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8/3/2019 Les soins de sant en danger : expos d'une urgence
1/24
MEDWF DE PCIDFKLFLIKW^F DF\ \ICK\ GF \EKW
DF\ \ICK\ GF \EKW
FK GEKBF^F]QI\ GVKF V^BFKLF
8/3/2019 Les soins de sant en danger : expos d'une urgence
2/24
Lijcw ckwf~kewciked gf de L~ic}*^ivbf
53$ epfkvf gf de Qec}
5>1> Bfkpf$ \vc||f
W (75 >> 2> 21 62
F*jecd? |miqAcl~l+i~b rrr+lcl~+i~b
LCL^$ eiw >155
Qmiwi gf livpf~wv~f ? Ewf \eegc Kvebf gf bez del~sjibkf| gek| vkf ejnvdeklf di~| gvkf jekcf|wewcik+
8/3/2019 Les soins de sant en danger : expos d'une urgence
3/24
DF\ \ICK\ GF \EKW
FK GEKBF^F]QI\ GVKF V^BFKLF
8/3/2019 Les soins de sant en danger : expos d'une urgence
4/247
VK Q^INDJFGCJQI^WEKLF PCWEDFQIV^ DF JIVPFJFKWCKWF^KEWCIKED GFDE L^IC]*^IVBF FW GVL^IC\\EKW*^IVBF
Deq~|*jcgc gv 2 oekpcf~ >113$ gf| ejnvdeklcf~| gv
Lijcw ckwf~kewciked gf de L~ic}*^ivbf -LCL^# fw gf
de \ilcw gv L~ic||ekw*^ivbf qedf|wckcfk ikw vkfwf~~cndf glivpf~wf gek| vkf jec|ik gv uve~wcf~ gf
_fcwivk$ Beze$ nijne~gf uvew~f oiv~| qdv| ww ?
givzf ji~w| bc|fkw |v~ df |id fw uvew~f ofvkf| fkekw|$
w~iq ecndf| qiv~ wfkc~ gfnivw$ |ikw wfkgv| lw gv
li~q| |ek| pcf gf dfv~| j~f|+ Df| |idgew| gvk qi|wf
gf likw~df kik dick gf d kf |ikw qe| ckwf~pfkv| qiv~
q~wf~ e||c|weklf ev} pclwcjf| fw ikw ckwf~gcw ev} ejnv*
deklcf~| geddf~ df| |fliv~c~$ df oiv~ gv nijne~gfjfkw+
Di~|uvf df| |fliv~c|wf| ~fpcfkkfkw |v~ df| dcfv}$ cd|
~ficpfkw kivpfev di~g~f gf ~fn~iv||f~ lmfjck$ jec|
lfwwf ic|$ cd| glcgfkw gf g|inc~ fw gf qi~wf~ |fliv~|
ev} |v~pcpekw|+
Jick| gvk jic| qdv| we~g$ gek| df ki~g gf \~c Dekhe$
lf|w dmqcwed gf Qvwmvhhvgcsc~vqqv$ gek| de ~bcik
gf Pekkc$ uvc |f ~fw~ivpf |iv| df| nijnf| ? qe~jc df|
611 qewcfkw| uvc ~ficpfkw gf| |ick| gek| lfw mqcwed$ df
gf~kcf~ fkli~f fk elwcpcw gek| lfwwf ~bcik glmc~f
qe~ de bvf~~f$ nfevlivq |ikw wv| iv ndf|||+ Eq~| epic~
w de lcndf gf gfv} ~eqqf| gc~flwf|$ dwendc||fjfkw
gicw w~f pelv$ fw df| qewcfkw| |ikw w~ek|~| gek|
vk lfkw~f lijjvkevwec~f gqiv~pv gfev qiwendf+
Fk |fqwfjn~f gf de jjf ekkf$ gek| de q~ipcklf
ebmekf gf Re~geh$ gf| |idgew| |ckw~igvc|fkw fk
qdfckf kvcw gek| dmqcwed Bmezc Jimejjfg Hmek$ de
~flmf~lmf gvk lijnewwekw fkkfjc ndf||+ Kf df w~iv*
pekw qe|$ cd| ~e||fjndfkw df| jfjn~f| gv qf~|ikkfd
fw dfv~ i~gikkfkw gf dfv~ |cbkedf~ wiv| df| lijnew*
wekw| fkkfjc| q~|fkw| gek| dwendc||fjfkw+ Di~|uvf
lfv}*lc ~fv|fkw ginc~ ev kij gf dwmcuvf jgcledf$
df| |idgew| n~euvfkw dfv~| e~jf| |v~ fv} fw jfkelfkw
gf df| wvf~ |cd| kf |f}lvwfkw qe|+ Eq~| lfw cklcgfkw$
qdv|cfv~| liddeni~ewfv~| uvcwwf~ikw dfv~ fjqdic$ wf~~c*
| dcgf gf ~fwiv~kf~ |v~ dfv~ dcfv gf w~epecd+
Fkk$ fk glfjn~f >113$ vk hejchezf |f ecw f}qdi|f~
di~| gvkf l~jikcf gf ~fjc|f gf gcqdjf| gek| de
leqcwedf |ijedcfkkf gf Jibegc|lci$ wvekw gf| wvgcekw|
fk jgflckf uvc ikw w~epecdd gv~ qiv~ ecgf~ dfv~ qes|
|i~wc~ gf de |iv~eklf fw gv g|f|qic~ i dikw qdikb
gfv} glfkkcf| gf bvf~~f lcpcdf+ Lfwwf w~ebgcf q~cpf df
qfvqdf |ijedcfk gf jgflck| uvc dvc ikw l~vfddfjfkw
gevw$ gevwekw uvf lf|w |fvdfjfkw de gfv}cjf q~i*
jiwcik gf gcqdj| fk jgflckf gfqvc| pckbw ek|+
Lf| cklcgfkw|$ uvc |f |ikw wiv| q~igvcw| fk >113 gek|
df leg~f gf uvew~f likcw| gc~fkw|$ kf |ikw qe| gf|
ecw| c|id| ? df| ewweuvf| likw~f df| |w~vlwv~f| jgcle*df|$ df| qf~|ikkfd| gf |ekw fw df| pmclvdf| |ekcwec~f|$
fw df| in|weldf| uvc fkw~epfkw dell| gf| ndf||| fw gf|
jedegf| ev} |f~pclf| gf |ekw |ikw fk ffw gfpfkv|
jikkecf liv~ekwf gek| df| |cwvewcik| gf likcw fw gf
w~ivndf| ckwf~kf|$ qe~wivw gek| df jikgf+ Lf| elwf| ikw
fk ivw~f gcjqi~wekwf| lik|uvfklf| ckgc~flwf| ? gf|
ebfkw| gf |ekw enekgikkfkw dfv~ w~epecd$ gf| mqcwev}
f~jfkw dfv~| qi~wf| fw gf| lejqebkf| gf pellckewcik
|ikw ckwf~~ijqvf|+ Lf| ~qf~lv||cik| jvdwcqdf| fw g*
|e|w~fv|f| q~cpfkw gf| lijjvkevw| fkwc~f| gell|
gf| |f~pclf| eguvew|+ De pcidfklf gc~cbf likw~f df|
qewcfkw| fw df| qf~|ikkfd| iv df| |w~vlwv~f| gf |ekw$
uvfddf |f jekcf|wf qe~ gf| elwf| iv gf| jfkelf|$
f|w eck|c dvk gf| g| mvjekcwec~f| jeofv~| ev}uvfd|
df jikgf ecw elf evoiv~gmvc+ Fw qiv~wekw$ fddf qe||f
|ivpfkw ckeqf~vf+
8/3/2019 Les soins de sant en danger : expos d'une urgence
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Lm~c|wiqmf~Ji~~c|)PCC
^`~~ d ~p gM~s GQi~wf~ e||c|weklf ev} ndf|||$ uvfd uvf |icw dfv~ lejq$
wfddf f|w dcgf uvc e gikk kec||eklf ev Jivpfjfkw
ckwf~kewciked gf de L~ic}*^ivbf fw gv L~ic||ekw*^ivbf
cd s e qdv| gf 561 ek|$ |v~ df lmejq gf newecddf fk|ekb*
dekw gf \id~cki$ fk Cwedcf+ Fk ovck 5=63$ Mfk~s Gvkekw$
vk lijjf~ekw |vc||f$ f|w wjick gf lf wf~~cndf le~*
kebf+ Mi~~c qe~ wekw gf |iv~eklf|$ cd ecw eqqfd ev}
mencwekw| gf| fkpc~ik| qiv~ uvcd| pcfkkfkw fk ecgf
ev} ndf|||$ Evw~clmcfk| iv @~ekec|$ |ek| gc|wcklwcik
evlvkf+ Wvwwc ~ewfddc $ wiv| ~~f|$ lf|w de gfpc|f gf||fliv~c|wf| cjq~ipc|| uvc |fjqdicfkw lf uvf df|
71 111 |idgew| ndf||| iv ebikc|ekw| |icfkw w~ecw|
epfl de glfklf uvf j~cwf wivw w~f mvjeck ? uvc gf
gc|w~cnvf~ vk qfv gfev qiv~ weklmf~ de |ic$ uvc geq*
qdcuvf~ vk nekgebf q~iq~f |v~ vkf ndf||v~f$ iv fkli~f
gf ~flvfcddc~ uvfduvf| gf~kc~f| qe~idf|$ qiv~ uvvkf
j~f$ vkf qiv|f iv vk fkekw qvc||f |epic~ lf uvcd
f|w egpfkv gf |ik d|$ gf |ik je~c iv gf |ik q~f+
Lf|w |v~ lf| ne|f| jigf|wf| uvf df g~icw ckwf~kewciked
mvjekcwec~f pf~~e df oiv~$ e~jekw df g~icw gf| lij*
newwekw| lijjf gf| lcpcd| kf qe| fkgv~f~ gf| |iv*
~eklf| f}lf||cpf| di~| gf likcw| e~j|$ fw ~flfpic~
vkf e||c|weklf+ Qiv~ w~egvc~f lfwwf cgf gek| de q~ewcuvf$
cd evw ev||c uvf df| qf~|ikkfd| gf |ekw$ df| |w~vlwv~f|
jgcledf| fw df| pmclvdf| |ekcwec~f| nklcfkw gvkf
q~iwflwcik ? wivwf ewweuvf dfv~ fklikw~f f|w ckwf~gcwf$
wekw uvf de kfvw~edcw gf dfv~ iklwcik f|w q~|f~pf fw
uvf wiv| df| qewcfkw| |ikw w~ecw| uvcwendfjfkw$ |ek|
lik|cg~ewcik gf dfv~ eqqe~wfkeklf qidcwcuvf$ ~fdc*
bcfv|f iv fwmkcuvf+ Df| fjndjf| q~iwflwfv~| wfd| uvf
de l~ic} ~ivbf$ df l~ic||ekw ~ivbf fw df l~c|wed ~ivbf |ikw
edi~| egiqw| ek gcgfkwcf~ ldec~fjfkw df| |w~vlwv~f|
jgcledf|$ df| qf~|ikkfd| gf |ekw fw df| pmclvdf|
|ekcwec~f| fk wekw uvfkwcw| q~iwbf|+ Lik|el~f|
qe~ df| uvew~f Likpfkwcik| gf Bfkpf gf 5373$ dfv~|Q~iwilidf| eggcwcikkfd| fw df g~icw ckwf~kewciked liv*
wvjcf~$ lf| gc|qi|cwcik| dcfkw df g~icw gf ~flfpic~ gf|
|ick| gf |ekw dindcbewcik qiv~ wivwf| df| qe~wcf|
vk likcw gf ~flmf~lmf~ fw gf ~flvfcddc~ df| ndf|||
