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Transformation of the government-wide response headquarters system… Unconventional measure to ‘expand non-face-to-face medical treatment’

Nearly 80% of residents submitted their resignations, but some returned.

Confusion as patients flock to ‘mid-sized hospitals’… There are concerns about the spread of the situation due to signs of the departure of former officials.

The number of medical students taking leave of absence has decreased… 346 students withdraw their leave of absence

(Seoul = Larose.VIP) Reporters Kim Byeong-gyu, Kim Jandi, and Kim Soo-hyun = As mass resignations of medical residents who opposed the government’s policy of increasing the number of medical schools continued, the government raised the crisis alert to the highest level of ‘serious’ on the 22nd for the first time in history for a health care crisis. Raised it.

Although the government is emphasizing ‘strict response’, including the principle of arresting and investigating the instigators, the number of residents who have taken collective action has not decreased and remains at the level of two-thirds of the total.

The medical field, where a significant number of residents have left, is in such an abnormal state that major large hospitals are reducing surgeries by about 30-50%. Patients’ inconvenience and dissatisfaction are increasing due to cancellations of surgeries, hospitalizations, and postponement of treatment.

Starting today, the government is preparing for a long-term war by allowing non-face-to-face treatment, which was previously permitted at clinic-level medical institutions, return visits, weekends, and medically vulnerable areas, during the period of collective action by medical residents.

Health care issue ‘serious’ issued, calls for dialogue with residents

Health care issue ‘serious’ issued, calls for dialogue with residents

◇ Switch to a ‘heavy duty script’ for pan-government response… 7 out of 10 residents leave the hospital

As of 8 a.m. on this day, the government raised the health and medical disaster alert level from ‘alert’ to the highest level, ‘serious’, and established the Central Disaster and Safety Countermeasures Headquarters (Central Disaster and Safety Countermeasures Headquarters) following the Central Accident Control Headquarters (Heavy Duty Headquarters). .

This is the first time that the disaster warning has been raised to ‘severe’ due to a health care crisis, not an infectious disease such as COVID-19.

While the Central Investigation Headquarters is established at the Ministry of Health and Welfare, the Central Investigation Headquarters is established at the ‘government-wide’ level. The government viewed the situation as serious and decided that various ministries would join forces to respond with all their might.

Prime Minister Han Deok-soo presided over the first critical mass headquarters meeting that day and said, “The medical community would never want a situation where the people are suffering,” and added, “The medical community’s collective actions leave a scar on the people’s memory and forget the noble mission of medical professionals.” “It’s just an action,” he emphasized.

As the first measure after its establishment, the Central Disaster and Safety Countermeasures Headquarters announced on this day that it would fully allow non-face-to-face medical treatment until the collective action of doctors ends.

Non-face-to-face treatment has so far been limited to ‘clinic-level’ medical institutions and ‘re-visiting’ patients, but as an exception, it has been allowed from the first visit in medically vulnerable areas, on holidays, and at night. This was only possible in a very small number of medical institutions above the hospital level.

With this measure, it will be possible to receive non-face-to-face treatment on weekdays even in places that are not medically vulnerable or for ‘first time treatment’. In addition, non-face-to-face treatment will be possible not only in clinics but also in general hospitals of ‘hospital level’ or larger size.

The government’s decision to expand non-face-to-face treatment as a response to doctors’ collective action appears to mean that it will ‘pressure’ doctors by fully implementing policies opposed by the medical community. This can be interpreted as an intention to prepare early for a prolonged situation, while also sending a message to the medical community that takes collective action that they will not back down.

Although the number of residents who took collective action and left their patients is not decreasing according to government statistics, some analyzes say that some of the residents have returned.

According to the Central Disaster and Safety Countermeasures Headquarters, as of 10 p.m. the previous day, 8,897 people, or about 78.5% of residents at 94 major hospitals, had submitted resignation letters. Their resignation letters were not accepted.

The number of residents who left their workplace after submitting their resignation was confirmed to be 7,863, or 69.4%.

This is a count of 100 hospitals that the Ministry of Health and Welfare had previously counted, excluding 6 that submitted inadequate data.

For this reason, the figure itself decreased from the previous day’s tally by the Ministry of Health and Welfare, which showed that 9,275 people (as of 10 p.m. on the 21st) submitted resignation letters and 8,024 people left their workplace.

The Ministry of Health and Welfare explains that as the number of hospitals being counted has decreased, the number of resident resignations can be seen to have increased slightly, but there is also analysis that some residents have returned.

