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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Doctors' strikes and mortality: a review.

Solveig Argeseanu Cunningham1, Kristina Mitchell, K M Narayan

  • 1Hubert Department of Global Health, Emory University, Atlanta, GA 30322, United States. sargese@sph.emory.edu

Social Science & Medicine (1982)
|October 14, 2008
PubMed
Summary
This summary is machine-generated.

Physician strikes paradoxically show stable or reduced mortality rates. This may be due to fewer elective surgeries and continued emergency care availability during work stoppages.

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Published on: January 8, 2020

Area of Science:

  • Public Health
  • Health Economics
  • Medical Ethics

Background:

  • A counterintuitive trend suggests mortality rates remain stable or decrease during doctors' strikes.
  • This phenomenon has been noted in medical literature but requires further investigation.

Purpose of the Study:

  • To systematically review and assess the paradoxical association between doctors' strikes and mortality rates over the past four decades.

Main Methods:

  • Conducted a literature review using PubMed, EconLit, and Jstor to identify peer-reviewed articles.
  • Searched for studies analyzing mortality data related to doctors' strikes between 1976 and 2003.
  • Included seven articles that met the search criteria, analyzing five distinct global strikes.

Main Results:

  • All reviewed studies reported that mortality rates either remained unchanged or decreased during and after the analyzed physician strikes.
  • No study found an increase in mortality rates during the strike periods compared to non-strike periods.
  • Strikes analyzed ranged from nine days to seventeen weeks in duration.

Conclusions:

  • Physician strikes are paradoxically associated with stable or reduced mortality.
  • Potential explanations include the reduction of elective surgeries and the reallocation of healthcare staff.
  • The duration of strikes may be insufficient to observe long-term impacts on mortality due to reduced physician access.