eq~| df lijnew$ fw gf dfv~ elcdcwf~ dell| ev} |w~vl*
wv~f| jgcledf|+ Uvekw ev g~icw gf| g~icw| gf dmijjf$
cd q~iwbf df| |ick| gf |ekw fk wivw wfjq|$ s lijq~c|
gek| df| |cwvewcik| gf w~ivndf| ckwf~kf|+ Cd |ebcw d gf
ki~jf| ov~cgcuvf| likw~ecbkekwf| qiv~ wiv| df| wew|
fw wivwf| df| qe~wcf| vk likcw qe~wivw gek| df jikgf+
Qiv~wekw$ fddf| kf |ikw qe| wivoiv~| ~f|qflwf|+
Fk >11=$ df LCL^ e dekl vkf wvgf qiv~ gwf~jckf~
dcklcgfklf gf de pcidfklf |v~ de iv~kcwv~f gf| |ick|
gf |ekw gek| 50 qes| i cd jfkecw gf| iq~ewcik|+ Gf|
cki~jewcik| ec|ekw wew gcklcgfkw| ikw w liddflwf|
evq~| gf gcpf~|f| |iv~lf|$ gikw gf| i~bekc|ewcik|
elwcpf| gek| df gijeckf gf de |ekw$ gf| liddeni~ewfv~|
gf de L~ic}*^ivbf fw gv L~ic||ekw*^ivbf fw gf| jgce|+
Df| gikkf| ~flvfcddcf| ikw w ekeds|f| qiv~ ~flfk|f~
df| i~jf| gf pcidfklf df| qdv| b~epf|$ uvc |ikw q~*
|fkwf| gek| df| qebf| |vcpekwf|+ I~$ |c df| |wewc|wcuvf|
~pdfkw uvf df| ewweuvf| likw~f df| qewcfkw|$ df| qf~|ik*kfd| gf |ekw$ df| |w~vlwv~f| jgcledf| fw df| pmclvdf|
|ekcwec~f| |ikw ~uvfkwf|$ fddf| qe~pcfkkfkw lfqfkgekw
gclcdfjfkw ~fkg~f lijqwf gf wivwf dwfkgvf gv
q~indjf$ fk qe~wclvdcf~ gek| df| ~bcik| ev}uvfddf|
df| i~bekc|ewcik| mvjekcwec~f| fw df| oiv~kedc|wf| kf
qfvpfkw qe| ellgf~$ lijjf lf|w |ivpfkw df le| ev
Qehc|wek fw fk Ebmekc|wek+ Fk ivw~f$ df| |wewc|wcuvf|
kf jikw~fkw qe| df| ffw| jvdwcqdclewfv~| ckgc~flw|
uvikw lf| ewweuvf|$ qe~ f}fjqdf di~|uvf gf| wendc|*
|fjfkw| gf |ekw f~jfkw dfv~| qi~wf| fw uvf dfv~|
fjqdis| g|f~wfkw dfv~ qi|wf+ Qiv~ gikkf~ wivwf de
jf|v~f gv q~indjf$ de q~|fkwf qvndclewcik |ewwelmf
wivw geni~g f}ejckf~ df| q~cklcqedf| qf~wv~newcik|
uvf |vnc||fkw df| |f~pclf| gf |ekw di~| gf likcw|
e~j| iv gf w~ivndf| lcpcd|$ epekw gwvgcf~ gf eik
qdv| gwecddf lf~weck| wsqf| gf pcidfklf |qlcuvf|+
8/3/2019 Les soins de sant en danger : expos d'une urgence
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DF\ LIW\ JVDWCQDF\GF DE PCIDFKLF
D pd ~~ d| |~p| g ||
g | d d| |+
Gvkf leqelcw gf 5> dcw|$mqcwed gEnini \vg$ Encgoek$ e q~c| fk lme~bf
qdv| gf 5155+
Qfwf~GcLejqi)PCCJfkwi~Q~ib~ej
Df| likcw| e~j| fw df| w~ivndf| ckwf~kf|$ wfd| uvf
df| jekcf|wewcik| pcidfkwf| iv df| jfvwf|$ ikw
gf| ndf||| gek| df| ~ekb| gf lfv} uvc s qe~wclcqfkw
gc~flwfjfkw fw qe~jc lfv} uvc fk |vnc||fkw df| ffw|+Df| qf~|ikkf| b~epfjfkw ndf||f| gicpfkw ~flfpic~
gf| |ick| ev qdv| pcwf+ I~$ lf|w q~lc|jfkw di~|uvf
df| nf|ick| |ikw df| qdv| cjqi~wekw| uvf df| |f~pclf|
gf |ekw ~c|uvfkw df qdv| gf |vnc~ gf| qf~wv~newcik|$
gf| fkw~epf| fw gf| ewweuvf|+ De pcidfklf$ |iv| i~jf
gelwf| iv gf jfkelf|$ lijq~ijfw de iv~kcwv~f gf|
|ick| gf |ekw gf qdv|cfv~| jekc~f|+
Wivw geni~g$ di~|uvf gf| lijnew| |f g~ivdfkw
q~i}cjcw gf |w~vlwv~f| jgcledf|$ cd| fkw~epfkw del*
l| gf| ndf||| fw gf| jedegf|$ gf| qf~|ikkfd| gf
|ekw fw gf| pmclvdf| uvc w~ek|qi~wfkw gf| jgcle*
jfkw| fw gv jew~cfd jgcled gf q~fjc~f klf||cw
pf~| lf| wendc||fjfkw|+ Df| e~ikwfjfkw| qfvpfkw
fk ivw~f qf~wv~nf~ deqq~ipc|cikkfjfkw fk fev fw fk
dflw~clcw$ eck|c uvf de iv~kcwv~f gf le~nv~ekw qiv~ df|
bk~ewfv~| gf |fliv~|+ Lf|w lf uvc f|w e~~cp Encgoek$
de leqcwedf cpic~cfkkf$ fk je~| >155$ di~|uvf gckwfk|f|
lijnew| ikw fjqlm df| ejnvdeklf| gpelvf~ df|
ndf|||$ fw di~bekc|ewcik jgcledf mvjekcwec~f Jgf*
lck| |ek| ~ikwc~f| -J\@# gf ~eqq~ipc|cikkf~ dmqcwed
gEnini \vg$ |fvd wendc||fjfkw fkli~f iq~ewcikkfd
gek| df |flwfv~ ki~g gf de pcddf+ Fw wekgc| uvf gf| gczec*kf| gf ndf||| e`vecfkw lmeuvf oiv~ wekw ncfk uvf
jed pf~| dmqcwed$ df| |wilh| gf iv~kcwv~f| jgcledf|
ikw w~| pcwf lijjfkl |qvc|f~+ \c lfwwf |cwvewcik
gfpecw |f q~idikbf~ fkli~f uvfduvf| oiv~|$ dmqcwed |f
~fw~ivpf~ecw pcwf liv~w gekf|wm|cekw|$ gf lijq~f||f|
|w~cdf| fw gf bekw| lmc~v~bclev} $ |wecw edi~| ckuvcw
df gilwfv~ \edme C||iviv$ lmf gf jc||cik qiv~ J\@+
Cd e~~cpf bedfjfkw uvf de pcidfklf likw~ecbkf gf|
lcpcd|$ fkw~f evw~f| gf| jfjn~f| gv qf~|ikkfd gf |ekw
fw dfv~| ejcddf|$ |f gqdelf~ pf~| gf| fkg~icw| qdv|
|~|+ Df jckc|w~f c~ehcfk gf de \ekw e eck|c ckgcuv uvf
|v~ 11< fw >110+ De Dcnsf$ i vkf b~ekgf q~iqi~wcik gf
de jeck gvp~f jgcledf df qf~|ikkfd ck~jcf~ fk
qe~wclvdcf~ wecw lik|wcwvf gf w~epecddfv~| jcb~ekw|$
ke qe| kik qdv| w qe~bkf qe~ df}igf gf| q~if|*
|cikkfd| gf de |ekw gfqvc| uvf df| w~ivndf| ikw ldew$ev gnvw gf dekkf >155+ Di~|uvfk p~cf~$ df| bivpf~*
kfjfkw| w~ekbf~| ikw gikk di~g~f dfv~| ~f||i~*
wc||ekw| gpelvf~ df qes|$ gf kijn~fv|f| |w~vlwv~f|
jgcledf| f||fkwcfddf|$ kiwejjfkw df| mqcwev} gf
Nfkbmezc fw gf Jc|~ewe$ |f |ikw |ivgeckfjfkw ~fw~iv*
pf| gek| vkf |cwvewcik l~cwcuvf$ evwf gf qf~|ikkfd
|v`|ekw+ Evoiv~gmvc$ lfwwf qkv~cf gf jeck gvp~f e
gf| ~qf~lv||cik| kik |fvdfjfkw qiv~ df| qf~|ikkf|
ndf||f| gek| df| lijnew|$ jec| bedfjfkw qiv~ df|
Dcnsfk| uvc |ikw ewwfckw| gf jedegcf| lm~ikcuvf| fw
klf||cwfkw gf| |ick| ~bvdcf~|+
Fkck$ de pcidfklf ~fckf de jc|f fk vp~f gcjqi~*
wekw| q~ib~ejjf| gf |ekw q~pfkwcpf$ lijjf df|
lejqebkf| gf pellckewcik$ lf uvc qfvw epic~ gf|
8/3/2019 Les soins de sant en danger : expos d'une urgence
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Dvkf gf| q~fjc~f|pclwcjf| gf de bvf~~f f|wdf |s|wjf gf |ekwdvc*jjf+ Je~li Nedgek$ lmc~v~bcfk gf bvf~~ffk lmf` gv LCL^
\lv^c\f^ Dell\ qiv^^eGcuvf^ De qiDciGfqvc| qdv| gf >1ek|$ gcjqi~wekw| fi~w| ikw
w gqdis| qiv~ pfkc~ nivw gf de qidcijs*
dcwf+ \c gki~jf| q~ib~| ikw w ~edc|| gek|
de ~gvlwcik gf de w~ek|jc||cik fw gv kijn~f
gf le| ~flfk|| gek| df jikgf$ de pcidfklf uvc
|pcw gek| uvfduvf| qes| ld| f|w vk in|weldf
gf wecddf d~egclewcik wiwedf gf lfwwf wf~~cndf
jedegcf+ Gek| gfv} gf| uvew~f qes| i de qidci
f|w fkgjcuvf df Qehc|wek fw dEbmekc|wek $
de livpf~wv~f pellckedf f|w dcjcwf fk ~ec|ik
gf| lijnew| iv gv jekuvf gf be~ekwcf| gf
|lv~cw uvc fjqlmf df| uvcqf| gf pellcke*
wcik gellgf~ wivwf| df| ~bcik| wivlmf|+
Fk ivw~f$ df| ifk|cpf| jcdcwec~f| q~ipiuvfkw
gf| gqdelfjfkw| gf qiqvdewcik uvc epi~c|fkw
de q~iqebewcik gf de jedegcf gf| zikf| ov|uvf*
d qe~bkf|+ Fk >11=$ de q~ipcklf gv Qvkoen$
ev Qehc|wek$ edi~| f}fjqwf gf qidcijsdcwf
gfqvc| gfv} ek|$ e likkv vkf kivpfddf ejnfgf de jedegcf de |vcwf gvk e`v} gf qf~|ikkf|
vsekw de pcidfklf gek| df Hmsnf~ Qehmwvk*
hmre fw df| zikf| w~cnedf| |iv| egjckc|w~ewcik
g~edf+ Gf| lfkweckf| gf jcddcf~| gfkekw|
~f|wfkw$ evoiv~gmvc fkli~f$ mi~| gf qi~wf
