居民大规模辞职对心血管外科手术的影响:一个系统可持续性视角
June Yeop Lee1,2, Hyoung Woo Chang1,2, Sang Yoon Kim1,2
1Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Gyeonggi-do, 13620, Republic of Korea, Bundang-gu, Seongnam-si.
Interdisciplinary cardiovascular and thoracic surgery
|February 6, 2026
概括
韩国的住院医生罢工扰乱了心血管手术,减少了手术量和增加了等待时间. 住院缺席恶化了患者的结果,突出了医疗保健系统的脆弱性.
科学领域:
- 心血管外科心血管外科
- 医疗保健系统分析 医疗保健系统分析
- 医学劳动力研究 医学劳动力研究
背景情况:
- 自2024年2月以来,韩国全国范围内的住院医生辞职已对教学医院产生重大影响.
- 长时间的干扰引发了人们对医疗保健行业内临床和社会经济后果的担忧.
研究的目的:
- 评估住院医生缺席对第三级教学医院心血管手术结果的影响.
- 为了确定来自居民劳动力中断的临床和社会经济影响.
主要方法:
- 在2023年 (缺席前) 和2024年 (缺席期间) 接受开放心脏或大动脉手术的681名患者的回顾性审查.
- 两个时期之间的手术体积,等待时间,30天死亡率和失败救援 (FTR) 并发症的比较.
- 多变量后勤回归分析以确定不利结果的独立风险因素.
主要成果:
- 与2023年第一季度相比,2024年第一季度的外科手术量下降了58%,没有恢复到基线.
- 平均手术等待时间从2023年的17天增加到2024年的36天 (p < 0.001).
- 居民缺席是失败救援并发症 (OR 1.50) 和失败救援 (OR 3.64) 的独立风险因素,但不是30天死亡率.
结论:
- 居民医生罢工暴露了韩国医疗保健系统的结构性弱点,严重依赖居民劳动力.
- 减少的外科手术能力,延长的等待时间和较差的患者救援结果需要医疗保健系统改革.
- 教学医院必须重新评估住院人员的作用,专注于培训而不是廉价劳动力.
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