{"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\/sv\/sydkoreas-medicinska-kris-intensifieras-massdemonstrationer-lakares-uppsagningar-gor-patienter-nervosa\/","title":{"rendered":"Sydkoreas medicinska kris f\u00f6rv\u00e4rras; massupps\u00e4gningar och upps\u00e4gningar av l\u00e4kare g\u00f6r patienterna nerv\u00f6sa"},"content":{"rendered":"

Den 15 februari inledde Korean Medical Association (KMA) en landsomfattande strejk mot regeringens beslut att dramatiskt h\u00f6ja den \u00e5rliga antagningskvoten till l\u00e4karutbildningen. Deltagarna i strejken var l\u00e4kare, praktikanter och l\u00e4karstudenter. I ett land som har ett av de l\u00e4gsta f\u00f6rh\u00e5llandena mellan l\u00e4kare och befolkning, bland de andra utvecklade l\u00e4nderna, v\u00e4ckte beslutet att \u00f6ka antagningen till l\u00e4karutbildningen starkt motst\u00e5nd fr\u00e5n v\u00e5rdpersonalen i hela Sydkorea. Krisen f\u00f6rv\u00e4rrades n\u00e4r president Yoon Suk-Yeol f\u00f6rklarade att regeringen st\u00e5r fast vid sitt beslut. Han beskrev vidare reformen\/politiken som mer av en \"n\u00f6dv\u00e4ndig\" \u00e5tg\u00e4rd som vidtagits f\u00f6r att s\u00e4kerst\u00e4lla korrekt v\u00e5rd f\u00f6r landets snabbt \u00e5ldrande befolkning.\u00a0<\/p>\n\n\n\n

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

VAD H\u00c4NDE?<\/strong><\/h2>\n\n\n\n

Regeringen hade meddelat att den vill \u00f6ka antagningen till l\u00e4karutbildningen med 2 000 fr\u00e5n och med l\u00e4s\u00e5ret 2025, j\u00e4mf\u00f6rt med den nuvarande \u00e5rliga siffran p\u00e5 \u00f6ver 3 000. Senare sades det att det skulle ske en \u00f6kning med 10.000 fram till 2035. Reformen\/politiken kritiserades av h\u00e4lso- och sjukv\u00e5rdspersonalen av flera sk\u00e4l. Den f\u00f6rsta - inga l\u00e4kare eller medicinska studentgrupper r\u00e5dfr\u00e5gades innan denna policy lanserades. Det andra sk\u00e4let identifierades som ett extra tillskott av l\u00e4kare som kan leda till on\u00f6diga medicinska procedurer och skada kvaliteten p\u00e5 den service de tillhandah\u00e5ller sina patienter. L\u00e4karna anser att det redan finns tillr\u00e4ckligt m\u00e5nga l\u00e4kare verksamma inom branschen och att en \u00f6kning av antalet l\u00e4kare har stor potential att negativt p\u00e5verka ekonomin i den nationella sjukf\u00f6rs\u00e4kringsplanen.\u00a0<\/p>\n\n\n\n

Naturligtvis finns det tv\u00e5 sidor av varje historia. P\u00e5 samma s\u00e4tt finns det en grupp individer som st\u00f6der denna politik. Det framgick av offentliga unders\u00f6kningar\/opinionsunders\u00f6kningar (t.ex. Gallup Korea) att omkring 76% av sydkoreanerna st\u00f6der planen p\u00e5 fler l\u00e4karstudenter. Detta h\u00e4rr\u00f6r fr\u00e5n deras<\/strong> oro \u00f6ver en akut brist p\u00e5 personal inom pediatrik, akutmottagningar och kliniker utanf\u00f6r Seoul-omr\u00e5det (de avl\u00e4gsna omr\u00e5dena).\u00a0<\/p>\n\n\n\n

\"Sjukv\u00e5rdspersonal<\/p>\n\n\n\n

M\u00e5nga h\u00e4lsov\u00e5rdsmyndigheter (t.ex. chefen f\u00f6r Korea Interns and Residents Association) b\u00f6rjade l\u00e4mna in sina avskedsans\u00f6kningar, vilket beskrevs som en \"r\u00f6rig politik\". De anklagade ocks\u00e5 regeringen f\u00f6r att \"demonisera\" den befintliga l\u00e4kark\u00e5ren. Detta kan bero p\u00e5 att l\u00e4karna \u00e4r oroliga f\u00f6r att denna politik inte bara kommer att f\u00f6rst\u00f6ra deras sociala status, utan ocks\u00e5 p\u00e5verka deras l\u00f6n. <\/p>\n\n\n\n