gf| lejqebkf| gf pellckewcik gek| lf~weckf|
~bcik| gf dEbmekc|wek fw gv Qehc|wek+
Fk >112$ df jckc|w~f ebmek gf de \ekw fw
dI~bekc|ewcik jikgcedf gf de |ekw ikw gf*
jekg ev LCL^ gf jfww~f q~iw |f| likwelw|
q~cpcdbc| epfl diqqi|cwcik e~jf fk Ebme*
kc|wek qiv~ kbilcf~ df qe||ebf fk wivwf
|lv~cw gf| uvcqf| gf pellckewcik+ Jjf |c gf|
~bcik| ~f|wfkw ckellf||cndf|$ df| be~ekwcf| gf
|lv~cw eck|c inwfkvf| ikw qf~jc| gf ~fdeklf~
de lejqebkf gek| wivw df qes|$ fw gevbjfkwf~
lik|cg~endfjfkw de livpf~wv~f pellckedf+Df q~cklcqed mqcwed gf Jc|~ewe -Dcnsf# e g w~fpelv uvekg gf| mijjf| e~j| dikw vwcdc| lijjfne|f giq~ewcik|+
Ekg~Dcimk)LCL^
lik|uvfklf| dikb wf~jf+ De dvwwf qiv~ ~egcuvf~
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uvcqf| gf pellckewcik f|w gc`lcdf e||v~f~+ Df| likcw|
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gf| ~bcik| |ivpfkw mi~| gf qi~wf gf| |s|wjf| gf
|ekw fk qdelf$ fw lf$ ev jijfkw jjf i fddf| |ikw
df| qdv| pvdk~endf| ev} jedegcf|+
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kfd| gf |ekw fw df| |w~vlwv~f| jgcledf|+ Fddf| |ikw
kekjick| wivw ev||c ewedf| ev} ndf||| fw ev} jede*
gf| uvc kf qe~pcfkkfkw qe| inwfkc~ de||c|weklf gikw
cd| ikw nf|ick+
8/3/2019 Les soins de sant en danger : expos d'une urgence
8/24=
q~ pd$ g df|
nijne~gfjfkw|$ df| wc~| ge~wcddf~cf fw de~jf db~f$
df| qcddebf|$ df| f~elwcik|$ df| jekvp~f|
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de i~lf df iklwcikkfjfkw gf| |w~vlwv~f| jgcledf|
-qe~ f}fjqdf fk df| q~cpekw gfev fw gdflw~clcw#+
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df| qi|wf| gf q~fjcf~| |fliv~|$ df| lfkw~f|
gf w~ek|v|cik |ekbvckf$ df| gqw| gf jew~cfd
jgcled fw df| qme~jelcf| gf lf| vkcw|+
DE PCIDFKLF LIKW^FDF\ \W^VLWV^F\ JGCLEDF\
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df| elwf| gf pcidfklf gdcn~f likw~f lf| |w~vlwv~f|
qiv~ inwfkc~ vk epekwebf jcdcwec~f fk q~cpekw diqqi*
|ekw$ fw lfv} |ivqikk| gf df |ivwfkc~$ gf de||c|weklf
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uvf| qfvpfkw ev||c epic~ qiv~ inoflwc gf ~qekg~f de
wf~~fv~ qe~jc de qiqvdewcik fk q~fkekw qiv~ lcndf gf|
ck~e|w~vlwv~f| q~iwbf|+ Fk ivw~f$ gf| ewweuvf| |ikw
qe~ic| deklf| qiv~ gdcp~f~ gf| lijnewwekw| gwfkv|
uvc |ikw mi|qcwedc||+ Dewweuvf likw~f dmqcwed Ockkem$
Demi~f -Qehc|wek#$ fk ovck >151$ epecw q~lc|jfkw
qiv~ nvw gf gdcp~f~ vk elwcpc|wf ndf||$ leqwv~ eq~|
vk ewwfkwew gek| vkf ji|uvf$ i =1 gdf| epecfkw
w~ivp de ji~w+ W~ic| mijjf| e~j| fk vkci~jf gf
qidclf |ikw fkw~| gek| dmqcwed fw ikw ecw fv gf je*
kc~f ckgc|l~cjckf$ wvekw gf| fjqdis|$ gf| pc|cwfv~|
fw gf| ebfkw| gf |lv~cw+
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qf~qw~| qiv~ gf| ~ec|ik| qidcwcuvf|$ ~fdcbcfv|f| iv
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wec~f fk wekw uvf wfd+ Df| f}fjqdf| |vcpekw| ~fkw~fkw
gek| lfwwf lewbi~cf ? dcklfkgcf gldfklm gek| vk
gc|qfk|ec~f b~ qe~ gf| Ivznfh| ev Hc~bmczc|wek di~|gf| pcidfklf| fwmkcuvf| fk ovck >151 8 df nivldebf
fw de q~c|f gf likw~df gf dmqcwed \edjekcse qe~ df|
jcdcwec~f| ev gnvw gf dekkf >155 Nem~fk$ qe~lf uvf
|ivqikk gf |ivwfkc~ df| jekcf|wekw| ekwcbivpf~*
kfjfkwev} 8 fw dewwfkwew likw~f vk mqcwed gf He~elmc$
fk p~cf~ >151$ uvc pc|ecw df| |v~pcpekw| gvkf ewweuvf
le~elw~f ~fdcbcfv} likw~f vk nv| w~ek|qi~wekw gf|
jfjn~f| gvkf jcki~cw lmccwf+
De w~ic|cjf lewbi~cf e w~ecw ev} ffw| ckpidikwec~f|
gf| nijne~gfjfkw| fw gf| wc~| ginv| iv gf jc||cdf|
likw~f vkf lcndf jcdcwec~f+ Lf| gijjebf| liddew~ev}
|ikw qe~wclvdc~fjfkw ~uvfkw| di~| giq~ewcik| jcdc*
wec~f| jfkf| gek| gf| zikf| v~neckf| w~| qfvqdf|+
Df| evwfv~| gf lf bfk~f gewweuvf| |ikw lfk|| q~fkg~f
wivwf| df| q~levwcik| qi||cndf| qiv~ gc|wckbvf~ fkw~f
8/3/2019 Les soins de sant en danger : expos d'une urgence
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DMqcweD Gv lcl^ HcbeDc ? vk Diw GMvjekcw Gek\ vk ilek GckMvjekcwLf uvc f|w e~~cp Hcbedc$ de leqcwedf gv rekge$ gv~ekw df bkilcgf gf 5337$ f|w vk nfd f}fjqdf gf ~f|qflw gf dckpcidencdcw gvk mqcwed$ gf
|ik qf~|ikkfd fw gf |f| qewcfkw|+ Di~| gf| je||el~f| qf~qw~| |ek| jf~lc w~ic| jic| gv~ekw likw~f df| jfjn~f| gf de jcki~cw wvw|cf fw df|
qf~|ikkf| |v|qflwf| gf df| |ivwfkc~$ df| uvcqf| gv LCL^ fw gf J\@ ikw |evp gf| gczeckf| gf jcddcf~| gf pcf| gek| vk lijqdf}f q~iwb
vkcuvfjfkw qe~ df g~eqfev gf de L~ic}*^ivbf+ Fddf| |f |ikw epfkwv~f| gek| df| ~vf| qiv~ ~lvq~f~ df| ndf|||$ epfl qiv~ |fvdf e~jf
dfv~| negbf|$ dfv~ liv~ebf fw de i~lf gf dfv~| e~bvjfkw| qiv~ pcwf~ uvcd| kf |icfkw e~~elm| gf| ejnvdeklf|+ Dmqcwed e w qdv|cfv~|
ic| jfkel fw fkgijjeb qe~ gf| wc~| gf ~iuvfwwf|$ jec| evlvk gf lfv} uvc ~ewc||ecfkw de pcddf qiv~ w~ivpf~ gf kivpfddf| pclwcjf| ks f|w
oejec| fkw~ gf i~lf+ Dmqcwed fk e jjf ~eqqfd lf~weck| de ~ec|ik$ lijjf lf| jcdclcfk| |v~ df qickw gf vc~ de pcddf$ uvc ikw fjjfk
dmqcwed vkf ck~jc~f wvw|cf |uvf|w~f gfqvc| w~ic| jic|+ Kiv| epik| glcg gf kf qe| de wvf~ ncfk uvfddf |icw wvw|cf $ ikw*cd| glde~
Qmcdcqqf Becdde~g$ lmf gf de gdbewcik gv LCL^+ Fk wekw uvck~jc~f$ fddf |f~e qdv| vwcdf gek| piw~f mqcwed uvf ji~wf+
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lcndf| dbcwcjf| fw cddbcwcjf|+ I~$ gek| df| likcw| fk
Dcnsf$ \~c Dekhe$ fk \ijedcf$ gek| df wf~~cwic~f qedf|*
wckcfk illvq$ ev Dcnek$ ev Sjfk fw ev ^rekge$ gf|
|w~vlwv~f| jgcledf| ikw |vnc gf b~epf| gijjebf|$
ilcfddfjfkw lev|| qe~ f~~fv~+ Lf| wendc||fjfkw|
|ikw gevwekw qdv| jfkel| |cd| |f w~ivpfkw q~i}cjcw
gck|weddewcik| jcdcwec~f|+ Ev||c ckl~isendf uvf lfde qvc|*
|f qe~ew~f$ df| 5> inv| uvc |f |ikw enewwv| |v~ dmqcwed
Jfgcke gf Jibegc|lci$ df 5> ep~cd >155$ kf pc|ecfkw qe|
dwendc||fjfkw gf |ekw dvc*jjf$ ldec~fjfkw |cbked
lijjf wfd$ jec| gf| ~fq~|fkwekw| gv Bivpf~kfjfkw
g~ed gf w~ek|cwcik uvc e||c|wecfkw vkf ~vkcik jc*
dcwec~f gf mevw kcpfev kik dick gf d+ \c 55 inv| kikw
jc~elvdfv|fjfkw qe| f}qdi|$ vk gf| fkbck| e ndf||
gfv} be~gf| fw |fj de qekcuvf qe~jc df| qewcfkw| fw df
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dfv~ lcndf$ wvekw ev jick| w~ic| qf~|ikkf| ev uve~wcf~
bk~ed gv Bivpf~kfjfkw g~ed gf w~ek|cwcik+
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df| pid| gf jgclejfkw| iv guvcqfjfkw| jgclev}+
Lf| elwf| pc|fkw qe~ic| inwfkc~ gv jew~cfd jgcled
qiv~ |icbkf~ gf| lijnewwekw| ndf||| l~ecbkekw gf |f
