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{"id":13539,"date":"2016-05-12T09:53:01","date_gmt":"2016-05-12T07:53:01","guid":{"rendered":"https:\/\/asialyst.com\/fr\/2016\/05\/12\/brouillon-temps-forts-copy\/"},"modified":"2016-05-12T11:24:22","modified_gmt":"2016-05-12T09:24:22","slug":"urgences-au-japon","status":"publish","type":"post","link":"https:\/\/asialyst.com\/fr\/2016\/05\/12\/urgences-au-japon\/","title":{"rendered":"Urgences au Japon"},"content":{"rendered":"<div class=\"container\">\n\t<meta itemprop=\"keywords\" content=\"Soci\u00e9t\u00e9\" \/>\n\t<a href=\"https:\/\/asialyst.com\/fr\/societe\/\" class=\"category category-2\">Soci\u00e9t\u00e9<\/a><br \/>\n\t<time datetime=\"2016-05-12T09:53:01Z\" itemprop=\"datePublished\">\n\t\tPubli\u00e9 12 Mai 2016<br \/>\n\t\tMis \u00e0 jour 12 Mai 2016\t<\/time>\n\t<meta itemprop=\"dateModified\" content=\"2016-05-12T11:24:22Z\" \/>\n<\/div>\n<div class=\"container\">\n<div class=\"surtitre\" itemprop=\"headline\">Reportage<\/div><\/div>\n<div class=\"container\">\n\t<h1 itemprop=\"name\">Urgences au Japon<\/h1>\n<\/div>\n<div class=\"container\">\n  <div class=\"authors\">\n    <ul>\n    \t        <li class=\"author\" itemprop=\"author\" itemscope itemtype=\"http:\/\/schema.org\/Person\">\n          <a href=\"https:\/\/asialyst.com\/fr\/auteur\/jean-francois-heimburger\/\" class=\"category-color\" itemprop=\"url\">\n            <span itemprop=\"name\" class=\"name\">\n              Jean-Fran\u00e7ois Heimburger            <\/span>\n            <img data-del=\"avatar\" alt=\"Jean-Fran\u00e7ois Heimburger\" src='https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2015\/05\/portrait-JF-Heimburger-150x150.jpg' class='avatar pp-user-avatar avatar-150 photo ' height='150' width='150'\/>          <\/a>\n        <\/li>\n    \t    <\/ul>\n  <\/div>\n<\/div>\n<div class=\"container\">\n  <div class=\"photo-une\" itemprop=\"image\" itemscope itemtype=\"http:\/\/schema.org\/ImageObject\">\n    <figure>\n      <a href=\"https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/05\/JAPON-AMBULANCE-URGENCES.jpg\" class=\"article-image\" title=\"Une ambulance en action \u00e0 Kashiwazaki (pr\u00e9fecture de Niigata) au Japon, le 17 juillet 2007. (Cr\u00e9dits : AFP PHOTO \/ FILES \/ KAZUHIRO NOGI)\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"530\" src=\"https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/05\/JAPON-AMBULANCE-URGENCES.jpg\" class=\"img-responsive\" alt=\"Une ambulance en action \u00e0 Kashiwazaki (pr\u00e9fecture de Niigata) au Japon, le 17 juillet 2007.\" srcset=\"https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/05\/JAPON-AMBULANCE-URGENCES.jpg 1024w, https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/05\/JAPON-AMBULANCE-URGENCES-300x155.jpg 300w, https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/05\/JAPON-AMBULANCE-URGENCES-768x398.