Physician Strikes

Thompson, Stephen L.; Salmon, J. Warren

doi:10.1378/chest.13-2024

Cited by 10 publications

(9 citation statements)

References 16 publications

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“…No obstante, resulta llamativa la evolución relativa a los descansos semanales o de sábado, reduciéndose el porcentaje de incumplimiento de un 87% a un 34,5%. Los datos obtenidos, además de la información expuesta, nos permiten medir el efecto de una huelga en un colectivo que tradicionalmente ha sido reticente a estas formas de organización colectiva (13). Asimismo, se objetiva la existencia diferencias entre tipos de especialidad siendo las quirúrgicas las que más probabilidad presentan de no realizar los descansos estipulados por ley.…”

Section: Discussionunclassified

Estudio descriptivo sobre libranza de guardias de Médicos Residentes de Madrid: Efecto de la huelga de 2020 en el cumplimiento de los descansos obligatorios

Campo¹,

Gámez

Coucheiro³

et al. 2021

Rev Esp Edu Med

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Antecedentes: Este estudio tiene como objetivo describir el grado de cumplimiento de los descansos obligatorios tras las jornadas de trabajo de 24 horas (guardias) en el colectivo de médicos residentes en la Comunidad de Madrid y el efecto que la huelga de residentes de 2020 ha tenido en el cumplimiento de dichos descansos. Métodos: Se ha diseñado un estudio descriptivo observacional transversal a través de una encuesta online anónima adaptada de la bibliografía existente. Resultados: Antes de la huelga de residentes el 27,2% de los encuestados no realizaban los descansos obligatorios después de las guardias. El descanso semanal obligatorio de al menos 36 horas no se respetaba hasta en el 87% de los casos. Después de la huelga de residentes, estos porcentajes se han reducido a un 19,8% y un 34,5% respectivamente, con significación estadística comparándose con los porcentajes previos (p<0,05). La media de guardias realizadas en la muestra era de 5 al mes, lo que supera el máximo legal de horas semanales. Conclusiones: Se constata la vulneración de los derechos laborales de los residentes en un importante porcentaje de los residentes en lo relativo a los descansos obligatorios post-guardia y descansos semanales. La huelga de residentes ha reducido la incidencia del fenómeno, pero sigue siendo un problema relevante para la salud de los residentes y la seguridad del paciente. Background: This study aims at describing the absence of mandatory rest periods after a 24h on call shift in resident physicians in the region of Madrid. It also tries to elucidate the effect which the 2020 resident physician’s strike has had in this phenomenon. Materials and methods: A descriptive observational cross-sectional study has been carried out through an anonymous survey adapted from the available literature. Results: Before the resident’s strike up to 27,2% of the residents surveyed could not enjoy mandatory resting periods after a 24 hour on-call shift. The mandatory weekly rest of at least 36 hours was not done in up to 87% of the cases. After the residents' strike, these figures have been reduced to 19.8% and 34.5% respectively, with statistical significance comparing with previous percentages (p <0.05). The average number of 24 hours on call shifts residents had to work per month was 5, which exceeds the maximum weekly hours allowed by law. Conclusions: The findings reveal a violation of resident physician labor rights in relation to the mandatory days-off after 24-hour on call shifts and weekly breaks. The resident physician’s strike has reduced the incidence of the phenomenon, but it remains a relevant threat to resident physician’s health and patient safety.

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Section: Discussionunclassified

Estudio descriptivo sobre libranza de guardias de Médicos Residentes de Madrid: Efecto de la huelga de 2020 en el cumplimiento de los descansos obligatorios

Campo¹,

Gámez

Coucheiro³

et al. 2021

Rev Esp Edu Med

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“…Long work hours have been common across the globe and over many decades in the medical field 1 . This has even resulted in physicians going on strike 2 , 3 . As they can for anyone, long work hours over the long-term can cause burnout and health problems for physicians, including medical conditions (e.g., coronary heart disease and strokes), sleep disorders, depression, and substance abuse 4 – 7 .…”

Section: Introductionmentioning

confidence: 99%

The number and composition of work hours for attending physicians in Taiwan

Chang

Shih

2020

Sci Rep

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Long work hours among physicians is a worldwide issue in the healthcare arena. Previous studies have largely focused on the work hours of resident physicians rather than those of attending physicians. The purpose of this study was to investigate total work hours and the composition of those work hours for attending physicians across different hospital settings and across different medical specialties through a nationwide survey. This included examining differences in physician workload and its composition with respect to different hospital characteristics, and grouping medical specialties according to the work similarities. A cross-sectional self-reported nationwide survey was conducted from June to September of 2018, and the two questionnaires were distributed to all accredited hospitals in Taiwan. The number of physician work hours in different types of duty shifts were answered by medical specialty in each surveyed hospital. Each medical specialty in a hospital filled only one response for its attending physicians. The findings reveal that the average total work hours per week of an attending physician is around 69.1 h, but the total work hours and their composition of different duty shifts varied among hospital accreditation levels, geographic locations, emergency care responsibilities, and medical specialties. Because of the variance in the number and composition of attending physicians’ work hours, adjusting physician work hours to a reasonable level will be a major challenge for health authority and hospital managers.

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“…At some health centers, unions have been created to address this need. 13 Professional societies such as the Society of General Internal Medicine (SGIM) also provide the necessary foundation for these efforts. Such groups can provide the support necessary for physician leaders in health care institutions to implement changes that address health disparities.…”

Section: Spheres Of Influence At the Health Systems Levelmentioning

confidence: 99%

Spheres of Influence and Strategic Advocacy for Equity in Medicine

et al. 2021

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As the extent of health disparities in the USA has been revealed, particularly during the COVID-19 pandemic, physicians have increasingly attended to their roles as advocates for their patients and communities. This article presents "spheres of influence" as a concept that can help physicians think strategically about how to build upon their clinical work and expertise to promote equity in medicine. The physician’s primary sphere of influence is in direct patient care. However, physicians today often have many other roles, especially within larger health care institutions in which physicians often occupy positions of authority. Physicians are therefore well-positioned to act within these spheres in ways that draw upon the ethical principles that guide patient care and contribute materially to the cause of equity for colleagues and patients alike. By making changes to the ways they already work within their clinical spaces, institutional leadership roles, and wider communities, physicians can counteract the structural problems that undermine the health of the patients they serve.

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Physician Strikes

Cited by 10 publications

References 16 publications

Estudio descriptivo sobre libranza de guardias de Médicos Residentes de Madrid: Efecto de la huelga de 2020 en el cumplimiento de los descansos obligatorios

Estudio descriptivo sobre libranza de guardias de Médicos Residentes de Madrid: Efecto de la huelga de 2020 en el cumplimiento de los descansos obligatorios

The number and composition of work hours for attending physicians in Taiwan

Spheres of Influence and Strategic Advocacy for Equity in Medicine

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