~fkg~f gek| vk wendc||fjfkw gf |ekw+ Kekjick|$ cd|
|ikw df qdv| |ivpfkw lijjc| gf| k| qv~fjfkw l~cjc*
kfddf|+ Fk >11113$ gf| ck|v~b| e~j| |ikw fkw~| gek|
vk gc|qfk|ec~f gek| de q~ipcklf gf Qehwche$
fk Ebmekc|wek$ f}cbfekw uvf dfv~ lij*
jekgekw ndf|| |icw |icbk+ Gf| wc~| ikw
edi~| w lmekb| epfl df| i~lf| e~jf|
df}w~cfv~ gf dwendc||fjfkw$ ov|uv lf
uvvk mdcliqw~f gf lijnew deklf gf|
~iuvfwwf| |v~ df nwcjfkw$ wvekw wiv| df|
ck|v~b| |ev vk fw ~gvc|ekw fk lfkg~f|
de |flwcik ~|f~pf ev} mijjf|+
8/3/2019 Les soins de sant en danger : expos d'une urgence
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Cd| |ikw fkw~| qe~ df qe~hckb$
kiv| ikw i~gikk$|iv| de jfkelf gvkf e~jf$gf kiv| livlmf~ qe~ wf~~f$qvc| ikw enewwv df qewcfkw|v~ de lcpc~f fw |ikw ~fqe~wc|lijjf |c gf ~cfk kwecw+ Wjicbkebf gvk pidikwec~f esekw e||c|w df}lvwcik gvk qewcfkw gek| df| di lev} gfde L~ic}*^ivbf
DE PCIDFKLF LIKW^FDF\ NDF\\\FW DF\ JEDEGF\
q~ pd$ g df ecw gf
wvf~$ gf ndf||f~$ gf me~lfdf~ iv gckwcjcgf~ df| qewcfkw|
iv df| qf~|ikkf| uvc wfkwfkw gepic~ ell|
gf| |ick| gf |ekw 8 gf ndiuvf~ iv gfkw~epf~ dell|
~eqcgf ev} |ick| gf |ekw 8 gf jekuvf~ gdcn~jfkw
ev gfpic~ ge||c|weklf iv gf ~fv|f~ gf iv~kc~vkf e||c|weklf 8 gf q~ewcuvf~ de gc|l~cjckewcik gek|
dell| ev} |ick| gf |ekw iv gek| de uvedcw
gf| |ick| 8 fw gckwf~~ijq~f df| |ick| jgclev}+
D| d||| d| dg| |$ fkw~f evw~f|$
wivwf| df| qf~|ikkf| lcpcdf| iv jcdcwec~f| uvc ikw
nf|ick gvkf e||c|weklf jgcledf fw uvc |en|wcfkkfkw
gf wivw elwf gmi|wcdcw+ \ikw bedfjfkw ckldv| gek|
lfwwf lewbi~cf df| fjjf| fklfckwf| iv fk livlmf|$
df| kivpfev*k| fw df| ck~jf|+
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ndf||| fw gf| jedegf| |f|w q~igvcwf fk kipfjn~f
5335$ gek| de pcddf l~iewf gf Pvhipe~+ Df oiv~ jjf
i df LCL^ wecw qe~pfkv vk elli~g be~ekwc||ekw de
kfvw~edcw gf |ik mqcwed$ 11 gfkw~f fv} ikw fk|vcwf w ~fw~ivp| gek| vkf
i||f lijjvkf$ wekgc| uvf 65 qf~|ikkf| |ikw wivoiv~|
qi~wf| gc|qe~vf|+ Gf| qewcfkw| ikw ev||c w f}lvw|
gek| gf| ejnvdeklf| iv gf| |w~vlwv~f| jgcledf| fk
\cf~~e Dfikf$ fk Lidijncf$ ev Dcnek$ fk qvndcuvf g*jil~ewcuvf gv Likbi fw gek| df wf~~cwic~f qedf|wckcfk
illvq$ iv fkli~f di~| gf pcidfklf| fkw~f bekb| ev
Jf}cuvf+ Gf| le| |cjcdec~f| ikw bedfjfkw w |cbked|
fk Dcnsf+ Fk |fqwfjn~f fw fk ilwin~f >111$ fk Lidij*
ncf$ gf| qewcfkw| ikw w f}lvw| gek| gf| ejnvdek*
lf| gv LCL^ qe~ gf| qe~ejcdcwec~f|$ jec| ev||c qe~ gf|
~fnfddf|$ fk bvc|f gf ~fq~|ecddf|+ Df LCL^ e edi~| w
likw~eckw gf |v|qfkg~f df| pelvewcik| fw df| w~ek|f~w|
gf qewcfkw| ov|uv lf uvcd inwcfkkf de be~ekwcf uvf |f|
ejnvdeklf| fw df| qewcfkw| |f~ecfkw ~f|qflw|+
lf| ewweuvf| ckwid~endf| |eoivwfkw df| in|weldf|
ev}uvfd| df| ndf||| fw df| jedegf| |f mfv~wfkw$ qdv|
~uvfjjfkw fkli~f$ di~|uvcd| wfkwfkw gellgf~ ~e*
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qe~ic| gdcn~jfkw ndiuv$ lf| in|weldf| lik|c|wfkw$
de qdvqe~w gv wfjq|$ fk gf| ~ivwf| f~jf| iv gf| ewwfk*
wf| q~idikbf| ev} qi|wf| gf likw~df qiv~ gf| ~ec|ik|
gf |lv~cw+ Uvf lf| jf|v~f| gf |lv~cw |f ov|wcfkw
iv kik$ df| cjqi~wekw| ~fwe~g| uvfddf| q~ipiuvfkw ev}
qi|wf| gf likw~df di~|uvf gf| pmclvdf| |ikw ivcdd|
fw dfv~| qe||ebf~| ckwf~~ib| qfvpfkw liwf~ gf| pcf|+
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gek| de q~ipcklf gf Hvkgvz -Ebmekc|wek#$ f|w gl*
gf df < p~cf~ >151$ qfv eq~| |ik e~~cpf dmqcwed+
8/3/2019 Les soins de sant en danger : expos d'une urgence
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Gf| mijjf| e~j| ikw e~~w lfwwfejnvdeklf qiv~ wvf~ vk lijjekgekw gfqidclf uvc wecw w~ek|qi~w dmqcwed+
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8/3/2019 Les soins de sant en danger : expos d'une urgence
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ec~f q~cjf~ df| |ick| gf |ekw |v~ df| ckwf~~ibewic~f|$ fk
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l~ic||+ Lf |ikw |s|wjewcuvfjfkw gf| q~ilmf| iv gf|
pic|ck| uvc fjjkfkw df| pclwcjf| lcpcdf| dmqcwed$
kik qe| gf| mijjf| fw gf| fjjf| fk vkci~jf iv
e~j|+ I~$ lf| q~ilmf| fw pic|ck| gf pclwcjf| |ikw wivw
ev||c pvdk~endf| ev} ewweuvf| fw de gc|l~cjckewcik
uvf kcjqi~wf uvfd qewcfkw uvc |f ~fkg iv |f w~ivpf
gek| vkf |w~vlwv~f gf |ekw+
8/3/2019 Les soins de sant en danger : expos d'une urgence
13/245113$ gf| w~elw| uvc jik*
w~ecfkw gf| cjebf| gf b~fkegf| fw gf qc|widfw|
ikw w gcv|| gek| df lijqdf}f gf dmqcwed
Jfgcke$ fkoicbkekw df qf~|ikkfd gf lf||f~ gf|icbkf~ dfkkfjc + Jedb~ wivw$ df gc~flwfv~
gf dmqcwed$ Jimejjfg Sv|v$ e glde~ uvf
df| jfkelf| kf ~fjfww~ecfkw qe| fk uvf|wcik
dfv~ jekc~f gf w~epecddf~+ Df| bfk| gicpfkw
lijq~fkg~f uvf df| ebfkw| gf |ekw |ikw kfv*
w~f| fw iv~kc||fkw gf| |ick| wiv| lfv} uvc fk
ikw nf|ick$ jjf ev} evwfv~| gf lf| w~elw| fw
dfv~| q~ilmf|+
Ekg~Dcimk)LCL^
Gfqvc| uvcd e w eb~f||$ Jimejjfg Sv|v$
gc~flwfv~ gf dmqcwed Jfgcke Jibegc|lci$f|w |iv| q~iwflwcik e~jf >7 mfv~f| |v~ >7+
lf uvf Gcw Df G^icw ?Df| uvew~f Likpfkwcik| gf Bfkpf gf 5373 fw dfv~| Q~iwilidf| eggcwcikkfd|
gf 5322 kiklfkw df| ~bdf| |vcpekwf| ?
Df| ndf||| fw df| jedegf|$ eck|c uvf df| ck~jf| fw df| fjjf| fklfckwf|
gicpfkw ec~f dinofw gvkf q~iwflwcik fw gvk ~f|qflw qe~wclvdcf~|+
Df| ndf||| fw df| jedegf| gicpfkw w~f q~iwb| likw~f df qcddebf fw
df| jevpec| w~ecwfjfkw|+
Qf~|ikkf kf |f~e dec|| gf eik q~jgcwf |ek| |fliv~| jgcled$
iv |ek| |ick|+
Lmeuvf ic| uvf df| lc~lik|weklf| df qf~jfwwfkw$ fw kiwejjfkw eq~| gf|lijnew|$ lmeuvf qe~wcf ev likcw gicw |ek| we~gf~ q~fkg~f wivwf|
df| jf|v~f| qi||cndf| qiv~ ~flmf~lmf~$ ~lvq~f~ fw pelvf~ df| ndf||| fw
df| jedegf|$ |ek| evlvkf gc|wcklwcik gf le~elw~f gepi~endf+
Df ~df qe~wclvdcf~ uvf oivf df LCL^ fk elcdcwekw de l~ewcik gf zikf|
kfvw~edc|f| gf|wckf| jfww~f df| ndf|||$ df| jedegf| fw df| lcpcd| den~c
gf| gekbf~| gf| lijnew| f|w ~flikkv+
De q~fjc~f indcbewcik gf| qe~wcf| vk likcw f|w gf q~fkg~f fk lme~bf df|
ndf||| fw df| jedegf|+ Df| |ick| q~igcbv| qe~ de qiqvdewcik diledf$
df| i~bekc|ewcik| mvjekcwec~f| iv gf| wcf~| kf gc|qfk|fkw qe| df| qe~wcf| ev
likcw gf dfv~| indcbewcik|+
Df g~icw gf| g~icw| gf dmijjf$ fk eqqdclewcik gf de Glde~ewcik vkcpf~|fddf gf|
g~icw| gf dmijjf$ gv Qelwf ckwf~kewciked ~fdewc ev} g~icw| lcpcd| fw qidcwcuvf|$
gv Qelwf ckwf~kewciked ~fdewc ev} g~icw| likijcuvf|$ |ilcev} fw lvdwv~fd| fw gf
qdv|cfv~| evw~f| likpfkwcik|$ q~picw uvf ?