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a>\n      <meta itemprop=\"height\" content=\"1024\"\/>\n      <meta itemprop=\"width\" content=\"530\"\/>\n      <meta itemprop=\"contentUrl\" content=\"https:\/\/asialyst.com\/fr\/2016\/05\/12\/urgences-au-japon\/\"\/>\n      <figcaption class=\"legend\" itemprop=\"description\">\n      \t<div class=\"container\">\n        \tUne ambulance en action \u00e0 Kashiwazaki (pr\u00e9fecture de Niigata) au Japon, le 17 juillet 2007. (Cr\u00e9dits : AFP PHOTO \/ FILES \/ KAZUHIRO NOGI)        <\/div>\n      <\/figcaption>\n    <\/figure>\n  <\/div>\n<\/div>\n\n<div class=\"container\">\n\t<div class=\"chapo\" itemprop=\"description\">\n\t\t<em>\u00ab\u00a0Si on ne veut pas mourir, mieux vaut ne pas prendre le volant la nuit\u00a0\u00bb,<\/em> confie Eijir\u00f4 Sait\u00f4, le h\u00e9ros du manga <em>Say Hello to Black Jack<\/em> de Sh\u00fbh\u00f4 Sat\u00f4, paru dans les ann\u00e9es 2000. <em>\u00ab\u00a0Si on cause un accident, on a peu de chance d\u2019\u00eatre soign\u00e9 par un m\u00e9decin s\u00e9rieux\u00a0\u00bb,<\/em> ajoute-t-il. C\u2019est que dans l\u2019h\u00f4pital o\u00f9 travaille cet \u00e9tudiant en m\u00e9decine, le service de nuit n\u2019est assur\u00e9 que par des internes. Ce manga a mis le doigt o\u00f9 cela fait mal, en d\u00e9non\u00e7ant notamment des conditions de travail d\u00e9plorables dans les h\u00f4pitaux japonais. Plus de dix ans apr\u00e8s le d\u00e9but de sa diffusion, qu\u2019en est-il de la qualit\u00e9 des urgences au Japon ? Faut-il toujours craindre ces services de nuit ?\t<\/div>\n<\/div>\n<div class=\"large large\" style=\"background-color:#961157;\">\n\t<div class=\"container\">\n\t\t<div class=\"sub-article\">\n\t\t\t<h2>Contexte<\/h2>\n\t\t\t<p>D\u2019apr\u00e8s l\u2019Agence des sapeurs-pompiers, en 2007, 1 074 victimes graves ont \u00e9t\u00e9 refus\u00e9es par plus de dix h\u00f4pitaux avant d\u2019\u00eatre admises, la majorit\u00e9 en zones urbaines et de 18 heures \u00e0 6 heures du matin. En cause ? Surtout des difficult\u00e9s de traitement et un manque de lits. Une femme a m\u00eame \u00e9t\u00e9 rejet\u00e9e 26 fois \u00e0 Tokyo et a d\u00fb patienter pendant 3 heures 37 avant d\u2019\u00eatre prise en charge. Les services d\u2019obst\u00e9trique \u00e9taient \u00e9galement concern\u00e9s. Le 29 ao\u00fbt 2007, une femme enceinte souffrant de douleurs abdominales a ainsi \u00e9t\u00e9 refus\u00e9e par neuf \u00e9tablissements et a fini par accoucher d\u2019un enfant mort-n\u00e9. Suite \u00e0 ces incidents r\u00e9p\u00e9t\u00e9s en 2006 et 2007, le gouvernement et les d\u00e9partements ont pris conscience de la n\u00e9cessit\u00e9 d\u2019am\u00e9liorer le syst\u00e8me de transport et de soins d\u2019urgence. Mais qu\u2019en est-il aujourd\u2019hui ?<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"container\">\n\t<div class=\"photo-text\" itemprop=\"image\" itemscope itemtype=\"http:\/\/schema.org\/ImageObject\">\n\t\t<figure>\n\t\t<a href=\"https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/05\/JAPON-MEDECINE-URGENCE-MANGA-SATO.jpg\" class=\"article-image\" title=\"Extrait de 'Say Hello to Black Jack' (vol. 1, 2002) de Sh\u00fbh\u00f4 Sat\u00f4, qui raconte le quotidien d'Eijir\u00f4 Sait\u00f4, \u00e9tudiant en m\u00e9decine (traduit par Jean-Fran\u00e7ois Heimburger)\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"544\" src=\"https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/05\/JAPON-MEDECINE-URGENCE-MANGA-SATO.jpg\" class=\"img-responsive\" alt=\"Extrait de &#039;Say Hello to Black Jack&#039; (vol. 1, 2002) de Sh\u00fbh\u00f4 Sat\u00f4, qui raconte le quotidien d&#039;Eijir\u00f4 Sait\u00f4, \u00e9tudiant en m\u00e9decine\" srcset=\"https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/05\/JAPON-MEDECINE-URGENCE-MANGA-SATO.jpg 1024w, https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/05\/JAPON-MEDECINE-URGENCE-MANGA-SATO-300x159.jpg 300w, https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/05\/JAPON-MEDECINE-URGENCE-MANGA-SATO-768x408.