monde/01013...en-plein-chaos
Japanese hospitals in full chaos
Traduction machine
Japan. With the closing of 250 emergency services, the cases of death for fault of assumption of responsibility multiply.
<small><small>TOKYO, of our correspondent MICHEL TEMMAN</small> </small>
<small> </small> <small> </small><small>After being rejected by 14 hospitals which called upon a lack of beds sometimes, sometimes the absence of specialized doctors, a 69 year old man, seriously wounded in an accident whereas it circulated with bicycle, in Itami, in the prefecture of Hyogo (close to Kobe), died of a haemorrhage, in the private clinic which had ended up accomodating it. It was on January 20. It is the last victim in date of black series in the hospitals of the archipelago, related on the closing of emergency services and the lack of doctors specialized in units of intensive care.</small>
<small> </small> <small> Closed urgencies. ?The crisis is without precedent, explains the doctor of a large hospital of Tokyo, preferring to keep anonymity. It is the result of bad health policies. The cut budgets and the quotas founded during the last years in our health system have disastrous effects. The truth is that with final, people whom we are supposed to look after die!? According to this doctor, nearly 250 emergency services were closed since four to five years through the country. Tokyo would have thus lost ?15 to 20 emergency services?. Information which the ministry for Health confirms indirectly, without entering in detail of the figures, by recognizing that ?plans of economies were adopted in the majority of the prefectures of the archipelago?. </small>
<small> </small><small>Another illustration of a medicine in crisis: in September, nine months a pregnant Japanese woman, accepted as a last resort at 7 o'clock in the morning in a service of intensive care after being rejected by six hospitals during four hours, was victim of a brain hemorrhage right after her childbirth. Its newborn was saved, but it is plunged, since, in a deep coma.</small>
<small> </small><small>In a similar transaction which has occurred a few days later in Tokyo, a 36 year old woman, who had been confined in extremis, died, three days after her assumption of responsibility, of a brain hemorrhage. She had been refused before by seven hospitals. In 2006, in the prefecture of Nara, a woman having to be confined urgently, it, had also succumbed to a brain hemorrhage after being refused by nineteen hospitals, for the majority located at Osaka.</small>
<small> </small> <small>Specialized. Cador of the humanitarian aid, deploying its doctors and its nurses on all the continents, Japan misses on its own territory of antenatal centers and units of intensive care for expectant mothers and infants. The country can count only on 20 to 30 doctors specialized in emergency pediatry. According to an investigation of the Kyodo agency, 2.780 Japanese hospitals refused to deal with women about to be confined between 2004 and 2006.</small>
<small> </small><small>For professor Kiyoshi Kurokawa, a person in charge of the Institute of the policy of the health of Japan, ?the care [in Japan] collapses. There are not enough doctors. The medical profession is ?reint?e. What does not miss, on the other hand, they are the businesses illustrating the critical condition of our health system?. </small>
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Japon . Avec la fermeture de 250 services d?urgence, les cas de d?c?s pour faute de prise en charge se multiplient.
<small> <small>TOKYO, de notre correspondant</small> MICHEL TEMMAN </small>
Apr?s avoir ?t? rejet? par 14 h?pitaux qui ont invoqu? tant?t un manque de lits, tant?t l?absence de m?decins sp?cialis?s, un homme de 69 ans, gravement bless? dans un accident alors qu?il circulait ? v?lo, ? Itami, dans la pr?fecture de Hyogo (pr?s de Kobe), est mort d?une h?morragie, dans la clinique qui avait fini par l?accueillir. C??tait le 20 janvier. Il est la derni?re victime en date d?une s?rie noire dans les h?pitaux de l?archipel, li?e ? la fermeture de services d?urgence et au manque de m?decins sp?cialis?s en unit?s de soins intensifs.
Urgences ferm?es. ?La crise est sans pr?c?dent, explique le docteur d?un grand h?pital de Tokyo, pr?f?rant garder l?anonymat. C?est le r?sultat de mauvaises politiques de sant?. Les budgets coup?s et les quotas instaur?s au cours des derni?res ann?es dans notre syst?me de sant? ont des effets d?sastreux. La v?rit? est qu?au final, les gens que nous sommes cens?s soigner meurent !? D?apr?s ce m?decin, pr?s de 250 services d?urgence ont ?t? ferm?s depuis quatre ? cinq ans ? travers le pays. Tokyo aurait ainsi perdu ?15 ? 20 services d?urgence?. Une information que le minist?re de la Sant? confirme indirectement, sans entrer dans le d?tail des chiffres, en reconnaissant que des ?plans d??conomies ont ?t? adopt?s dans la plupart des pr?fectures de l?archipel?.