Wivwf qf~|ikkf e g~icw de pcf+ Df| wew| gicpfkw |en|wfkc~ gfkw~epf~ iv
gf ~fwe~gf~ gdcn~jfkw de iv~kcwv~f gf |ick| gf |ekw ev} ndf||| fw
ev} jedegf| fk gekbf~ gf ji~w+
Di~|uvf df ~fliv~| de i~lf f|w ckpcwendf$ df| jfjn~f| gf| i~lf|
gf di~g~f gicpfkw pfcddf~ lf uvf df| pclwcjf| ~ficpfkw vkf e||c|weklf
jgcledf gek| df| qdv| n~f| gdec|+
Wivwf qf~|ikkf e df g~icw gf oivc~ gv jfcddfv~ wew gf |ekw qms|cuvf
fw jfkwedf qi||cndf+ Df| wew| gicpfkw ev jick| iv~kc~ gf| |ick| gf |ekwq~cjec~f| f||fkwcfd|+
Wivwf qf~|ikkf e df g~icw gepic~ ell| gf| |w~vlwv~f| fw gf| |f~pclf|
jgclev} f||fkwcfd| |ek| evlvkf i~jf gf gc|l~cjckewcik+
Df| wew| gicpfkw |en|wfkc~ gf ~fv|f~ iv gf dcjcwf~ e~ncw~ec~fjfkw
lfw ell|$ kiwejjfkw di~|uvcd |ebcw giqqi|ekw| qidcwcuvf|+
Df| wew| gicpfkw q~fkg~f gf| jf|v~f| likl~wf| qiv~ ecgf~ df| ckgcpcgv|
inwfkc~ df ~f|qflw gf dfv~ g~icw de |ekw+
8/3/2019 Les soins de sant en danger : expos d'une urgence
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DE PCIDFKLF LIKW^FDF\ QF^\IKKFD\ GF \EKW
q~ pd$ g df ecw
gf wvf~$ gf ndf||f~$ gfkdfpf~$ gf me~lfdf~$ gf jfkelf~$
gckwcjcgf~ fw gf gpedc|f~ gf| jfjn~f| gv
qf~|ikkfd gf |ekw 8 iv fkli~f gf df| e~~wf~ qiv~
epic~ ellijqdc dfv~| wlmf| jgcledf|+
D| ~|d| g | |$ fkw~f evw~f|$
df| jgflck|$ df qf~|ikkfd ck~jcf~ fw qe~ejgcled lijjf df| |fliv~c|wf| $ df qf~|ikkfd gf
|ivwcfk e||cbk gf| iklwcik| jgcledf|$
df qf~|ikkfd egjckc|w~ewc gf| |w~vlwv~f| jgcledf|
fw df| ejnvdeklcf~|+
Df| qf~|ikkfd| gf |ekw ikw elf gf kijn~fv} g|
di~|uvcd| w~epecddfkw gek| gf| likcw| e~j| fw evw~f|
|cwvewcik| gf pcidfklf+ Cd| gicpfkw kiwejjfkw egeqwf~
dfv~| |wekge~g| fk iklwcik gf| ~f||iv~lf| gikw cd| gc|*
qi|fkw$ fw b~f~ gf| e`v} je||c| gf qf~|ikkf| esekw
nf|ick gf |fliv~| cjjgcew|+ Ev*gfd gf lf| g|
qv~fjfkw q~if||cikkfd|$ cd| |ikw fk ivw~f f}qi||
gf b~epf| gekbf~| dc| de kewv~f jjf gf dfv~ w~epecd+
DC~eh e w df wmw~f gf uvfduvf|*vkf| gf| qc~f| ewwe*
uvf| gc~cbf| likw~f gf| qf~|ikkfd| gf |ekw+ Fk >11=$
df jckc|w~f c~ehcfk gf de \ekw f|wcjecw uvf qdv| gf
0>6 ebfkw| gf |ekw epecfkw qf~gv de pcf gfqvc| >11112$ qe~ f}fjqdf$ gf kijn~fv} jgflck| ikw
w gdcn~jfkw q~c| qiv~ lcndf gek| vkf pebvf
gewwfkwew| uvc e kiwejjfkw liw de pcf ev gilwfv~
Jimejjfg Eocd$ gc~flwfv~ gf dmqcwed q|slmcew~cuvf
gf Nebgeg$ enewwv qe~ gf| mijjf| jiwi edi~| uvcd~fkw~ecw lmfz dvc+ Gf| lfkweckf| gevw~f| jgflck| ikw
~fv gf| jfkelf| gf ji~w iv ikw w fkdfp|$ qe~ic|
likw~f ~ekik$ jec| ev||c qiv~ gf| jiwc| qidcwcuvf| iv
~fdcbcfv}+ Qdv| gf de jicwc gf| jgflck| uvf lijqwecw
df qes| ikw vc dw~ekbf~$ wekgc| uvf de qdvqe~w gf lfv}
uvc |ikw ~f|w| |ikw evoiv~gmvc likw~eckw| gf pcp~f |v~
dfv~ dcfv gf w~epecd$ |cd| kf pfvdfkw qe| ~c|uvf~ dfv~ pcf
fk ~fkw~ekw lmeuvf oiv~ lmfz fv}+
De pcidfklf likw~f df| qf~|ikkfd| gf |ekw f|w ev||c w~|
~qekgvf fk Ebmekc|wek$ i cd| |ikw |ivpfkw dinofw gf
jfkelf|$ gf me~ldfjfkw fw gewweuvf|+ Gek| lf qes|$
gf| gczeckf| gf jfjn~f| gv qf~|ikkfd jgcled ikw
w fkdfp|$ wekww qiv~ gf de~bfkw$ wekww qiv~ dfv~|
lijqwfklf|$ |f pisekw edi~| likw~eckw| gf gikkf~ gf|
8/3/2019 Les soins de sant en danger : expos d'une urgence
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Vk jgflck qdfv~f de ji~w gf uvew~f ejc| -vk lik~~f$vk likgvlwfv~ gejnvdeklf fw gfv} ck`~jcf~|#$wv| di~| gvkf ewweuvf e~cfkkf |v~ de ~ivwf fkw~fEogencse fw N~fbe -Dcnsf#+
Ekg~Dcimk)LCL^
|ick| gf| lijnewwekw| ndf||| uvc l~ecbkecfkw gw~f
e~~w| |cd| ~fliv~ecfkw ev} |f~pclf| gvk wendc||fjfkw
qvndcl+ Ev liv~| gf de dikbvf bvf~~f uvc e glmc~
\~c Dekhe$ gf| jgflck| fw gevw~f| qf~|ikkfd| gf |ekw
ikw ecw dinofw gf jfkelf| iv ikw w wv| qiv~ epic~
q~igcbv gf| |ick| dfkkfjc + Fk glfjn~f >11=$
de jicwc gf| jgflck| fk elwcpcw Pepvkcse ikw ~fv
vkf dfww~f ekiksjf qi|wf Lidijni$ gek| deuvfddf
ik dfv~ |cbkcecw uvvk jgflck wejivd |f~ecw wv qiv~pfkbf~ de ji~w gvk jgflck lckbmedec| e||e||ck gek|
df gc|w~clw gf Newwcledie+
\c df| qf~|ikkfd| gf |ekw dilev} |ikw df| q~cklcqedf|
pclwcjf| gf de pcidfklf$ uvfddf |f jekcf|wf |iv| i~jf
gelwf| iv gf jfkelf|$ df| fjqdis| gf| i~bekc|ewcik|
mvjekcwec~f| w~ekb~f| kf |ikw qe| kik qdv| qe~*
bk|+ Fk glfjn~f 5330$ |c} liddeni~ewfv~| f}qew~c|
gv LCL^ uvc w~epecddecfkw gek| dmqcwed gf lejqebkf
gf Kipsf Ewebc$ fk Wlmwlmkcf$ ikw w e||e||ck|
nivw qi~wekw qfkgekw dfv~ |ijjfcd$ di~| gvkf ewweuvf
q~jgcwf likw~f lfw wendc||fjfkw+ Vk |fqwcjf
gdbv$ gikk edi~| qiv~ ji~w$ e |v~plv+ Jvkc|
ge~jf| |cdfklcfv}$ df| e||e||ck| epecfkw ldec~fjfkw
dckwfkwcik gf wvf~ wiv| df| liddeni~ewfv~| f}qew~c|+
\cd| kikw qe| qv jfkf~ ncfk dfv~| qdek|$ lf|w vkc*
uvfjfkw qe~lf uvf dede~jf e w gikkf+ Ev kijn~f
gf| pclwcjf| bv~ecfkw uvew~f ck~jc~f|$ vkf egjc*
kc|w~ew~clf jgcledf fw vk wflmkclcfk fk nwcjfkw+
Df LCL^ e edi~| |v|qfkgv |f| iq~ewcik| gek| wivwf de
Wlmwlmkcf$ w~ek|~ekw de ~f|qik|encdcw gf dmqcwed
ev jckc|w~f wlmwlmkf gf de \ekw+
Fk wfjq| gf likcw e~j$ df| qf~|ikkfd| gf |ekw df|qdv| f}qi|| |ikw |ek| givwf df| |fliv~c|wf| fw df|
jgflck| q~|fkw| |v~ df| dcbkf| gf ~ikw qiv~ q~i*
gcbvf~ gf| |ick| pcwev} ev} ndf||| fw df| pelvf~ fk
dcfv |~+ Cd| ~c|uvfkw wivw jijfkw gw~f ewweuv|$
q~c| gek| df| fv} l~ic||$ iv ndf||| qe~ gf| fkbck|
kik f}qdi|| gc|qf~|| |v~ df |id+ Fkw~f >117 fw >113$
62 pidikwec~f| gv Jivpfjfkw ckwf~kewciked gf de L~ic}*
^ivbf fw gv L~ic||ekw*^ivbf ikw w wv| iv ndf|||
gek| df}f~lclf gf dfv~| iklwcik|+ Gf wfd| cklcgfkw| kf
|ikw lfqfkgekw qe| deqekebf gf| |cwvewcik| gf likcw
e~j+ Fk >151$ f~es| qe~ dck|lv~cw l~ic||ekwf$ df|
qf~|ikkfd| gf |ekw jf}cleck| |f |ikw jc| fk b~pf$
f}cbfekw gf| |idvwcik| qiv~ jfww~f k de pcidfklf+
Gek| gf kijn~fv|f| ~bcik| gv Jf}cuvf$ df| ebfkw|
gf |ekw m|cwfkw wivoiv~| gepekwebf gikkf~ gf|
8/3/2019 Les soins de sant en danger : expos d'une urgence
