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2024 South Korean medical crisis

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2024 South Korean medical crisis
DateFebruary 20, 2024 (2024-02-20) – present
(9 months, 3 weeks and 4 days)
Location South Korea
Cause
  • Government plan to increase medical student admission quotas
  • Imbalance of medical service specialties
  • Low insurance payouts and government support
  • High criminalization of doctors
  • Moral panic against doctors

The 2024 South Korean medical crisis is an ongoing healthcare crisis following the announcement of new government policies that would significantly increase medical student admission quotas. Thousands of residents and interns have since resigned, resulting in medical school professors working to cover. This forced non-urgent, less complicated patients to no longer be treated at tertiary care facilities, leading to financial concerns at large university hospitals. There has been anxiety about timely treatment.[1] The South Korean government labeled medical professionals' advocacy as "illegal collective actions," declaring a healthcare crisis. It launched a pro-government campaigns villainizing doctors as a self-serving cartel. This confrontational approach, reinforced by the President, undermined trust and collaboration in healthcare reform.

Background and causes

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See also: Healthcare in South Korea

Demographic change of South Korea

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Main article: Demographics of South Korea
South Korea's population pyramid (1960-2020)

In June 2012, South Korea's population reached 50 million,[2] and by the end of 2016, the population peaked at about 51 million people.[3] However, in recent years the total fertility rate (TFR) has plummeted, leading some researchers to suggest that if current trends continue, the country's population will shrink to approximately 28 million people by the end of the 21st century.[4] In 2018, fertility in South Korea became a topic of international debate after only 26,500 babies were born in October and an estimated 325,000 babies for the year, causing the country to achieve the lowest birth rate in the world.[5][6][7] In 2020, the country recorded more deaths than births, resulting in a population decline for the first time since modern records began.[8][9]

In 2023, 69% of local medical centers could not fill their quota of doctors.[10] Examples include Chungnam Seosan medical center being unable to hire enough radiologists despite offering an annual salary of 420 million won (about $300,000)[11] with 4.5 working days per week and Gangwon Sokcho medical center increasing the annual salary of emergency medicine specialists to 420 million won ($300,000).[12]

President Yoon Suk Yeol argued the basic medical system is collapsing, with pediatrics, obstetrics, gynecology, and other specialties lacking manpower and thus treatment being delayed. He also cited the imbalanced urban-rural distribution of medical services as a reason for the quota increase.[13]

Government of healthcare system

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The healthcare system has a mandatory designation system that integrates all doctors and private medical institutions into public health insurance, enforcing predetermined fees and rigorous audits. Low fees necessitate subsidization from non-insurance treatments or high-volume, low-margin practices, without compensating doctors for their extensive training and experience. Medical malpractice criminalization rates are extremely high, repelling young doctors from high-risk critical care. The government provides minimal support for medical education and residency training, making medical schools rely on hospital profits. Residents often work up to 100 hours a week, and university hospitals depend on cheap labor due to strict fee controls.[14]

The government negotiates yearly with medical professional organizations about the amount of fee increase. Healthcare practitioners argue that fees are insufficient compared to other OECD countries, and government-reimbursed fees do not cover the costs. This debate has persisted for several years. Most fees are strictly government-controlled and a fraction of those in the United States, and lower than those in China and Singapore.[15][16]

The insurance system with low reimbursement rates encourages high turnover in hospitals and hardly dissuades patients from second opinions.[17][18] The health finance system is characterized as "low premiums, low medical consultation fees, low pay".[19] National Health Insurance sets low medical fees, takes advantage of medical workers, and provides inadequate working conditions. This medical policy of overwork and underpay caused a shortage of medical workers in pediatrics and other specialties involving underpaid procedures.[20][21][22]

When health insurance benefits are broadened, healthcare facilities emphasize uninsured services, due to low insurance benefit payouts. Insurance reimburses only 87% of healthcare service expenses, causing institutions deficits when providing insured services.[23] Among OECD countries, South Korea has a low proportion of active nurses. Despite nurses increasing overall, persistent turnover kept active nurses few.[24] Opposition to this by medical workers led to strikes and public debate. South Korea offers excellent medical services despite its low burden of public health insurance premiums. Nonetheless, patients are burdened by uninsured medical services. In addition to deficits, healthcare providers struggle with dissatisfaction and burnout under budget-constrained treatment times.[25][26][27]