H\u00c4NDELSER EFTER STREJKEN<\/strong><\/h2>\n\n\n\n

Efter att strejken inleddes den 15 februari b\u00f6rjade KMA:s medlemmar tillsammans med cheferna f\u00f6r de regionala avdelningarna att delta i kontinuerliga m\u00f6ten f\u00f6r att diskutera den framtida handlingsplanen. Den 17 februari l\u00e4mnade 154 AT-l\u00e4kare och ST-l\u00e4kare p\u00e5 sju sjukhus in sina avskedsans\u00f6kningar, enligt tj\u00e4nstem\u00e4n fr\u00e5n h\u00e4lsoministeriet. Fr\u00e5n och med den 19 februari b\u00f6rjade AT-l\u00e4kare och ST-l\u00e4kare p\u00e5 st\u00f6rre sjukhus i Sydkorea att l\u00e4mna in massupps\u00e4gningar. Den 20 februari hade sjukv\u00e5rdspersonalen hotat med att avbryta allt arbete kl. 06.00 (lokal tid). Den 21 februari hade mer \u00e4n 1.600 l\u00e4karpraktikanter g\u00e5tt ut i strejk och orsakat stora f\u00f6rseningar i kirurgiska ingrepp och behandlingar. Trots att m\u00e5nga upps\u00e4gningar inte accepterades anm\u00e4lde sig l\u00e4karna och praktikanterna helt enkelt inte till arbetet. Aktionen har i h\u00f6g grad p\u00e5verkat m\u00e5nga provinser\/st\u00e4der, n\u00e4mligen Gangwon, norra och s\u00f6dra Jeolla, Daejeon, Ulsan, norra Chungcheong, Seoul och Jeju.\u00a0 <\/p>\n\n\n\n

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

F\u00f6r att hantera problemet med en tillf\u00e4llig l\u00f6sning tillk\u00e4nnagav tj\u00e4nstem\u00e4nnen i Seoul den 19 februari sina planer p\u00e5 att f\u00f6rl\u00e4nga \u00f6ppettiderna f\u00f6r stadsdrivna sjukhus och lokala v\u00e5rdcentraler. \u00d6ppettiderna f\u00f6r internmedicin och andra viktiga avdelningar p\u00e5 \u00e5tta stadsdrivna sjukhus f\u00f6rl\u00e4ngdes till kl. 20.00 (lokal tid) p\u00e5 vardagar. Fyra sjukhus \u00f6ppnade sina akutmottagningar f\u00f6r verksamhet dygnet runt - Seoul Medical Center, Boramae Medical Center, Dongbu Hospital och Seonam Hospital<\/strong>. De lokala v\u00e5rdcentralerna kommer ocks\u00e5 att h\u00e5lla \u00f6ppet till kl. 20.00. Ut\u00f6ver detta har regeringen ut\u00f6kat konsultationstiderna p\u00e5 97 offentliga sjukhus och \u00f6ppnat akutmottagningarna p\u00e5 12 milit\u00e4rsjukhus f\u00f6r allm\u00e4nheten.<\/p>\n\n\n\n

Samtidigt forts\u00e4tter massupps\u00e4gningarna att allvarligt p\u00e5verka verksamheten vid prestigefyllda sjukhus. Dessa inkluderar Seoul National University Hospital, Severance Hospital, Samsung Medical Center, Asan Medical Center och Catholic University of Korea Seoul St. Mary's Hospital. Vissa av dessa har tillk\u00e4nnagivit planer p\u00e5 att \u00e4ndra operationsscheman och patientm\u00f6ten. Med tanke p\u00e5 att landets lagstiftning begr\u00e4nsar sjukv\u00e5rdspersonalens m\u00f6jligheter att strejka har polisen utf\u00e4rdat en varning om arresteringar av \"anstiftare\" av strejken.\u00a0<\/p>\n\n\n\n

NUVARANDE SITUATION<\/strong><\/h2>\n\n\n\n

H\u00e4lsoministeriet har h\u00f6jt landets medicinska krisniv\u00e5 till det n\u00e4st h\u00f6gsta kriteriet \"varning\"; den kan ytterligare uppgraderas till h\u00f6gsta \"allvarliga\" kriterium<\/strong> om massupps\u00e4gningarna forts\u00e4tter.<\/p>\n\n\n\n

