{"id":113413,"date":"2024-02-21T03:31:49","date_gmt":"2024-02-21T08:31:49","guid":{"rendered":"https:\/\/www.sitata.com\/?p=113413"},"modified":"2024-02-21T03:32:02","modified_gmt":"2024-02-21T08:32:02","slug":"south-koreas-medical-crisis-intensifies-mass-walkouts-resignations-of-doctors-leave-patients-on-edge","status":"publish","type":"post","link":"https:\/\/www.sitata.com\/da\/sydkoreas-laegekrise-intensiveres-massestrejker-og-opsigelser-fra-laeger-gor-patienterne-nervose\/","title":{"rendered":"Sydkoreas medicinske krise intensiveres; massestrejker og opsigelser fra l\u00e6ger g\u00f8r patienterne nerv\u00f8se"},"content":{"rendered":"

Den 15. februar indledte den koreanske l\u00e6geforening (KMA) en landsd\u00e6kkende strejke mod regeringens beslutning om at h\u00e6ve den \u00e5rlige adgangskvote til l\u00e6gestudiet dramatisk. Deltagerne i strejken var b\u00e5de l\u00e6ger, praktikanter og medicinstuderende. Som et land, der har en af de laveste l\u00e6ge-til-befolknings-ratioer blandt de andre udviklede lande, udl\u00f8ste beslutningen om at \u00f8ge optaget p\u00e5 medicinstudiet voldsom modstand fra sundhedspersonalet i hele Sydkorea. Krisen intensiveredes, da pr\u00e6sident Yoon Suk-Yeol erkl\u00e6rede, at regeringen st\u00e5r fast p\u00e5 sin beslutning. Han beskrev desuden reformen\/politikken som en \"essentiel\" foranstaltning, der skal sikre ordentlig pleje til landets hurtigt aldrende befolkning.\u00a0<\/p>\n\n\n\n

\"korea\"<\/figure>\n\n\n\n

HVAD SKETE DER?<\/strong><\/h2>\n\n\n\n

Regeringen havde annonceret, at den \u00f8nsker at \u00f8ge optaget p\u00e5 medicinstudiet med 2.000 fra det akademiske \u00e5r 2025, mod det nuv\u00e6rende \u00e5rlige tal p\u00e5 over 3.000. Senere blev det sagt, at der ville v\u00e6re en stigning p\u00e5 10.000 i 2035. Reformen\/politikken blev kritiseret af sundhedspersonalet af en r\u00e6kke \u00e5rsager. Den f\u00f8rste var, at ingen l\u00e6ger eller grupper af medicinstuderende blev konsulteret forud for lanceringen af denne politik. Den anden grund blev identificeret som en ekstra tilf\u00f8jelse af l\u00e6ger, som kan f\u00f8re til un\u00f8dvendige medicinske procedurer og skade kvaliteten af den service, de leverer til deres patienter. L\u00e6gerne er af den opfattelse, at der allerede er tilstr\u00e6kkeligt med l\u00e6ger i branchen, og at en stigning i antallet har et stort potentiale for at p\u00e5virke \u00f8konomien i den nationale sygesikring negativt.\u00a0<\/p>\n\n\n\n

Selvf\u00f8lgelig er der to sider af enhver historie. P\u00e5 samme m\u00e5de er der en gruppe af individer, der st\u00f8tter denne politik. Det blev afsl\u00f8ret via offentlige unders\u00f8gelser\/meningsm\u00e5linger (s\u00e5som Gallup Korea), at omkring 76% af sydkoreanerne st\u00f8tter planen om flere medicinstuderende. Dette stammer fra deres<\/strong> bekymring for en akut mangel p\u00e5 fagfolk til p\u00e6diatri, akutafdelinger og klinikker uden for Seoul-omr\u00e5det (de fjerntliggende omr\u00e5der).\u00a0<\/p>\n\n\n\n

\"Sundhedspersonale<\/p>\n\n\n\n

Det blev beskrevet som en \"rodet politik\", og mange sundhedsmyndigheder (som f.eks. lederen af Korea Interns and Residents Association) begyndte at indgive deres opsigelser. De beskyldte ogs\u00e5 regeringen for at \"d\u00e6monisere\" den eksisterende l\u00e6gestand. Det kan skyldes, at l\u00e6gerne er bekymrede for, at denne politik ikke kun vil \u00f8del\u00e6gge deres sociale status, men ogs\u00e5 vil p\u00e5virke deres l\u00f8n. <\/p>\n\n\n\n