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a>\n\t\t\t<meta itemprop=\"height\" content=\"1024\"\/>\n\t\t\t<meta itemprop=\"width\" content=\"544\"\/>\n\t\t\t<meta itemprop=\"contentUrl\" content=\"https:\/\/asialyst.com\/fr\/2016\/05\/12\/urgences-au-japon\/\"\/>\n\t\t\t<figcaption class=\"legend\" itemprop=\"description\">\n\t\t\t  \tExtrait de 'Say Hello to Black Jack' (vol. 1, 2002) de Sh\u00fbh\u00f4 Sat\u00f4, qui raconte le quotidien d'Eijir\u00f4 Sait\u00f4, \u00e9tudiant en m\u00e9decine (traduit par Jean-Fran\u00e7ois Heimburger)\t\t\t<\/figcaption>\n\t\t<\/figure>\n\t<\/div>\n<\/div>\n\n<div class=\"container\">\n\t<h2>428 victimes graves refus\u00e9es par plus de dix h\u00f4pitaux en 2014<\/h2>\n<\/div>\n<div class=\"container\">\n\t<div class=\"text\" itemprop=\"articleBody\">\n\t\tAu Japon, le service d\u2019aide m\u00e9dicale urgente est toujours confront\u00e9 \u00e0 un allongement du temps de transport des malades ou des bless\u00e9s, de plus en plus nombreux et \u00e2g\u00e9s. La part des s\u00e9niors ne cesse d\u2019augmenter dans le pays, atteignant 26,7 % en 2015, ce qui pose de multiples probl\u00e8mes m\u00e9dico-sociaux. Selon l\u2019Agence des sapeurs-pompiers, au niveau national, pr\u00e8s de 6 millions d\u2019ambulances ont \u00e9t\u00e9 envoy\u00e9es en 2014, soit 1 million de plus qu\u2019en 2004. Mais il fallait en moyenne 39,4 minutes pour transporter une victime dans un h\u00f4pital en 2014, soit une hausse d\u2019une dizaine de minutes en dix ans. Depuis les incidents de 2006 et 2007, si la part des patients admis dans un h\u00f4pital apr\u00e8s plusieurs demandes a connu des fluctuations, la situation semble s\u2019\u00eatre am\u00e9lior\u00e9e. Cette part atteint 3,2 % pour les victimes en \u00e9tat critique rejet\u00e9es au moins quatre fois en 2014 (3,9 % en 2007) et 0,1 % pour celles refus\u00e9es plus de dix fois (0,3 % en 2007). Il reste cependant des exemples extr\u00eames, puisque dans 18 cas, plus de 21 demandes ont \u00e9t\u00e9 n\u00e9cessaires.\n<p>Le nombre de services et de personnels m\u00e9dicaux d\u2019urgence ne cesse d\u2019augmenter. Mais selon le minist\u00e8re japonais de la Sant\u00e9, le nombre de m\u00e9decins est encore insuffisant dans 6,3 % des h\u00f4pitaux du pays. L\u2019\u00e9volution n&rsquo;est pas semble-t-il \u00e0 la hauteur de la vague du vieillissement. Les personnes \u00e2g\u00e9es repr\u00e9sentent depuis le d\u00e9but des ann\u00e9es 2010 plus de la moiti\u00e9 des victimes transport\u00e9es par ambulance, contre le tiers dans les ann\u00e9es 1990. Un autre probl\u00e8me se pose. <em>\u00ab\u00a0M\u00eame pour des sympt\u00f4mes l\u00e9gers, certaines personnes utilisent les ambulances comme des taxis, ce qui perturbe le fonctionnement des services m\u00e9dicaux\u00a0\u00bb,<\/em> explique Hidenobu Matsuzaki, \u00e9tudiant en m\u00e9decine qui travaille en tant qu\u2019assistant administratif dans un h\u00f4pital du d\u00e9partement de Gunma.