Emeutes en Nouvelle-Calédonie : une prise en charge contrainte et ses impacts pour des patients en dialyse péritonéale
Open accessAbstract
(Pour lire l’article complet, en français ou anglais, cliquer sur le logo pdf à droite.) La Nouvelle-Calédonie est une collectivité française située dans la région du Pacifique Sud composée d’un ensemble d’îles et d’archipels. Les émeutes ont débuté en Nouvelle-Calédonie dans la soirée du 13 mai 2024 et provoqué une interruption soudaine et sans préavis de nombreux secteurs de la vie publique. Elles ont entraîné une désorganisation totale du système de santé et perturbé les soins des patients en dialyse péritonéale à domicile. Nous décrivons dans cet article l’expérience de l’équipe de dialyse péritonéale de l’Association pour le Traitement et la Prévention de l’Insuffisance Rénale en Nouvelle-Calédonie (Atir) pour la prise en charge de patients en dialyse péritonéale à domicile durant les 7 premières semaines des émeutes. Ces difficultés ont entraîné des modifications de prise en charge en dialyse (réutilisation de dispositifs à usage unique, non passage chez le patient de l’infirmier(e) libéral(e) à domicile ainsi que des baisses de volumes et/ou fréquence de dialyse). Notre étude concerne 35 patients en dialyse péritonéale, et non hospitalisés, au 12 mai 2024. Ces ajustements de prise en charge, ont sollicité toute la vigilance téléphonique de l’équipe soignante auprès des patients concernés. Elles n’ont pas entraîné de survenue d’événement grave sur les 7 semaines étudiées. Suite à cette expérience, les aspects principaux indispensables à une bonne réactivité dans ce contexte ont été : 1) Un référent médical d’équipe ayant une bonne connaissance des patients et de la géographie; 2) Une équipe de soignants en dialyse péritonéale coordonnée habituée à travailler ensemble; 3) Des outils partagés et accessibles en ligne avec la possibilité d’être déployés en télétravail pour l’ensemble des acteurs intervenant dans la prise en charge des patients de dialyse péritonéale; 4) Les formations harmonisées des patients et des infirmier(e)s libéraux dans le parcours de soin habituel.
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Pharmacies, dialysis centres, and general practitioner offices were burned or destroyed as collateral in the 2024 civil unrest, leading to an unprecedented emigration of healthcare workers.
“Pharmacies, dialysis centres, and general practitioner offices were burned or destroyed as collateral, leading to an unprecedented emigration of healthcare workers (Figure 1, Panel C; Figure S1 in the Online Supplementary Document) [1,2].”
From Colonial transition as a major mediator of global health transition: lessons from the 2024 New Caledonia crisis (2025) · cites this paper as [2]
In “Émeutes et conséquences” (page unavailable), the paper says the peritoneal-dialysis team’s offices were ransacked and describes damage to its treatment room. It reports restricted access to pharmacies and dialysis facilities, but does not say that pharmacies, dialysis centres, or general-practitioner offices were burned or destroyed, or that the unrest caused an unprecedented emigration of healthcare workers. (LLM, conf=0.84)
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“Pharmacies, dialysis centres, and general practitioner offices were burned or destroyed as collateral, leading to an unprecedented emigration of healthcare workers ( Figure 1 , Panel C; Figure S1 in the Online Supplementary Document ) [ 1 , 2 ].”
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- Authors
- Baroux, N., Maire, L., Cadic, L., Lemaitre, A.-F., Borceux, P., & Glasman, B.
- Venue
- Bulletin de la Dialyse à Domicile
- Published
- 2024-09-08
- Volume
- 7
- Issue
- 3
- Pages
- 89-99
- ISSN
- 2607-9917 (ISSN-L)
- OpenAlex
- W4402339237
- Cited by
- 2
- References
- 9
- Citations by year
- 2026: 1 · 2025: 1
- FWCI
- 0.57
- Type
- journal article
- Language
- fr
- Open access
- diamond
- doi.org
- Locations
- Bulletin de la Dialyse à Domicile (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
- Health Sciences › Health Professions › General Health Professions › Health and Conflict Studies
- Keywords
- peritoneal dialysis, home dialysis, health system disruption, remote patient monitoring, remote work, health team coordination, end-stage renal disease, disaster preparedness, patient safety
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