BEGIVENHEDER EFTER STREJKEN<\/strong><\/h2>\n\n\n\n

Efter strejken blev indledt den 15. februar, begyndte medlemmer af KMA sammen med lederne af de regionale afdelinger at deltage i kontinuerlige m\u00f8der for at diskutere den fremtidige handlingsplan. Den 17. februar indsendte 154 turnusl\u00e6ger og reservel\u00e6ger p\u00e5 syv hospitaler deres opsigelsesbreve, if\u00f8lge embedsm\u00e6nd fra sundhedsministeriet. Fra den 19. februar begyndte turnusl\u00e6ger og reservel\u00e6ger p\u00e5 st\u00f8rre hospitaler i hele Sydkorea at masseopsige deres stillinger. Den 20. februar havde l\u00e6gerne truet med at stoppe alt arbejde kl. 06.00 (lokal tid). Den 21. februar havde mere end 1.600 l\u00e6gepraktikanter nedlagt arbejdet og for\u00e5rsaget store forsinkelser i kirurgiske indgreb og behandlinger. Selv om mange opsigelser ikke blev accepteret, m\u00f8dte l\u00e6ger og praktikanter simpelthen ikke p\u00e5 arbejde. Aktionen har i h\u00f8j grad p\u00e5virket mange provinser\/byer, nemlig Gangwon, Nord- og Sydjeolla, Daejeon, Ulsan, Nordchungcheong, Seoul og Jeju.\u00a0 <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

For at tackle problemet med en midlertidig l\u00f8sning annoncerede Seouls bystyre den 19. februar deres planer om at udvide \u00e5bningstiderne p\u00e5 byens hospitaler og sundhedscentre. \u00c5bningstiden for intern medicin og andre vigtige afdelinger p\u00e5 otte af byens hospitaler blev forl\u00e6nget til kl. 20.00 (lokal tid) p\u00e5 hverdage. Fire hospitaler \u00e5bnede deres skadestuer, s\u00e5 de kunne v\u00e6re i drift d\u00f8gnet rundt. Seoul Medical Center, Boramae Medical Center, Dongbu Hospital og Seonam Hospital<\/strong>. De lokale sundhedscentre vil ogs\u00e5 holde \u00e5bent indtil kl. 20.00. Samtidig har regeringen udvidet konsultationstiden p\u00e5 97 offentlige hospitaler og \u00e5bnet skadestuerne p\u00e5 12 milit\u00e6rhospitaler for offentligheden.<\/p>\n\n\n\n

I mellemtiden forts\u00e6tter masseopsigelserne med at p\u00e5virke driften p\u00e5 prestigefyldte hospitaler. Disse inkluderer Seoul National University Hospital, Severance Hospital, Samsung Medical Center, Asan Medical Center og Catholic University of Korea Seoul St. Mary's Hospital. Nogle af disse har annonceret planer om at \u00e6ndre operationsplaner og patientaftaler. I betragtning af at landets lovgivning l\u00e6gger begr\u00e6nsninger p\u00e5 l\u00e6gernes mulighed for at strejke, har politiet udsendt en advarsel om anholdelser af \"anstiftere\" af arbejdsnedl\u00e6ggelsen.\u00a0<\/p>\n\n\n\n

NUV\u00c6RENDE SITUATION<\/strong><\/h2>\n\n\n\n

Sundhedsministeriet har h\u00e6vet landets medicinske kriseniveau til det n\u00e6sth\u00f8jeste \"advarselskriterium\"; det kan yderligere opgraderes til det h\u00f8jeste 'alvorlige' kriterier<\/strong> hvis masseopsigelserne forts\u00e6tter.<\/p>\n\n\n\n

