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JYMS : Journal of Yeungnam Medical Science

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Original article
Impact of an emergency department resident strike during the coronavirus disease 2019 (COVID-19) pandemic in Daegu, South Korea: a retrospective cross-sectional study
Yo Han Cho, Jae Wan Cho, Hyun Wook Ryoo, Sungbae Moon, Jung Ho Kim, Sang-Hun Lee, Tae Chang Jang, Dong Eun Lee
J Yeungnam Med Sci. 2022;39(1):31-38.   Published online August 10, 2021
DOI: https://doi.org/10.12701/yujm.2021.01130
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  • 6 Web of Science
  • 8 Crossref
AbstractAbstract PDF
Background
To prepare for future work stoppages in the medical industry, this study aimed to identify the effects of healthcare worker strikes on the mortality rate of patients visiting the emergency department (ED) at six training hospitals in Daegu, Korea.
Methods
We used a retrospective, cross-sectional, multicenter design to analyze the medical records of patients who visited six training hospitals in Daegu (August 21–September 8, 2020). For comparison, control period 1 was set as the same period in the previous year (August 21–September 8, 2019) and control period 2 was set as July 1–19, 2020. Patient characteristics including age, sex, and time of ED visit were investigated along with mode of arrival, length of ED stay, and in-hospital mortality. The experimental and control groups were compared using t-tests, and Mann-Whitney U-test, chi-square test, and Fisher exact tests, as appropriate. Univariate logistic regression was performed to identify significant factors, followed by multivariate logistic regression analysis.
Results
During the study period, 31,357 patients visited the ED, of which 7,749 belonged to the experimental group. Control periods 1 and 2 included 13,100 and 10,243 patients, respectively. No significant in-hospital mortality differences were found between study periods; however, the results showed statistically significant differences in the length of ED stay.
Conclusion
The ED resident strike did not influence the mortality rate of patients who visited the EDs of six training hospitals in Daegu. Furthermore, the number of patients admitted and the length of ED stay decreased during the strike period.

Citations

Citations to this article as recorded by  
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    Ryan Essex
    Nursing Ethics.2024; 31(2-3): 148.     CrossRef
  • Impact of junior doctor strikes on patient flow in the emergency department: a cross-sectional analysis
    Svenja Ravioli, Raeesa Jina, Omar Risk, Fleur Cantle
    European Journal of Emergency Medicine.2024; 31(1): 53.     CrossRef
  • What Do Trainees Want? The Rise of House Staff Unions
    Debra Malina, Lisa Rosenbaum
    New England Journal of Medicine.2024; 390(3): 279.     CrossRef
  • Medical students’ professionalism attributes, knowledge, practices, and attitudes toward COVID-19 and attitudes toward care provision during pandemic amidst the COVID-19 outbreak according to their demographics and mental health
    Eun Kyung Choi, Sanghee Yeo
    Korean Journal of Medical Education.2024; 36(2): 157.     CrossRef
  • Impacts of industrial actions, protests, strikes and lockouts by health and care workers during COVID-19 and other pandemic contexts: a systematic review
    Isabel Craveiro, Pradeep Kumar Choudhury, Ana Paula Cavalcante de OLiveira, Alessandra Pereira, Inês Fronteira, Raphael Chança, Giorgio Cometto, Mario Roberto Dal Poz, Paulo Ferrinho
    Human Resources for Health.2024;[Epub]     CrossRef
  • Why Did All the Residents Resign? Key Takeaways From the Junior Physicians’ Mass Walkout in South Korea
    Jinwook Park, Chang Ho Shin, Joo-Young Lee
    Journal of Graduate Medical Education.2024; 16(4): 402.     CrossRef
  • Experience of operating a medical humanities course at one medical school during the COVID-19: a retrospective study
    Yu Ra Kim, Hye-won Shin, Young Hwan Lee, Seong-Yong Kim
    Journal of Yeungnam Medical Science.2023; 40(2): 179.     CrossRef
  • Study on the Learning Environment of Medical Students in the COVID-19
    Yu Ra Kim, Hye Jin Park, Saeyoon Kim
    Keimyung Medical Journal.2023; 42(2): 80.     CrossRef

JYMS : Journal of Yeungnam Medical Science
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