Enligt Ministry of Health and Welfare har \u00f6ver 6.000 l\u00e4kare under utbildning sagt upp sig p\u00e5 100 sjukhus \u00f6ver hela landet. Detta motsvarar 55 procent av det totala antalet l\u00e4kare under utbildning p\u00e5 dessa sjukhus. Av dessa har 1.630 praktikanter och ST-l\u00e4kare slutat att tillhandah\u00e5lla medicinska tj\u00e4nster. Regeringen har meddelat att om l\u00e4karna v\u00e4grar att \u00e5terv\u00e4nda kan deras licenser dras in i upp till ett \u00e5r. Trots regeringens order om \u00e5terg\u00e5ng till arbetet har AT-l\u00e4karna inte visat n\u00e5gra tecken p\u00e5 att backa. St\u00f6rningarna i den medicinska industrin f\u00f6rv\u00e4ntas forts\u00e4tta under februari m\u00e5nad. De extrainkallade m\u00f6tena med representanter f\u00f6r l\u00e4kare under utbildning p\u00e5g\u00e5r fortfarande med j\u00e4mna mellanrum f\u00f6r att diskutera och\/eller uppgradera deras strategi. <\/p>\n\n\n\n

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

FRAMTIDSUTSIKTER<\/strong><\/h2>\n\n\n\n

\u00c4ven om den fulla omfattningen av strejkens effekter fortfarande \u00e4r ganska oklar, \u00e4r det viktigt att beakta n\u00e5gra punkter innan man best\u00e4mmer sig f\u00f6r en slutsats. F\u00f6r det f\u00f6rsta har Sydkorea ett extremt privatiserat sjukv\u00e5rdssystem - \u00f6ver 90% av sjukhusen \u00e4r privata och de flesta medicinska ingrepp \u00e4r kopplade till f\u00f6rs\u00e4kringsbetalningar. F\u00f6r det andra \u00e4r l\u00e4karna h\u00e4r bland de b\u00e4st betalda i v\u00e4rlden, s\u00e5 om industrin anpassar sig till den nya politiken skulle detta inte bara inneb\u00e4ra en extra b\u00f6rda f\u00f6r den medicinska industrin utan ocks\u00e5 medf\u00f6ra \u00f6kad konkurrens och minska deras inkomster. <\/p>\n\n\n\n

Detta \u00e4r inte heller f\u00f6rsta g\u00e5ngen som regeringen har f\u00f6rs\u00f6kt att inf\u00f6ra fler akademiker; en liknande situation observerades 2020. Med COVID-19-pandemin p\u00e5 sin topp hade l\u00e4karna \u00f6verhanden och kunde framg\u00e5ngsrikt h\u00e5lla regeringen i schack. \u00d6ver 80 % av underl\u00e4karna hade vid den tidpunkten f\u00f6rl\u00e4ngt sitt deltagande i protest. Den h\u00e4r g\u00e5ngen \u00e4r det dock lite annorlunda. Med tanke p\u00e5 det kommande valet till nationalf\u00f6rsamlingen i april \u00e4r Yoon Suk-Yeol-administrationen fast besluten att g\u00e5 vidare med denna politik och \u00e5terst\u00e4lla sin image, som tidigare \"fl\u00e4ckats\" av en rad politiska skandaler. <\/p>\n\n\n\n

Med tanke p\u00e5 att Sydkoreas sjukv\u00e5rd domineras av den privata sektorn \u00e4r det troligt att strejkerna kommer att forts\u00e4tta och det kan inte uteslutas att en total nedst\u00e4ngning kan komma att ske om l\u00e4karna g\u00e5r ut i fullskaliga strejker. <\/p>\n\n\n\n

F\u00f6lj oss p\u00e5 Instagram<\/a> och Facebook<\/a>; och prenumerera p\u00e5 v\u00e5rt LinkedIn Nesletter \"Sitata veckovis<\/a>\" f\u00f6r att vara s\u00e4ker och g\u00f6ra v\u00e4lgrundade reseval. <\/p>","protected":false},"excerpt":{"rendered":"

Den 15 februari inledde Korean Medical Association (KMA) en landsomfattande strejk mot regeringens beslut att dramatiskt h\u00f6ja den \u00e5rliga antagningskvoten till l\u00e4karutbildningen. Deltagarna i strejken var l\u00e4kare, praktikanter och l\u00e4karstudenter. Eftersom vi \u00e4r ett land som har ett av de l\u00e4gsta f\u00f6rh\u00e5llandena mellan l\u00e4kare och befolkning, bland de andra utvecklade l\u00e4nderna, \u00e4r detta [...]<\/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\/sv\/sydkoreas-medicinska-kris-intensifieras-massdemonstrationer-lakares-uppsagningar-gor-patienter-nervosa\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"South Korea\u2019s Medical Crisis; 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