If\u00f8lge Ministeriet for Sundhed og Velf\u00e6rd har over 6.000 l\u00e6ger under uddannelse sagt op p\u00e5 100 hospitaler i hele landet. Det svarer til 55 procent af det samlede antal l\u00e6gepraktikanter p\u00e5 disse hospitaler. Af disse er 1.630 praktikanter og reservel\u00e6ger holdt op med at yde l\u00e6gehj\u00e6lp. Regeringen har erkl\u00e6ret, at hvis l\u00e6gerne n\u00e6gter at vende tilbage, kan deres licenser blive suspenderet i op til et \u00e5r. P\u00e5 trods af regeringens ordre om at vende tilbage til arbejdet, har de praktiserende l\u00e6ger ikke vist tegn p\u00e5 at give sig. Forstyrrelserne i medicinalindustrien forventes at forts\u00e6tte i februar m\u00e5ned. Repr\u00e6sentanter for de uddannelsess\u00f8gende l\u00e6ger holder stadig krisem\u00f8der med j\u00e6vne mellemrum for at diskutere og\/eller opgradere deres strategi. <\/p>\n\n\n\n

\"sydkoreansk<\/figure>\n\n\n\n

FREMTIDSUDSIGTER<\/strong><\/h2>\n\n\n\n

Mens det fulde omfang af strejkens konsekvenser stadig er temmelig uklart, er det vigtigt at overveje et par punkter, f\u00f8r man beslutter sig for en konklusion. For det f\u00f8rste har Sydkorea et ekstremt privatiseret sundhedssystem - over 90% af hospitalerne er private, og de fleste medicinske procedurer er knyttet til forsikringsbetalinger. For det andet er l\u00e6gerne her blandt de bedst betalte i verden, s\u00e5 hvis industrien tilpasser sig den nye politik, vil det ikke kun l\u00e6gge en ekstra byrde p\u00e5 medicinalindustrien, men ogs\u00e5 skabe mere konkurrence og reducere deres indkomst. <\/p>\n\n\n\n

Det er heller ikke f\u00f8rste gang, regeringen har fors\u00f8gt at indf\u00f8re flere kandidater; en lignende situation blev observeret i 2020. Da COVID-19-pandemien var p\u00e5 sit h\u00f8jeste, havde l\u00e6gerne overtaget og var i stand til at holde regeringen i skak. Over 80 % af de yngre l\u00e6ger havde p\u00e5 det tidspunkt udvidet deres deltagelse i protest. Men denne gang er det lidt anderledes. Med det kommende valg til nationalforsamlingen i april er Yoon Suk-Yeol-regeringen fast besluttet p\u00e5 at forts\u00e6tte med denne politik og genoprette sit image, som tidligere har v\u00e6ret \"plettet\" af en r\u00e6kke politiske skandaler. <\/p>\n\n\n\n

I betragtning af at Sydkoreas sundhedssektor er domineret af den private sektor, er det sandsynligt, at strejkerne vil forts\u00e6tte, og det kan ikke udelukkes, at der vil ske en total nedlukning, hvis l\u00e6gerne g\u00e5r med i en omfattende strejke. <\/p>\n\n\n\n

F\u00f8lg os p\u00e5 Instagram<\/a> og Facebook<\/a>; og abonner p\u00e5 vores LinkedIn Nesletter \"Sitata Weekly<\/a>\" for at v\u00e6re sikker og tr\u00e6ffe informerede rejsebeslutninger. <\/p>","protected":false},"excerpt":{"rendered":"

Den 15. februar indledte den koreanske l\u00e6geforening (KMA) en landsd\u00e6kkende strejke mod regeringens beslutning om at h\u00e6ve den \u00e5rlige adgangskvote til l\u00e6gestudiet dramatisk. Deltagerne i strejken var b\u00e5de l\u00e6ger, praktikanter og medicinstuderende. Som et land, der har en af de laveste l\u00e6ge-til-befolknings-ratioer blandt de andre udviklede lande, er dette [...]<\/p>","protected":false},"author":19,"featured_media":113415,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[20],"tags":[112,202,113],"yoast_head":"\nSouth Korea\u2019s Medical Crisis; Mass Resignations Leave Patients on Edge<\/title>\n<meta name=\"description\" content=\"On 17 February, 154 interns and residents across seven hospitals submitted their resignation letters\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sitata.com\/da\/sydkoreas-laegekrise-intensiveres-massestrejker-og-opsigelser-fra-laeger-gor-patienterne-nervose\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"South Korea\u2019s Medical Crisis; 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