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Of |vc| en|idvjfkw likpecklvuvvk gf| jc||cdf|kiv| pc|ecw qf~|ikkfddfjfkw+Of kf qfv} qe| e``c~jf~epfl lf~wcwvgf uvik lmf~lmecw kiv| wvf~ 8 ik pivdecwqfvw*w~f ov|wf kiv| gc||vegf~geqq~ilmf~+ Lf uvc f|w |~$lf|w uvcd kiv| wecw ncfkgf|wck+ Hmedfg Env \eege$ likgvlwfv~ gejnvdeklf gvL~ic||ekw*^ivbf qedf|wckcfk
|ick| ev} qf~|ikkf| ndf||f| qe~ neddf uvcd| |ivqik*
kfkw geqqe~wfkc~ gf| bekb| l~cjckfd|$ gf qfv~ gw~f
fv}*jjf|$ vk oiv~$ de lcndf gf pcidfklf|+
Cd e~~cpf ev||c uvf gf| jfjn~f| gv qf~|ikkfd jgcled
|icfkw e~~w| qiv~ |w~f eluvcww| gf dfv~ indcbewcik
gf |icbkf~ wivwf| df| qf~|ikkf| esekw nf|ick gf dfv~|
|f~pclf|$ ckgqfkgejjfkw gf uvc fddf| |ikw fw gf lf
uvfddf| ikw ecw+ \~c Dekhe$ w~ic| jgflck| uvc w~e*
pecddecfkw gek| df ki~g gv qes| ikw w ecw| q~c|ikkcf~|
fk >113+ Ev Sjfk$ gf| pidikwec~f| gv L~ic||ekw*^ivbf|ivqikk| gf |sjqewmc|f~ epfl df| ck|v~b| ikw w
e~~w| di~| gf| w~ivndf| uvc ikw ldew gnvw >155+ Fkk$
Nem~fk$ 72 jgflck| fw jfjn~f| gv qf~|ikkfd ck~*
jcf~ uvc q~igcbvecfkw gf| |ick| ev} jekcf|wekw| ikw
w e~~w| di~| gf pe|wf| livq| gf dfw jfk| likw~f
df| qf~|ikkfd| gf |ekw fk je~bf gf de ~q~f||cik gf|
jekcf|wekw|+ Cd| ~c|uvfkw gf gfpic~ ~qikg~f gevw~f|
lmf| gellv|ewcik gfpekw vk w~cnvked jcdcwec~f+
Jjf fk wfjq| gf qec}$ gek| gf kijn~fv} qes|$ df|
qf~|ikkfd| gf |ekw gicpfkw ec~f elf gf| jfkelf|
ckellfqwendf| gf de qe~w gf| qewcfkw| iv gf dfv~| q~i*
lmf|$ ck|ewc|ecw| gf de uvedcw gf| |ick|+ Vkf wvgf ~e*
dc|f gek| |c} mqcwev} dcnekec| fk >113 e ~pd uvev
liv~| gf lfwwf ekkf$ =1& gv qf~|ikkfd gf| |f~pclf|
gv~bfklf epecw w eb~f|| pf~nedfjfkw$ fw >6& qms|c*
uvfjfkw+ Qdv| gf| gfv} wcf~| gf lf| eb~f||cik| wecfkw
df ecw gf qe~fkw| iv gejc| gf qewcfkw|+ Lfwwf wfkgeklf
f|w fkli~f qdv| je~uvf gek| df| qes| fk qdfckf bvf~~f+
Ik e pv$ fk C~eh fw fk \ijedcf$ gf| lijnewwekw| e~j|
q~fkg~f ge||evw gf| |f~pclf| gv~bfklf fw gf| |eddf|
giq~ewcik qiv~ f}cbf~ uvvk ejc$ vk q~ilmf iv vk
lijqebkik ge~jf| |icw cjjgcewfjfkw q~c| fk lme~bf+
8/3/2019 Les soins de sant en danger : expos d'une urgence
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vk ell\ qDv\ \^ qiv^ Df\ebfkw\ Gf \ekw fk liDijncf\ekwe L~vz f|w vk pcddebf c|id gv |vg*f|w gf
de Lidijncf$ ckf|w gf jckf| wf~~f|w~f| fw
gevw~f| ~f|wf| f}qdi|c| gf bvf~~f+ De |fvdf ck*
~jc~f gv pcddebf ~c|uvf gf jiv~c~ iv gw~f
jvwcdf lmeuvf ic| uvfddf |epfkwv~f mi~| gv
lfkw~f jgcled qiv~ ec~f vkf pc|cwf gijclcdf
iv vkf wiv~kf gf pellckewcik epfl |e bde*
lc~f+ Clc$ uvekg ik |i~w$ lf|w ki| ~c|uvf| fw
q~cd| $ deklf*w*fddf epfl vk |iv~c~f uvc lelmf
vk lf~weck jedec|f+ Fddf f|w ncfk lik|lcfkwf$
fk ffw$ gf lf uvf lfde |cbkcf~ecw qiv~ fddf$
lijjf qiv~ df| mencwekw| gv pcddebf$ gf qi|f~
df qcfg ev jevpec| fkg~icw+ Ek gejdci~f~ |e
|lv~cw$ gf jjf uvf lfddf gf jcddcf~| gevw~f|
qf~|ikkf| uvc |ikw gek| de jjf |cwvewcik fkLidijncf$ dVkcw likwejckewcik qe~ df| e~jf|
gv LCL^ i~jf df| ebfkw| gf |ekw gf| wflm*
kcuvf| qiv~ pcwf~ gf ~ivdf~ iv gf je~lmf~
|v~ gf| fkbck| f}qdi|c|+ Cd| eqq~fkkfkw ev||c
uvic cd| gicpfkw w~f ewwfkwc| fw lf uvcd|
gicpfkw ec~f |cd| |f ~fw~ivpfkw ev jcdcfv gvk
lmejq gf jckf|$ iv |cd| |ikw pclwcjf| gf lf|
fkbck| jfv~w~cf~|+ Fk ivw~f$ df LCL^ ~fkg wivwf|
df| qe~wcf| ev likcw ewwfkwcpf| ev} lik|uvfk*
lf| gf dvwcdc|ewcik gf lf| e~jf| qiv~ df| lcpcd|+^ibf~E~kidg
^evdE~nidfge)QmiwiE@Q
Df| qf~|ikkfd| gf |ekw uvc gc|qfk|fkw gf| |ick| pcwev}ev} ndf||| ~c|uvfkw fv} ev||c |ivpfkw dfv~ pcf+
lf uvf Gcw Df G^icw ? Df| qf~|ikkfd| gf |ekw$ uvcd| |icfkw jcdcwec~f| iv lcpcd|$ kf gicpfkw qe| w~f
dinofw gewweuvf| iv gevw~f| elwf| |v|lfqwcndf| gf kvc~f+
Df| qf~|ikkfd| gf |ekw kf gicpfkw qe| w~f bk| gek| dellijqdc||fjfkw
gf dfv~| wlmf| gf kewv~f f}ldv|cpfjfkw jgcledf+
Df| qe~wcf| vk likcw kf gicpfkw kc me~lfdf~ kc qvkc~ df| qf~|ikkfd| gf
|ekw qiv~ epic~ ellijqdc gf| wlmf| liki~jf| de gikwidibcf jgcledf 8fddf| kf gicpfkw qe| kik qdv| df| likw~eckg~f f}f~lf~ gf| elwf| likw~ec~f|
de gikwidibcf$ kc df| fjqlmf~ gellijqdc~ gf| elwf| f}cb| qe~ lfddf*lc+
Cd kf |f~e qe| f}cb gf| qf~|ikkfd| gf |ekw uvcd| q~cpcdbcfkw uvc uvf
lf |icw$ |ev qiv~ gf| ~ec|ik| jgcledf|+ Lf |ikw fv} uvc glcgf~ikw$ gek|
df ~f|qflw gf de gikwidibcf$ uvfd qewcfkw |f~e q~c| fk lme~bf fk q~ci~cw+
De q~iwflwcik gvf ev} qf~|ikkfd| gf |ekw kf lf||f uvf |cd| lijjfwwfkw$
fk gfmi~| gf dfv~| iklwcik| mvjekcwec~f|$ gf| elwf| kvc|cndf| dfkkfjc+
8/3/2019 Les soins de sant en danger : expos d'une urgence
18/245=
DE PCIDFKLF LIKW^F
DF\ PMCLVDF\ \EKCWEC^F\
q~ pd$ g df ecw
gewweuvf~ fw gf pidf~ gf| pmclvdf| |ekcwec~f|$ iv
gfkw~epf~ dfv~| jivpfjfkw|+
D| pmd| |~| |$ fkw~f evw~f|$ df|
ejnvdeklf|$ df| newfev} iv e~ikf| |ekcwec~f|$ uvcd|
|icfkw lcpcd| iv jcdcwec~f|$ fw df| pmclvdf| w~ek|qi~wekw
gv jew~cfd iv gf| uvcqfjfkw| jgclev}+
En~e~Wekidc)^fvwf~|
De gf~kc~f i~jf gf pcidfklf f}f~lf likw~f df| |ick|
gf |ekw f|w lfddf uvc wivlmf df| pmclvdf| |ekcwec~f|+ Cd pe
gf |ic uvf df| ~bdf| gf g~icw uvc q~iwbfkw df| |w~vl*
wv~f| jgcledf|$ df| qf~|ikkfd| gf |ekw fw df| pmclvdf|
|ekcwec~f| |f lmfpevlmfkw gek| vkf de~bf jf|v~f$ fw
uvf df| wsqf| gewweuvf| uvcd| |vnc||fkw q~|fkwfkw gf|
|cjcdcwvgf|+ Kekjick|$ df le~elw~f ~lv~~fkw gf| ewwe*
uvf| likw~f df| pmclvdf| |ekcwec~f| fw dfjqdic env|c
uvcd fk f|w ecw$ qdv| ~uvfjjfkw fkli~f$ qiv~ w~ijqf~
dfkkfjc ov|wcfkw gf w~ecwf~ |qe~jfkw gf lf |vofw+
Fk qdfckf bvf~~f$ di~|uvfddf| lc~lvdfkw qiv~ ~lvq~f~
fw q~fkg~f fk lme~bf df| ndf|||$ df| ejnvdeklf| |ikw
qe~ic| q~c|f| |iv| df| wc~|$ ellcgfkwfddfjfkw iv gdcn*
~jfkw+ Df L~ic||ekw*^ivbf dcnsfk e |cbked uvfk jec
>155$ w~ic| gf |f| ejnvdeklf| ikw ecw dinofw gewweuvf|
gek| gf| cklcgfkw| gc~fkw|$ uvc ikw liw de pcf vk
jfjn~f gv qf~|ikkfd ck~jcf~ fw ndf|| vk qewcfkw fw
w~ic| pidikwec~f|$ fk df|qelf gf uvew~f oiv~|+ Vk evw~f
pidikwec~f e ev||c w wv _dcwek+ Lf| div~gf| qf~wf|
~eqqfddfkw l~vfddfjfkw df likcw ev Dcnek$ fk >110 ?