\t<\/p><\/div>\n<\/div>\n\n<div class=\"container\">\n\t<h2>Des services de nuit assur\u00e9s uniquement par des \u00e9tudiants ?<\/h2>\n<\/div>\n<div class=\"container\">\n\t<div class=\"text\" itemprop=\"articleBody\">\n\t\tUne fois \u00e0 l\u2019h\u00f4pital, comment se d\u00e9roule la prise en charge, en particulier la nuit ? <em>\u00ab\u00a0Ici, le service de nuit n\u2019est assur\u00e9 que pas des internes\u00a0\u00bb,<\/em> r\u00e9v\u00e9lait Eijir\u00f4 Sait\u00f4, dans le manga <em>Say Hello to Black Jack.<\/em> <em>\u00ab\u00a0Dans l\u2019h\u00f4pital o\u00f9 je travaille, la nuit, les diagnostics sont r\u00e9alis\u00e9s par des internes,<\/em> confie Hidenobu Matsuwaki. <em>Mais quand les sympt\u00f4mes sont graves ou que les internes n\u2019arrivent pas \u00e0 d\u00e9terminer l\u2019\u00e9tat des victimes, ils r\u00e9veillent les m\u00e9decins au repos\u00a0\u00bb,<\/em> ajoute-t-il. La situation n\u2019est toutefois pas uniforme. <em>\u00ab\u00a0Dans les campagnes, certains h\u00f4pitaux font assurer le service de nuit par des m\u00e9decins internes\u00a0\u00bb,<\/em> indique Tetsuji Suzuki, sp\u00e9cialiste des services d\u2019urgence.\n<p>Qu\u2019en est-il des conditions de travail de ces \u00e9tudiants en m\u00e9decine ? <em>\u00ab\u00a0Mon salaire mensuelle s\u2019\u00e9l\u00e8ve \u00e0 38 000 yens [280 euros]. Je suis si pauvre que je n\u2019arrive pas \u00e0 vivre sans faire de garde\u00a0\u00bb,<\/em> confiait Eijir\u00f4 Sait\u00f4, l\u2019interne du manga. De quoi gagner deux fois plus, en une seule nuit. <em>\u00ab\u00a0Peu d\u2019\u00e9tudiants en m\u00e9decine font des petits boulots dans les h\u00f4pitaux, car leur famille est relativement \u00e0 l\u2019aise financi\u00e8rement\u00a0\u00bb,<\/em> nuance Hidenobu Matsuzaki. <em>\u00ab\u00a0La majorit\u00e9 de ces \u00e9tudiants gagnent de l\u2019argent en faisant des cours priv\u00e9s ou des cours dans des \u00e9coles de soutien.\u00a0\u00bb<\/em> Un cours particulier \u00e9tant r\u00e9mun\u00e9r\u00e9 entre 1 800 et 5 000 yens par heure (entre 14,50 et environ 40 euros). Ce qui n\u2019est pas le cas de Hidenobu, qui travaille de 17h \u00e0 8h30, pour un salaire de 800 \u00e0 1 000 yens par heure (de 6,50 \u00e0 8 euros), et 25% de plus de 22h \u00e0 3h.\t<\/p><\/div>\n<\/div>\n\n<div class=\"container\">\n\t<h2>R\u00e9partition d\u00e9s\u00e9quilibr\u00e9e des m\u00e9decins<\/h2>\n<\/div>\n<div class=\"container\">\n\t<div class=\"text\" itemprop=\"articleBody\">\n\t\tLa situation varie fortement selon les r\u00e9gions. <em>\u00ab\u00a0Le d\u00e9peuplement au Japon influence n\u00e9gativement les traitements m\u00e9dicaux et les services de soins\u00a0\u00bb,<\/em> confirme Tetsuji Suzuki. Dans certaines r\u00e9gions, des vies qui pourraient \u00eatre sauv\u00e9es ne le sont pas, en raison d\u2019un manque d\u2019h\u00f4pitaux ou des longues distances \u00e0 parcourir. <em>\u00ab\u00a0C\u2019est pourquoi le gouvernement promeut une politique de revitalisation des r\u00e9gions et souhaite atteindre l\u2019objectif de 100 millions d\u2019actifs\u00a0\u00bb,<\/em> explique-t-il.