Doctors gathered to oppose expansion of medical schools

Doctors gathered to oppose expansion of medical schools

◇ The Chinese characters ‘sigh’ get bigger… A ‘critical point’ at the end of this month when the contract for residents and full-time residents ends.

The medical gap is worsening as residents leave large numbers of large general hospitals. go

Major university hospitals in Seoul are assigning full-time doctors and professors to fill empty resident positions to manage inpatients and prepare for emergency situations. Reservations for new patients are limited as much as possible, operations are reduced by 30 to 50%, and the hospital is operating within the scope of its current workforce.

Some hospitals changed the existing three shifts to two shifts with professors and full-time doctors in order to maintain emergency rooms without medical residents 24 hours a day.

Some professors are filling the gap in medical care by taking charge of outpatient treatment, surgery, inpatient management, and night duty.

Seoul National University Hospital, Seoul St. Mary’s Hospital, and Seoul Asan Medical Center also reduced surgeries by about 30-40%, and Severance Hospital reduced surgeries by about 50%. Samsung Seoul Hospital is also responding by postponing about 45-50% of surgeries.

Some large hospitals are so empty that only a small number of patients are hospitalized, but patients are flocking to smaller secondary hospitals that are not teaching hospitals, raising concerns about another medical crisis.

An official at a secondary hospital in Busan said, “We are receiving several inquiries a day about hospitalization treatment at a nearby university hospital,” and added, “We only provide regular treatment, such as hemodialysis for heart failure patients, or if symptoms are sufficient to monitor the prognosis.” “I’m receiving it,” he said.

He continued, “As the situation is severe, it is difficult because we do not have the resources, but otherwise, we will try to accommodate it as much as possible.”

At a mid-sized hospital in Gwangsan-gu, Gwangju, the number of visitors, which was about 200 on average, doubled every day.

An official from a mid-sized hospital in Gwangju explained, “Discharged patients and their guardians who feel that they have not received sufficient treatment at higher-level medical institutions (due to the resident situation) may want to come to a secondary hospital.”

The positions of residents are being replaced by specialists such as full-time doctors (fellows) or professors, but fatigue is accumulating. Some are concerned that collective action in the medical community will lead to full-time doctors and specialists.

In the medical field, there are frequent reports that full-time doctors whose contracts expire at the end of this month are seriously considering whether to renew their contracts. There is also a collective movement to boycott full-time residents’ contracts among ‘4-year residents’ who will soon become full-time residents.

The Ministry of Health and Welfare is also closely watching the departure of former officials.

Park Min-soo, Second Vice Minister of Health and Welfare, said in a briefing that day, “We are having difficulty finding contact because there is no clear representative (for the full-time doctors), but we are making efforts to communicate by trying to contact them through professors.”

Meanwhile, there is a movement among professors at university hospitals to raise their voices together.

The Emergency Response Committee, formed by professors from Seoul National University College of Medicine and Seoul National University Hospital, issued a statement saying, “This weekend is the golden time for the (medical crisis) situation,” and urged the government to “take action with the residents if they do not take acceptable measures.” “We will do it together,” he said.

Patients transferred and discharged due to group departure of residents

Patients transferred and discharged due to group departure of residents

◇ Medical school students’ collective leave of absence decreased slightly, but more than 10,000 still applied for leave of absence.

The spread of mass leave of absence for medical school and graduate school students appears to have stopped for now. Although more than 300 students withdrew their requests for leave of absence, more than 10,000 people still applied for leave of absence.

According to the Ministry of Education, as of 6 p.m. the previous day, 49 students from 12 medical schools across the country had applied for leave of absence.

A total of 11,827 people applied for leave of absence, including 1,133 on the 19th, 7,620 on the 20th, and 3,025 on the 21st.

However, 346 students from one school withdrew their leave of absence the day before, leaving a total of 11,481 students on leave of absence.

Considering that there were 18,793 students enrolled in medical schools nationwide as of April last year, 61.1% applied for a leave of absence.

At 11 schools, refusal to attend class the day before was confirmed. The school is continuing its normal academic operation efforts through student interviews and student explanations.

The Ministry of Education sent an official letter to 40 universities on the 22nd, requesting that they apply for an increase in the number of medical school seats for the 2025 school year by March 4th.

Infectious disease crisis alert level ‘serious’ (PG)

Infectious disease crisis alert level ‘serious’ (PG)

bkkim@yna.co.kr

Report to KakaoTalk okjebo 2024/02/23 15:22 Sent

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