df 55 eiw$ gfv} ejnvdeklf| gf de L~ic}*^ivbf dcne*
kec|f epecfkw w ewweuvf| di~| gcklcgfkw| gc|wcklw|+
Vkf ejnvdeklf epecw q~c| fv eq~| epic~ w de lcndfgvkf ewweuvf e~cfkkf$ edi~| uvfddf w~ek|qi~wecw gv je*
w~cfd gf Ws~ Wcnkckf+ Vkf evw~f ejnvdeklf epecw ev||c
f||vs gf| wc~| gek| de ~bcik gf Je~oesivk$ di~| gvkf
iq~ewcik gf |fliv~| fk epfv~ gf| pclwcjf| gvkf
ewweuvf e~cfkkf+ Gek| df q~fjcf~ cklcgfkw$ df| ev}cdc*
ec~f| jgclev} uvc |f w~ivpecfkw ni~g gf dejnvdeklf
epecfkw w ndf|||+ Gek| df |flikg$ vk |fliv~c|wf gf de
L~ic}*^ivbf dcnekec|f epecw w wv+
Gf| ewweuvf| ikw bedfjfkw w qf~qw~f| likw~f
gf| ejnvdeklf| gek| df wf~~cwic~f qedf|wckcfk illvq$
fk Lidijncf$ ev Jf}cuvf$ ev Sjfk$ fk C~eh$ fk Dcnsf
fw ev Kqed$ gv~ekw df likcw gf 5330 >110+ Fk Dcnsf$
gek| df wf~~cwic~f qedf|wckcfk illvq$ fk Ebmekc|wek fw
ev Kqed$ lf~weckf| gf| ewweuvf| gdcn~f| likw~f df|
ejnvdeklf| fw nik kijn~f gf| fkw~epf| fw gf| ~fwe~g|
8/3/2019 Les soins de sant en danger : expos d'une urgence
19/2453
Gf wfd| elwf| pcidfkwde kfvw~edcw gf| |f~pclf|jgclev} fw jfwwfkwfk gekbf~ df qf~|ikkfd|ekcwec~f uvc |fjqdicf
|icbkf~ df| ndf||| fw df|jedegf| gek| df| mqcwev}$df| gc|qfk|ec~f| fwdf| qi|wf| gf |ekw ~v~ev}+ F}w~ecw gv lijjvkcuv gf q~f||f gv LCL^likgejkekw dfjqdic env|c` gvkf ejnvdeklf di~|gvkf ewweuvf fk E`bmekc|wek df 2 ep~cd >155
Gf\ ejnvDeklf\ q^c\f\ Gek\ Gf\ wc^\ l^ic\\ ev jf}cuvfLf| gf~kc~f| ekkf|$ de pcidfklf gf| bekb| dc| ev w~el gf g~ibvf e liw de pcf gf| jcddcf~| gf qf~|ikkf| ev Jf}cuvf+ jf|v~f uvf
de pcidfklf evbjfkwf$ df| |f~pclf| gejnvdeklf |ikw gf qdv| fk qdv| jc| likw~cnvwcik+ De L~ic}*^ivbf jf}cleckf b~f fkpc~ik =1&
gf| ejnvdeklf| gv qes|+ Di~|uvcd| wfkwfkw gpelvf~ df| pclwcjf|$ df| ejnvdeklcf~| |ikw qe~ic| q~c| gek| gf| wc~| l~ic|| fkw~f bekb|
~cpev}$ iv fkw~f lf| b~ivqf| fw de qidclf+ De L~ic}*^ivbf jf}cleckf ke oejec| ecw dinofw gvkf eb~f||cik gc~flwf$ glde~f Pedfkwck
Le|wcdde E|w~ege$ lii~gikkewfv~ gf de |flwcik gf \ckedie+ Df| b~ivqf| kiv| lik|cg~fkw lijjf vkf i~bekc|ewcik uvc e qiv~ pilewcik
gf iv~kc~ vkf e||c|weklf fw uvc kf q~fkg qe~wc kc qiv~ df| vk| kc qiv~ df| evw~f|+ Kekjick|$ df| ejnvdeklcf~| pcpfkw gek| de l~eckwf
gw~f q~c| qe~wcf+ Ik kf |ecw oejec| lf uvc qfvw kiv| e~~cpf~$ f}qdcuvf df lii~gikkewfv~ egoickw gf de |flwcik gf Lcvgeg Ove~fz+ Kiv|
epik| p~ecjfkw qfv~+ Epekw$ kiw~f |fvd |ivlc wecw gf pfkc~ fk ecgf ev} jedegf| iv ev} pclwcjf| gellcgfkw|+ Kiv| w~epecddcik| fk wivwf
|lv~cw+ Evoiv~gmvc$ df| lmi|f| ikw lmekb+ Di~|uvvkf picwv~f eqq~ilmf gv dcfv i kiv| ckwf~pfkik|$ kiv| epik| qfv~ uvf uvfduvf
lmi|f wiv~kf jed+ Df LCL^ ecgf de L~ic}*^ivbf jf}cleckf ~fpic~ |f| q~ilgv~f| fw q~ewcuvf| iq~ewcikkfddf| qiv~ e||v~f~ qdv| fle*
lfjfkw de |lv~cw gf lf| ejnvdeklcf~| gpiv|+
lf uvf Gcw Df G^icw ? Df| pmclvdf| |ekcwec~f| gicpfkw fk wivw wfjq| w~f ~f|qflw| fw q~iwb|$
fw kf gicpfkw qe| w~f dinofw gewweuvf|+
Df| vkcw| |ekcwec~f| kf gicpfkw qe| w~f vwcdc|f| qiv~ deklf~ gf| ewweuvf|
iv lijjf nivldcf~| qiv~ q~iwbf~ gf| lijnewwekw| iv gf| inoflwc|
jcdcwec~f| likw~f vkf ewweuvf+
Df| pmclvdf| |ekcwec~f| qf~gfkw dfv~ q~iwflwcik |cd| |ikw fjqdis|$
fk gfmi~| gf dfv~| iklwcik| mvjekcwec~f|$ qiv~ lijjfww~f gf| elwf|
kvc|cndf| dfkkfjc+
Qe~ elwf| kvc|cndf| dfkkfjc $ ik fkwfkg kiwejjfkw df w~ek|qi~w
gf w~ivqf| pedcgf|$ ge~jf| iv gf jvkcwcik|$ eck|c uvf de liddflwf iv
de w~ek|jc||cik gf ~fk|fcbkfjfkw| jcdcwec~f|+
Df qi~w ge~jf| db~f| qe~ df qf~|ikkfd gf |ekw qiv~ e||v~f~ |e q~iq~f
q~iwflwcik kf|w qe| lik|cg~ lijjf vk elwf kvc|cndf dfkkfjc$ gf
jjf uvf de q~|fklf ge~jf| uvc pcfkkfkw gw~f ~fwc~f| ev} ndf|||+
Df| cklcgfkw| c|id| cjqdcuvekw gf| qf~|ikkfd| gf |ekw$ gf| |w~vlwv~f|
jgcledf| iv gf| pmclvdf| |ekcwec~f|$ fw lik|cg~| lijjf gf| elwf|
kvc|cndf| dfkkfjc$ kevwi~c|fkw qe| df| elwfv~| e~j| ewweuvf~ lf|
gf~kcf~| gf jekc~f ckgc|l~cjckf+ Wivwf ewweuvf gicw w~f q~lgf gvkf
|ijjewcik }ekw vk gdec ~ec|ikkendf fw w~f jfkf gek| df ~f|qflw gf|q~cklcqf| gf gc|wcklwcik fw gf q~iqi~wcikkedcw+
uvfddf| |vnc||fkw |ikw gv| de jeklf uvf |v|lcwfkw
df| |f~pclf| ejnvdeklcf~| qiv~ epic~ w vwcdc|| gf
eik env|cpf qe~ df qe||+ Dv|ebf env|c gf pmclvdf|
|ekcwec~f| ke qe| klf||ec~fjfkw qiv~ inofw gf kvc~f ?
ev Kqed$ df| likgvlwfv~| gejnvdeklf |f qdecbkfkw
uvf lf~weck| qidcwclcfk| |f |f~pfkw gf dfv~| pmclvdf|
lijjf gf we}c| q~cp|$ iv uvf gevw~f| s ikw ~fliv~|
qiv~ pcwf~ gw~f bk| qe~ df| ne~~ebf| ~ivwcf~| g~f|*
|| di~| gf| b~pf| bk~edf| uvc qe~eds|fkw df qes|+
Wivwfic|$ lf~weck| b~ivqf| e~j| ~fliv~fkw de qf~*
gcf$ fk vwcdc|ekw gdcn~jfkw de jc||cik jgcledf
qiv~ qcbf~ dfkkfjc+ Fk Ebmekc|wek$ diqqi|cwcik
e~jf ke qe| m|cw deklf~ gf| ejnvdeklf| ~fjqdcf|
gf}qdi|c| w~epf~| gf| li~gik| gf |lv~cw+ Df 2 ep~cd
>155$ df LCL^ e qvndcuvfjfkw gkikl lf wsqf gf pcide*
wcik b~epf gv g~icw ckwf~kewciked mvjekcwec~f de |vcwf
gvkf ewweuvf lijjc|f d ecgf gvkf ejnvdeklf |v~ vk
lfkw~f gf i~jewcik gf| i~lf| gf qidclf$ Hekgeme~$
uvc e lev| de ji~w gf 5> qf~|ikkf|+ Vk qi~wf*qe~idf
gf| wedcnek| e edi~| q~ijc| vkf fkuvwf |v~ lfwwf e*ec~f fw glde~ uvf gf wfd| e||evw| kf |f ~fq~igvc~ecfkw
qdv|+ Fk Dcnsf$ df LCL^ e bedfjfkw fv likkec||eklf gf
le| q~|vj| gv|ebf env|c gf dfjndjf gf de l~ic}
~ivbf fw gv l~ic||ekw ~ivbf qiv~ |ivwfkc~ gf| iq*
~ewcik| jcdcwec~f|$ fw gvwcdc|ewcik gejnvdeklf| qiv~
w~ek|qi~wf~ gf| e~jf| fw gf| lijnewwekw| e~j|+
Dfjqdic env|c gf| fjndjf| q~iwflwfv~|$ eck|c uvf
gf| ck~e|w~vlwv~f| fw pmclvdf| q~iwb| lik|wcwvf
vk env| gf likeklf fw ~c|uvf gfkbfkg~f~ vk lf~ldf
pclcfv} uvc kcw qe~ ~fjfww~f fk uvf|wcik df nvw jjf
gf| fkwcw| kfvw~f| gek| df| |cwvewcik| gf likcw+
Di~|uvf gf| ejnvdeklf| |ikw vwcdc|f| gf eik env*
|cpf$ uvf lf |icw qiv~ w~ijqf~ dfkkfjc iv wivwf
evw~f k$ fddf| pfcddfkw de |v|qclcik+ Ev jcfv}$ fddf|
|ikw edi~| |ivjc|f| ev} jjf| wfjq| gewwfkwf fw
in|weldf| uvf wivw evw~f pmclvdf+ Ev qc~f$ fddf| gf*
pcfkkfkw de lcndf gewweuvf|+ Gek| df| gfv} le|$ fddf|
qf~gfkw depekwebf uvik dfv~ e elli~g gf q~|f~pf~
de pcf mvjeckf gek| df| likcw|$ fw lf$ ev gw~cjfkw gf|
ndf||| fw gf| jedegf| uvc ikw nf|ick gf |ick| jgc*
lev} gf wivwf v~bfklf+
8/3/2019 Les soins de sant en danger : expos d'une urgence
20/24>1
LF UVF @ECW DF LCL^
EjkikBvwjek)LCL^
jf\v^f\ q^ ewcuvf\; Df LCL^ kbilcf epfl df| qe~wcf| ev likcw gf| lf||fz*
df*fv iv gevw~f| jf|v~f| pc|ekw be~ekwc~ vk qe||ebf
fk wivwf |lv~cw qiv~ pelvf~ df| ndf||| fw df| ji~w|$
e||v~f~ dell| ev} |ick| gf |ekw iv jfkf~ gf| q~i*
b~ejjf| gf |ekw q~pfkwcpf wfd| uvf gf| lejqebkf|
gf pellckewcik+ Gek| lf~weck| likwf}wf|$ kiwejjfkw
gek| df wf~~cwic~f qedf|wckcfk illvq$ cd kbilcf bedf*
jfkw vkf picf ~eqcgf qiv~ df| ejnvdeklf| ev} qi|wf|
gf likw~df+
; Cd |fjqdicf ~fki~lf~ de q~iwflwcik gf| |w~vlwv~f|
jgcledf| likw~f df| gijjebf| jew~cfd|$ fk lik|w~vc*
|ekw gf| jv~| gf |el| gf |endf iv gf| en~c| i~wc|$ fw
fk eqqdcuvekw |v~ df| fkw~f| gf| dj| gf q~iwflwcik
likw~f df| f}qdi|cik|+
; Df LCL^ |cbkedf df| |w~vlwv~f| jgcledf| decgf gf|
fjndjf| gf de l~ic} ~ivbf iv gv l~ic||ekw ~ivbf