\n<p>En plus de la concentration irr\u00e9guli\u00e8re des m\u00e9decins, peu pr\u00e9sents dans les zones rurales, leur r\u00e9partition au sein des diff\u00e9rents services a aussi un impact. \u00ab\u00a0Il y a un manque de p\u00e9diatres, de gyn\u00e9cologues et de m\u00e9decins urgentistes, car ils n\u2019ont pas de bonnes conditions de travail\u00a0\u00bb, indique Hidenobu Matsuzaki.\t<\/p><\/div>\n<\/div>\n\n<div class=\"container\">\n\t<h2>Des solutions et une r\u00e9elle volont\u00e9<\/h2>\n<\/div>\n<div class=\"container\">\n\t<div class=\"text\" itemprop=\"articleBody\">\n\t\tEn 2014, au niveau national, 49,4 % des victimes transport\u00e9es \u00e0 l\u2019h\u00f4pital n\u2019avaient que des sympt\u00f4mes b\u00e9nins. Pour r\u00e9soudre ce probl\u00e8me, l\u2019agence des pompiers de Kobe par exemple diffuse un guide en ligne indiquant quand il est n\u00e9cessaire de composer le 119. Un service payant a aussi \u00e9t\u00e9 \u00e9voqu\u00e9, mais le minist\u00e8re n\u2019entend pour l\u2019instant pas mettre cette solution en pratique, notamment face aux nombreux avis contraires s\u2019appuyant sur le devoir des collectivit\u00e9s de sauver la vie des habitants.\n<p>Pour r\u00e9soudre les dysfonctionnements de communication entre services de secours et centres hospitaliers, les nouvelles technologies peuvent faire des miracles. Le d\u00e9partement de Saga a par exemple lanc\u00e9 un service efficace en 2011. Sur place, les ambulanciers cherchent sur leur tablette un \u00e9tablissement ad\u00e9quat, en fonction des sympt\u00f4mes de la victime et de la disponibilit\u00e9 des m\u00e9decins. R\u00e9sultat ? Le temps de transport \u00e0 l\u2019h\u00f4pital a \u00e9t\u00e9 r\u00e9duit, tout comme les co\u00fbts op\u00e9rationnels. De quoi faire d\u2019une pierre deux coups. Reste d\u00e9sormais \u00e0 g\u00e9n\u00e9raliser ce nouveau syst\u00e8me dans les autres d\u00e9partements.<\/p>\n<p>Le 11e \u00ab\u00a0plan pour la sant\u00e9 et les services m\u00e9dicaux dans les r\u00e9gions recul\u00e9es\u00a0\u00bb, qui court de 2011 \u00e0 2015, incite aussi les bureaux des d\u00e9partements \u00e0 poursuivre leurs efforts. Car si le nombre de zones et de personnes impact\u00e9es diminue, 136 000 habitants \u00e9taient encore \u00e0 plus d\u2019une heure d\u2019un \u00e9tablissement m\u00e9dical en 2009. Si le bilan d\u00e9finitif n\u2019a pas encore \u00e9t\u00e9 publi\u00e9, les premi\u00e8res donn\u00e9es pour ce plan quinquennal indiquent de bons r\u00e9sultats. Verdict d\u00e9finitif dans quelques mois.\t<\/p><\/div>\n<\/div>\n\n<div class=\"container\">\n\t<div class=\"text\" itemprop=\"articleBody\">\n\t\t<strong>Par Jean-Fran\u00e7ois Heimburger<\/strong>\t<\/div>\n<\/div>\n\n<div class=\"container\">\n\t<div class=\"text\" style=\"background:#d9463d; padding:20px 20px 30px 20px; text-align:center; border-radius:8px;\">\n\t\t<h3 style=\"color:#fff; font-weight:700;\">Soutenez-nous !<\/h3>\n\t\t<p style=\"color:#fff; font-size:0.8em; line-height:1.5em; margin-bottom:30px;\">Asialyst est con\u00e7u par une \u00e9quipe compos\u00e9e \u00e0 100 % de b\u00e9n\u00e9voles et gr\u00e2ce \u00e0 un r\u00e9seau de contributeurs en Asie ou ailleurs, journalistes, experts, universitaires, consultants ou anciens diplomates... Notre seul but : partager la connaissance de l'Asie au plus large public.