Autre illustration d?une m?decine en crise : en septembre, une Japonaise enceinte de neuf mois, accept?e en dernier recours ? 7 heures du matin dans un service de soins intensifs apr?s avoir ?t? rejet?e par six h?pitaux durant quatre heures, a ?t? victime d?une h?morragie c?r?brale juste apr?s son accouchement. Son nouveau-n? a ?t? sauv?, mais elle est plong?e, depuis, dans un coma profond.
Dans une affaire similaire survenue quelques jours plus tard ? Tokyo, une femme de 36 ans, qui avait accouch? in extremis, est d?c?d?e, trois jours apr?s sa prise en charge, d?une h?morragie c?r?brale. Elle avait ?t? refus?e auparavant par sept h?pitaux. En 2006, dans la pr?fecture de Nara, une femme devant accoucher d?urgence avait, elle aussi, succomb? ? une h?morragie c?r?brale apr?s avoir ?t? refus?e par dix-neuf h?pitaux, pour la plupart situ?s ? Osaka.
Sp?cialis?s. Cador de l?aide humanitaire, d?ployant ses docteurs et ses infirmi?res sur tous les continents, le Japon manque sur son propre territoire de centres pr?nataux et d?unit?s de soins intensifs pour femmes enceintes et enfants en bas ?ge. Le pays ne peut compter que sur 20 ? 30 docteurs sp?cialis?s dans la p?diatrie d?urgence. Selon une enqu?te de l?agence Kyodo, 2 780 centres hospitaliers nippons ont refus? de prendre en charge des femmes sur le point d?accoucher entre 2004 et 2006.
Pour le professeur Kiyoshi Kurokawa, un responsable de l?Institut de la politique de la sant? du Japon, ?le soin [au Japon] s??croule. Il n?y a pas assez de docteurs. La profession m?dicale est ?reint?e. Ce qui ne manque pas, en revanche, ce sont les affaires illustrant l??tat critique de notre syst?me de sant??.
http://www.liberation.fr/monde/01013...en-plein-chaos
Japanese hospitals in full chaos
Traduction machine
Japan. With the closing of 250 emergency services, the cases of death for fault of assumption of responsibility multiply.
<small><small>TOKYO, of our correspondent MICHEL TEMMAN</small> </small>
<small> </small> <small> </small><small>After being rejected by 14 hospitals which called upon a lack of beds sometimes, sometimes the absence of specialized doctors, a 69 year old man, seriously wounded in an accident whereas it circulated with bicycle, in Itami, in the prefecture of Hyogo (close to Kobe), died of a haemorrhage, in the private clinic which had ended up accomodating it. It was on January 20. It is the last victim in date of black series in the hospitals of the archipelago, related on the closing of emergency services and the lack of doctors specialized in units of intensive care.</small>
<small> </small> <small> Closed urgencies. ?The crisis is without precedent, explains the doctor of a large hospital of Tokyo, preferring to keep anonymity. It is the result of bad health policies. The cut budgets and the quotas founded during the last years in our health system have disastrous effects. The truth is that with final, people whom we are supposed to look after die!? According to this doctor, nearly 250 emergency services were closed since four to five years through the country. Tokyo would have thus lost ?15 to 20 emergency services?. Information which the ministry for Health confirms indirectly, without entering in detail of the figures, by recognizing that ?plans of economies were adopted in the majority of the prefectures of the archipelago?. </small>
<small> </small><small>Another illustration of a medicine in crisis: in September, nine months a pregnant Japanese woman, accepted as a last resort at 7 o'clock in the morning in a service of intensive care after being rejected by six hospitals during four hours, was victim of a brain hemorrhage right after her childbirth. Its newborn was saved, but it is plunged, since, in a deep coma.</small>
<small> </small><small>In a similar transaction which has occurred a few days later in Tokyo, a 36 year old woman, who had been confined in extremis, died, three days after her assumption of responsibility, of a brain hemorrhage. She had been refused before by seven hospitals. In 2006, in the prefecture of Nara, a woman having to be confined urgently, it, had also succumbed to a brain hemorrhage after being refused by nineteen hospitals, for the majority located at Osaka.</small>
<small> </small> <small>Specialized. Cador of the humanitarian aid, deploying its doctors and its nurses on all the continents, Japan misses on its own territory of antenatal centers and units of intensive care for expectant mothers and infants. The country can count only on 20 to 30 doctors specialized in emergency pediatry. According to an investigation of the Kyodo agency, 2.780 Japanese hospitals refused to deal with women about to be confined between 2004 and 2006.</small>
<small> </small><small>For professor Kiyoshi Kurokawa, a person in charge of the Institute of the policy of the health of Japan, ?the care [in Japan] collapses. There are not enough doctors. The medical profession is ?reint?e. What does not miss, on the other hand, they are the businesses illustrating the critical condition of our health system?. </small>
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