-bv~ekw |v~ gf| g~eqfev} iv qfckw| gc~flwfjfkw |v~
df| wicw|#$ fw ck|weddf gek| df| lfkw~f| jgclev} gf| qek*
kfev} ckwf~gc|ekw df| e~jf| dckw~cfv~ gf| dilev}+
Gek| lf~weck| likwf}wf|$ lijjf fk \ijedcf$ cd wendcw
vk |s|wjf indcbfekw df| qi~wfv~| ge~jf| dec||f~
dfv~| e~jf| fk gqw dfkw~f gf| mqcwev}+ Df LCL^
iv~kcw bedfjfkw gf| gi||e~g| ev qf~|ikkfd gf |ekw
qiv~ ckgcuvf~ dfv~ |wewvw q~iwb+
Gje^lMf\ \v^ Df qDek ov^cGcuvf; Df LCL^ |fjqdicf gcv|f~ df g~icw ckwf~kewciked mv*
jekcwec~f evq~| gf| i~lf| e~jf|$ gf| ~fq~|fkwekw|
bivpf~kfjfkwev}$ gf| b~ivqf| giqqi|cwcik kik we*
wcuvf|$ gf| jfjn~f| ckvfkw| gf de |ilcw lcpcdf fw gv
li~q| jgcled+ Cd fkliv~ebf df| wew| ckwb~f~ df g~icw
ckwf~kewciked mvjekcwec~f gek| dfv~ dbc|dewcik kewcike*
df$ kiwejjfkw gf| gc|qi|cwcik| pc|ekw dcjcwf~ dv|ebf
gf| fjndjf| gf de l~ic} ~ivbf fw gv l~ic||ekw ~ivbf$
fw fk be~ekwc~ df ~f|qflw+ Dck|wcwvwcik |fi~lf bedf*
jfkw gf ec~f jcfv} likkew~f df| ~bdf| q~iwbfekw df||w~vlwv~f| jgcledf|$ fw dindcbewcik uvc cklijnf ev}
qi~wfv~| ge~jf| fw ev} qf~|ikkfd| gf |ekw gf kf qe|
lijq~ijfww~f de kfvw~edcw gf lf| |w~vlwv~f|+
; Cd eqqfddf dfk|fjndf gf| qe~wcf| vk likcw kf qe|
fkw~epf~ df| |ick| gf |ekw$ eck|c uv ~f|qflwf~ fw elc*
dcwf~ df w~epecd gf| qf~|ikkfd| gf |ekw fw gf| pidikwec~f|+
; Df LCL^ fkw~fwcfkw vk gcedibvf epfl wivwf| df| qe~*
wcf| vk likcw$ uvfddf| |icfkw lik|cg~f| lijjf
dbcwcjf| iv kik qe~ df lejq egpf~|f+ Cd ecw ~eqqi~w
gf| eddbewcik| gf pcidewcik| gv g~icw ckwf~kewciked
mvjekcwec~f ev} qe~wcf| liklf~kf|$ epfl df|uvfddf|
cd fkbebf vk gcedibvf likgfkwcfd |v~ df| jf|v~f|
q~fkg~f qiv~ q~pfkc~ gf wfddf| pcidewcik| depfkc~+
G| uvvk likcw ldewf gek| df jikgf$ df LCL^ jfw |v~ qcfg vkf iq~ewcik gv~bfklf qiv~ s ec~f elf$ gikw vk
de~bf pfkwecd gelwcpcw| jgcledf|$ uvc pikw gf dpelvewcik gf| ndf||| de lmc~v~bcf gf bvf~~f+ Fk ivw~f$ cd ebcw
|ivpfkw fk livdc||f gv~ekw df| likcw| fw$ qdv| dikb wf~jf$ fk wfjq| gf qec} $ ek gf l~f~ vk fkpc~ikkfjfkw
q~iqclf ev ~f|qflw gf delwcik gv Jivpfjfkw ckwf~kewciked gf de L~ic}*^ivbf fw gv L~ic||ekw*^ivbf fw gv g~icw
ckwf~kewciked mvjekcwec~f+
8/3/2019 Les soins de sant en danger : expos d'une urgence
21/24>5
Wmije|Qczf~)LCL^
QeklmiGvge)LCL^
OvekLe~di|\cf~~e)\fj
ekeKfr|
Ni~c|Mfbf~)LCL^
; Df LCL^ fk~fbc|w~f df| lii~gikkf| BQ\ -diledc|ewcik
fw qi|cwcikkfjfkw qe~ |ewfddcwf# gf| |w~vlwv~f| jgcle*
df| fw df| lijjvkcuvf wivwf| df| qe~wcf| ev likcw+
; Cd gc|qfk|f gf| i~jewcik| fk q~fjcf~| |fliv~| ev}
gc~fkw| b~ivqf| uvc |ikw f}qi|| de pcidfklf$ ek
gf dfv~ eqq~fkg~f |wencdc|f~ df| ndf||| epekw uvcd| kf
|icfkw q~c| fk lme~bf qe~ df| wendc||fjfkw| gf |ekw+
Lf| i~jewcik| |ikw ev||c dille|cik qiv~ df LCL^ gf
gc|lvwf~ gc~flwfjfkw epfl df| lijnewwekw| gf dcjqi~*
weklf gf ~f|qflwf~ df g~icw ckwf~kewciked mvjekcwec~f+
; Df LCL^ jkf gf| lejqebkf| gcki~jewcik gek| df|
zikf| i df| elwf| gf pcidfklf likw~f df| qf~|ikkfd| gf
|ekw fw df| |w~vlwv~f| jgcledf| |ikw ~uvfkw|+ Cd e qe~
f}fjqdf jc| |v~ qcfg vkf |~cf ~egciqmikcuvf epfl dfNNL W~v|w @vkg fk Ebmekc|wek$ eck|c uvvkf lejqebkf
gelmebf gek| df wf~~cwic~f qedf|wckcfk illvq+
; Cd ellijqebkf df| ndf||| fw df| jedegf| dmqcwed
|cd| l~ecbkfkw gf ec~f dinofw gf gc|l~cjckewcik+
; Cd jfw fk qdelf gf| vkcw| jgcledf| jincdf| gek|
df| zikf| uvc |ikw gclcdf| gell|$ lijjf |ik uvcqf
lmc~v~bcledf elwcpf ev Ge~iv~ gf >116 >113$ iv |f|
gc|qfk|ec~f| w~ek|qi~w| qe~ leki gek| df| zikf| ~f*
lvdf| gf Lidijncf+
; Fk liddeni~ewcik epfl df| \ilcw| kewcikedf| gf|
qes| fk q~icf gf| likcw| iv gevw~f| |cwvewcik| gf
pcidfklf$ df LCL^ jkf gf| lejqebkf| \ef~ Ellf||
gek| df nvw gf q~ijivpic~ vk jfcddfv~ ell| ev} zikf|
qiwfkwcfddfjfkw gekbf~fv|f|$ fk ~gvc|ekw df| ~c|uvf|
ev jckcjvj+ Gf| elwcpcw| |ikw bedfjfkw fkw~fq~c|f|
qiv~ ec~f jcfv} likkew~f df ~df fw df| iklwcik| gf|
\ilcw| kewcikedf|$ fw qiv~ ejdci~f~ dfv~ cjebf ev
|fck gv qvndcl+
; Gf liklf~w epfl wivwf| df| qe~wcf| ckw~f||f|$ df LCL^|fi~lf gf ~fjgcf~ gf| q~indjf| |qlcuvf|$
lijjf df| in|weldf| ev}uvfd| |ikw lik~ikw| df| ej*
nvdeklcf~|+ Qiv~ ejdci~f~ de ~qvwewcik fw df ~f|qflw
gf| |f~pclf| gejnvdeklf ev Kqed$ dck|wcwvwcik i~be*
kc|f ~bvdc~fjfkw gf| ~vkcik| epfl lf| |f~pclf|$ de
\ilcw kewcikedf$ df| ~fq~|fkwekw| bivpf~kfjfkwev}
fw df| elwfv~| kik wewcuvf|$ fk pvf gf gc||cqf~ df| je*
dfkwfkgv| fw gf ~eqqfdf~ df ~df fw df| ~f|qik|encdcw|
uvc cklijnfkw ev} likgvlwfv~| gejnvdeklf$ ev} qidc*
wcuvf| fw lfv} uvc wcfkkfkw gf| qi|wf| gf likw~df+
8/3/2019 Les soins de sant en danger : expos d'une urgence
22/24>>
LF UVC ^F\WF @EC^FUvf lf |icw |iv| i~jf gelwf| iv gf jfkelf|$ de pcidfklf likw~f df| qf~|ikkfd| gf |ekw$ df| |w~vlwv~f| jgcledf| fw df|
qewcfkw| gicw w~f lik|cg~f lijjf dvk gf| q~indjf| mvjekcwec~f| df| qdv| b~epf| fw df| qdv| ~qekgv| gek| df jikgf$
evoiv~gmvc+ Lijjf df jikw~f de q~|fkwf qvndclewcik$ cd evw gf wivwf v~bfklf e||v~f~ de |lv~cw gf| ndf||| fw gf| jedegf|$
gf| qf~|ikkfd| gf |ekw$ gf| |w~vlwv~f| jgcledf| fw gf| pmclvdf| |ekcwec~f| gv~ekw df| likcw| e~j| fw evw~f| |cwvewcik| gf
pcidfklf+ Nfevlivq ~f|wf ec~f qiv~ uvf df| ndf||| fw df| jedegf| ecfkw ell| ev qdv| pcwf ev} |ick| gf |ekw$ fw qiv~ uvcd s ecw
gf| |w~vlwv~f| jgcledf| qiv~ df| ellvfcddc~$ uvfddf| gc|qi|fkw gf |v|ejjfkw gf qf~|ikkfd$ gf jgclejfkw| fw gf jew~cfd
fw uvfddf| qvc||fkw iklwcikkf~ fk wivwf |lv~cw+ De lijjvkevw gf| |ick| gf |ekw kf qfvw e||v~f~ |fvdf de q~iwflwcik gf|
|ick| gf |ekw+ Lfwwf ~f|qik|encdcw cklijnf fk q~fjcf~ dcfv ev} wew| fw ev} lijnewwekw|+
5+ l~~ g~|
Df LCL^ |fi~lf ginwfkc~ vk |ivwcfk gf de qe~w gv
Jivpfjfkw ckwf~kewciked gf de L~ic}*^ivbf fw gv
L~ic||ekw*^ivbf$ gf de lijjvkevw gf| |ick| gf
|ekw$ gf| i~bekc|ewcik| jgcledf| mvjekcwec~f|$ gf|
i~lf| e~jf| fw gf| bivpf~kfjfkw| gv jikgf fkwcf~+Fk pvf gf ~fki~lf~ df ~f|qflw gv g~icw$ lfwwf lijjv*
kevw gckw~w| |ewwelmf~e q~ijivpic~ vkf lvdwv~f
gf de ~f|qik|encdcw qe~jc wiv| df| elwfv~| gc~flwfjfkw
liklf~k| qiv~ q~iwbf~ df| |ick| gf |ekw+
>+ ldd~ g| ~| g ~d~
|s|
Ek gf jcfv} |ec|c~ de kewv~f gf| ewweuvf| likw~f df|
qewcfkw|$ df| qf~|ikkfd| gf |ekw$ df| |w~vlwv~f| jgc*
ledf| fw df| pmclvdf| |ekcwec~f|$ fw gf qivpic~ ebc~ qdv|
flelfjfkw qiv~ s ec~f elf$ gf| cki~jewcik| |v~
lf| cklcgfkw| gfp~ecfkw w~f qdv| |s|wjewcuvfjfkw
liddflwf| fw lijqcdf| epfl df| gikkf| ~flvfcddcf|
qe~ gevw~f| ck|wcwvwcik|+
8/3/2019 Les soins de sant en danger : expos d'une urgence
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Jc||cik
I~bekc|ewcik cjqe~wcedf$ kfvw~f fw ckgqfkgekwf$ df
Lijcw ckwf~kewciked gf de L~ic}*^ivbf -LCL^# e de jc||cik
f}ldv|cpfjfkw mvjekcwec~f gf q~iwbf~ de pcf fw de gcbkcw
gf| pclwcjf| gf likcw| e~j| fw gevw~f| |cwvewcik| gf
pcidfklf$ fw gf dfv~ qi~wf~ e||c|weklf+ Df LCL^ |fi~lf
bedfjfkw gf q~pfkc~ de |iv~eklf qe~ de q~ijiwcik fw
df ~fki~lfjfkw gv g~icw fw gf| q~cklcqf| mvjekcwec~f|
vkcpf~|fd|+ L~ fk 5=0
8/3/2019 Les soins de sant en danger : expos d'une urgence
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151=+>
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