<\/p>\n\t\t<a href=\"https:\/\/www.helloasso.com\/associations\/les-amis-d-asialyst\/formulaires\/1\" target=\"_blank\" style=\"display:inline; background:#fff; padding:10px 25px; font-weight:700; border-radius:4px; color:#000; font-size:0.9em;\">Faire un don<\/a>\n\t<\/div>\n<\/div>\n<div class=\"container\">\n\t<div class=\"tags\">\n\t\t<h5>Tags de l'article<\/h5>\n\t\t<ul><li><a href=\"https:\/\/asialyst.com\/fr\/tag\/abonnes\/\" rel=\"tag\">Abonn\u00e9s<\/a><\/li><li><a href=\"https:\/\/asialyst.com\/fr\/tag\/asie-du-nord-est\/\" rel=\"tag\">Asie du Nord-Est<\/a><\/li><li><a href=\"https:\/\/asialyst.com\/fr\/tag\/japon\/\" rel=\"tag\">Japon<\/a><\/li><li><a href=\"https:\/\/asialyst.com\/fr\/tag\/medecine\/\" rel=\"tag\">M\u00e9decine<\/a><\/li><li><a href=\"https:\/\/asialyst.com\/fr\/tag\/temps-forts\/\" rel=\"tag\">temps forts<\/a><\/li><\/ul><ul>\t<\/ul><\/div>\n<\/div>\n\n\t\t<div class=\"social-sharing ss-social-sharing\">\r\n\t\t\t\t        <a onclick=\"return ss_plugin_loadpopup_js(this);\" rel=\"external nofollow\" class=\"ss-button-facebook\" href=\"http:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A%2F%2Fasialyst.com%2Ffr%2F2016%2F05%2F12%2Furgences-au-japon%2F\" target=\"_blank\">Share on Facebook<\/a><a onclick=\"return ss_plugin_loadpopup_js(this);\" rel=\"external nofollow\" class=\"ss-button-twitter\" href=\"http:\/\/twitter.com\/intent\/tweet\/?text=Urgences+au+Japon&url=https%3A%2F%2Fasialyst.com%2Ffr%2F2016%2F05%2F12%2Furgences-au-japon%2F&via=asialyst\" target=\"_blank\">Share on Twitter<\/a><a onclick=\"return ss_plugin_loadpopup_js(this);\" rel=\"external nofollow\" class=\"ss-button-linkedin\" href=\"http:\/\/www.linkedin.com\/shareArticle?mini=true&url=https%3A%2F%2Fasialyst.com%2Ffr%2F2016%2F05%2F12%2Furgences-au-japon%2F&title=Urgences+au+Japon\" target=\"_blank\">Share on Linkedin<\/a><a onclick=\"return ss_plugin_loadpopup_js(this);\" rel=\"external nofollow\" class=\"ss-button-pinterest\" href=\"http:\/\/pinterest.com\/pin\/create\/button\/?url=https%3A%2F%2Fasialyst.com%2Ffr%2F2016%2F05%2F12%2Furgences-au-japon%2F&media=https%3A%2F%2Fasialyst.com%2Ffr%2Fwp-content%2Fuploads%2F2016%2F05%2FJAPON-AMBULANCE-URGENCES-300x155.jpg&description=Urgences+au+Japon\" target=\"_blank\">Share on Pinterest<\/a>\t        \t    <\/div>\r\n\t    \n<div class=\"container\">\n\t<div class=\"auteurs-a-propos\">\n\t\t<h5>A propos de l'auteur<\/h5>\n\t\t\t\t\t<div class=\"author\">\n\t\t\t\t<img data-del=\"avatar\" src='https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2015\/05\/portrait-JF-Heimburger-150x150.jpg' class='avatar pp-user-avatar avatar-150wp-user-avatar wp-user-avatar-150 photo ' height='150' width='150'\/>\t\t\t\t<div class=\"infos\">\n\t\t\t\t\t<div class=\"name\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"social\" href=\"jf_heimburger\">\n\t\t\t\t\t\t\t\t<i class=\"fa fa-twitter\" aria-hidden=\"true\"><\/i>\n\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/asialyst.com\/fr\/auteur\/jean-francois-heimburger\/\">\n\t\t\t\t\t\t\tJean-Fran\u00e7ois Heimburger\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"description\">\n\t\t\t\t\t\tJean-Fran\u00e7ois Heimburger est journaliste ind\u00e9pendant et chercheur associ\u00e9 au CRESAT (laboratoire de l\u2019Universit\u00e9 de Haute-Alsace). Sp\u00e9cialiste du Japon, il est auteur de l\u2019ouvrage \"Le Japon face aux catastrophes naturelles\" (ISTE \u00c9ditions, 2018).