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Secondary hospitals are overloaded with patients from tertiary hospitals

Interns also join in the process of resigning from majors… Local government operates disaster headquarters

First weekend of resident collective action, busy secondary hospital

First weekend of resident collective action, busy secondary hospital

(National Comprehensive = Larose.VIP) On the 24th, the fifth day and first weekend since residents began a collective action against the government’s policy to increase the number of medical school students, the medical field continued to be inconvenience and confusion.

Secondary hospitals, which are crowded with patients who could not go to tertiary general hospitals, are complaining of ‘overload’.

A further disruption in medical care is expected as trainee doctors (interns) scheduled to join the company in March have also given up their appointments.

Each local government began preparing measures, such as establishing a disaster and safety response headquarters and increasing treatment hours at public hospitals.

◇ Surgery postponed here and there, patients turning away

The tertiary general hospital, which celebrated its first weekend after the medical crisis, was busy from the morning on this day due to the absence of residents.

In particular, confusion increased in the emergency room as 119 paramedics transporting patients overlapped with patients who visited the hospital directly.

Around 10 a.m. on this day, in front of the emergency medical center at Chungnam National University Hospital in Jung-gu, Daejeon.

119 paramedics brought out an elderly patient in a wheelchair.

The paramedic said, “The grandmother came to the emergency room alone in the morning, but they said that treatment is not possible because they can only accommodate seriously ill patients,” and added, “We have to take her to a secondary hospital or a general hospital.”

The crew quickly picked up the elderly man who could not stand up on his own, placed him in the ambulance, and then quickly left the emergency medical center.

On this day, 119 ambulances and 129 private ambulances carrying patients were constantly coming and going at Chungnam National University Hospital.
The electronic display board in front of the artificial kidney room and renal dialysis room was filled with the names of about 30 people who had dialysis reservations until the afternoon.

A guardian from Suwon, Gyeonggi Province, said, “My father, who had surgery on his leg, can’t do anything on his own now. He lives alone in Daejeon, so it would have been better for him to stay at the hospital a little longer, but it doesn’t seem to be possible due to the problem of reducing hospital beds.”

Due to the medical gap, each hospital is postponing some non-urgent surgery schedules, such as giving priority to severe and emergency patients.

A guardian who visited Chungnam National University Hospital to see her daughter, who was suffering from cancer, said, “My daughter received the 6th round of chemotherapy and was scheduled to have surgery at the end of next month, but I was advised to postpone it a little longer.” “I’m very worried about what will happen,” he said, crying.

Anxious guardians in front of the emergency room

Anxious guardians in front of the emergency room

◇ Patients who have nowhere to go due to the medical gap… Concerns about secondary hospital overload

Secondary hospitals appear to be even busier, handling patients from all over the country in addition to the patients they usually receive.

Changwon Hanmaeum Hospital in Changwon-si, Gyeongsangnam-do also has an increased workload as it receives patients from all over the country, including the four general hospitals in the province (Changwon Gyeongsang National University Hospital, Jinju Gyeongsang National University Hospital, Pusan ​​National University Yangsan Hospital, and Samsung Changwon Hospital), Pusan ​​National University Hospital, and Asan Medical Center in Seoul. It is becoming.

Due to the medical crisis, the overall number and types of patients have increased, from patients with mild symptoms to patients with severe symptoms who have long waiting times at tertiary general hospitals.

On the other hand, after undergoing procedures here, patients cannot be transferred to higher-level general hospitals that require more advanced treatment in a timely manner, leading to an increase in work in one way or another.

An official at Changwon Hanmaum Hospital said, “The emergency room has been overloaded for several days,” and added, “Inquiries are pouring in to accept patients not only from local public health centers and 119 firefighters, but also from hospitals in Busan and Seoul.”

He added, “Before the medical crisis, patients could be sent to nearby general hospitals in as little as 15 days, but now some places have to wait until April.”

Movements are also active to prepare for the influx of patients.

Suwon Wills Memorial Hospital has been operating the number of beds and medical staff at 130% of normal levels since the 20th in preparation for the increased number of patients with existing internal medicine, surgery, trauma, and cardiovascular diseases visiting the emergency room.

Jeonju Hospital in Jeonju-si, Jeollabuk-do has not yet seen a noticeable increase in patients, but is checking the medical situation to prevent medical gaps that may occur if the situation prolongs.

An official at Jeonju Hospital said, “As the number of hospital staff may increase, we are monitoring the operation of the emergency room and managing patients admitted and discharged,” adding, “Fortunately, there is still room, so we are actively encouraging emergency patients or patients who are inquiring about treatment availability to visit.” “I’m doing it,” he said.

Work burden piling up on those who remain

Work burden piling up on those who remain

◇ Interns are giving up their appointments one after another… Local governments establish disaster and safety headquarters to respond

Voices of concern are growing as interns who are about to start work decide to join in on the resignation process of residents.

In Jeju, 19 out of 22 interns who were scheduled to work at Jeju National University Hospital from the 1st of next month submitted a memorandum of resignation.

The number of people submitting a memorandum of resignation has increased significantly from 7 on the 20th, when the strike of medical residents began.

At this hospital, 73 out of 95 residents have submitted resignation letters and are absent from work without permission.

Most of the remaining residents who have not submitted a resignation letter are fourth-year residents whose contracts with the hospital expire at the end of this month, and it is unknown whether they will apply for full-time residency.
At Cheonan Soonchunhyang University Cheonan Hospital and Dankook University Hospital, all 32 new interns scheduled to be appointed in March and 32 out of 36 are expected to give up their appointments, respectively.

At Chungnam National University Hospital in Daejeon and Gyeongsang National University Hospital in Gyeongnam, 60 and 37 new interns, respectively, submitted resignation letters.

30 people at Konyang University Hospital also gave up their appointments, and the originally planned appointment ceremony and orientation were canceled, and a significant number of interns at Chonbuk National University Hospital also participated.

A hospital official said, “If you do not come to the hospital and sign the training contract by next week, you will be giving up your appointment.”

Local governments have also begun preparing countermeasures in case this situation prolongs.

On the 23rd, Daegu City established a Regional Disaster and Safety Countermeasures Headquarters with Daegu Mayor Hong Jun-pyo as the head and is conducting on-site inspections at local training hospitals.

Incheon City also activated the Disaster and Safety Countermeasures Headquarters on the same day and extended treatment hours at four public hospitals, including Incheon Medical Center, Korea Workers’ Compensation and Welfare Service Incheon Hospital, Red Cross Hospital, and Incheon Veterans Hospital.

After observing the trend, North Chungcheong Province is reviewing holiday treatment at public hospitals, Cheongju and Chungju Medical Center, and plans to expand non-face-to-face treatment as per government guidelines.

A medical professional in the Gyeongnam region said, “Specialists and full-time doctors (fellows) are already overloaded with work, so if they go on a long-term battle, they will inevitably become exhausted, and residents who have not yet resigned may join their colleagues and leave further, creating a medical gap in the future.” “I think it will get worse,” he said.

First weekend of medical crisis, emergency rooms still busy

First weekend of medical crisis, emergency rooms still busy

(Yoon Woo-yong, Hyeong Min-woo, Hong Hyun-ki, Kim Yong-min, Baek Na-yong, Woo Young-sik, Lee Sang-hak, Lee Joo-hyung, Na Bo-bae, Kwon Jun-woo, Lee Jun-young)

Report to KakaoTalk okjebo 2024/02/24 17:31 Sent

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