\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div>\n<div class=\"block3news\">\n\t<div class=\"container\">\n\t\t<div class=\"recommand\">\n\t\t\t<h5>On vous recommande<\/h5>\t\t\t<ul class=\"row\">\n\t\t\t\t<li class=\"col-md-6 col-sm-12 col-xs-12 news\"><a href=\"https:\/\/asialyst.com\/fr\/2016\/04\/20\/mascottes-japonaises-le-pouvoir-des-ambassadeurs-poilus\/\"><span class=\"photo\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/04\/JAPON-MASCOTTE-FUNASSHI-600x400.jpg\" class=\"img-responsive wp-post-image\" alt=\"Produits Funassh\u00ee vendus dans un magasin sp\u00e9cialis\u00e9 \u00e0 Osaka.\" srcset=\"https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/04\/JAPON-MASCOTTE-FUNASSHI-600x400.jpg 600w, https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/04\/JAPON-MASCOTTE-FUNASSHI-300x200.jpg 300w, https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/04\/JAPON-MASCOTTE-FUNASSHI-900x600.jpg 900w, https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/04\/JAPON-MASCOTTE-FUNASSHI-1280x853.jpg 1280w, https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/04\/JAPON-MASCOTTE-FUNASSHI-1600x1067.jpg 1600w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/span><span class=\"info\"><span class=\"metadata category category-\">Soci\u00e9t\u00e9<\/span><h4>Mascottes japonaises : le pouvoir des ambassadeurs poilus<\/h4><\/span><\/a><\/li><li class=\"col-md-6 col-sm-12 col-xs-12 news\"><a href=\"https:\/\/asialyst.com\/fr\/2016\/03\/21\/lutte-contre-les-chauffards-ages-le-japon-met-la-gomme\/\"><span class=\"photo\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/03\/JAPON-SECURITE-ROUTIERE-600x400.jpg\" class=\"img-responsive wp-post-image\" alt=\"Agent de r\u00e9gulation du trafic routier au Japon,\" srcset=\"https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/03\/JAPON-SECURITE-ROUTIERE-600x400.jpg 600w, https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/03\/JAPON-SECURITE-ROUTIERE-300x200.jpg 300w, https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/03\/JAPON-SECURITE-ROUTIERE.jpg 1024w, https:\/\/asialyst.com\/fr\/wp-content\/uploads\/2016\/03\/JAPON-SECURITE-ROUTIERE-900x600.jpg 900w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/span><span class=\"info\"><span class=\"metadata category category-\">Soci\u00e9t\u00e9<\/span><h4>Lutte contre les chauffards \u00e2g\u00e9s : le Japon met la gomme<\/h4><\/span><\/a><\/li>\t\t\t<\/ul>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"container\">\n\t<div class=\"comments\">\n\t\t\t<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p> Manque de lits, difficult\u00e9s de traitement, patients refoul\u00e9s\u2026 Comment am\u00e9liorer les services de m\u00e9decine d&rsquo;urgence au Japon ?<\/p>\n","protected":false},"author":39,"featured_media":13541,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[613,23,39,585,193],"class_list":["post-13539","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-societe","tag-abonnes","tag-asie-du-nord-est","tag-japon","tag-medecine","tag-temps-forts"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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