Korean policymaking considers few professional opinions. This resulted in governance failure, with unnecessary severe conflicts among doctors, pharmacists, civil society organizations, media, and other stakeholders.[28] One study examined how the media legitimized the government more than the doctors. The government is portrayed as "an actor that partially contributed to the cause of the conflict but is keen to exert its best efforts to resolve the problem in the best interest of the public and everyone involved in the conflict." Doctors are seen though three major news frames: the "morality frame," the "internal dissent frame," and the "inconciliatory attitude frame", and these depict them as "a group primarily motivated by economic interests, violating the ethical code of their profession, experiencing internal divisions, and refusing to engage in dialogue." Medical providers are valid in pointing out structural problems in the medical community caused by the government. Media bias is expressed in name-calling "criminals" and "murderers".[29]

Admission quota of medical schools of South Korea

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Since 2006, the admission quota of medical schools has been 3,058 per academic year.[30] It was decreased from 3,500 in 2000, the year of another doctors' strike. The strike was about the proposed strict job separation between physicians and pharmacists, which could significantly damage doctors' income. Residents and interns refused to work,[31] and local emergency rooms closed.

Repulsion from residents

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The planned quota increase immediately caused repulsions[clarification needed] from residents and interns, which claim the welfare of trainee doctors must be improved first. According to the Korea Intern Resident Association, interns and residents have 36-hour shifts, while the United States has less than 24-hour ones. Half of American doctors work no more than approximately 60 hours weekly, while Koreans commonly exceed 100 hours.[32] The average resident salary is 70 million won (about $50,000). It was surveyed that 100% of thoracic surgery residents, 82% of surgery residents, and 77.4% of neurosurgeons work more than 80 hours a week. This is one of the aspects of cheap and high-quality medical care in Korea that the government has been boasting about.[33]

Skewed distribution of doctors in South Korea

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Doctors and the government posited that it is not the number of medical school admissions but government policy and healthcare laws that made the doctors move to lucrative specialties away from critical care. It is illegal for physician assistants (PA) to perform basic operations, such as suturing, as well as for tattoo artists to do tattoos, because these operations are invasive and therefore may threaten patient health.[34] Only doctors can legally conduct skin care treatments such as via laser or neurotoxin, leaving work in the beauty market to general practitioners (medical students who have passed the Korean Medical Licensing Examination but are not doctors in training).

The core issue for local public hospitals in South Korea lies in the inherent conflict between serving the public interest and achieving profitability. They are mandated to fulfill a public mission, encompassing tasks like establishing a medical safety net for low-income individuals and managing financially unsustainable medical facilities and emergency healthcare situations. Simultaneously, they are expected to pursue profitability by delivering high-quality care through competition and operating as independent, self-sustaining entities following private business principles. The decline in inpatient revenue at local public hospitals can be attributed to several factors, including low reimbursement rates, charitable care provided to low-income individuals, and unprofitable services such as obstetrics and gynecology and pediatric services in medically underserved regions. Local public hospitals have received very little from the central government.[35]

Resolutions and negotiations

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Adjusting the increased quota

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On April 19, the government offered adjusted healthcare reforms where medical schools determine their own 2025 intake admissions, lowering the designated quotas by up to 50% for 2025 while maintaining the original increased quota from 2026 onwards.[36]

Hiring doctors from foreign countries

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In May, the government planned to allow vetted foreign doctors. In response, the head of KMA, Lim Hyun-taek, posted on Facebook a screenshot of a news report of newly graduated Somali doctors captioned "Coming Soon.", suggesting foreign doctors are inferior. Although deleted, it was deemed as "racist" and "exploiting Islamophobia and stereotyping against developing countries".[37][38]

The government's proposals were part of preparing the new medical environment for the upcoming multiethnic society, which is already becoming reality since foreign born people reached 2.5 million in 2024[39] and international marriage reached 10% in 2024.[40][improper synthesis?] A 2010s-onwards official government program for international healthcare collaboration with Middle Eastern and African countries had over 130 Middle Eastern specialist doctors in 2024. These foreign doctors are satisfied with their hospital environment.[41]

Reactions

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Government

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The crisis started on February 6, 2024. The Yoon government announced an increase in medical school enrollment by 2,000 per year from 2025, raising the quota to 5,058.[30]

In opposition, doctors collectively stated existing doctors in major hospitals suffice.[42] However, the government pushed forward with its plan.[43] South Korean President Yoon Suk Yeol denied that the quota increase would degrade medical education. He stated that the proposed increase of 2,000 students is the minimum required.[44] If the doctors did not return to work, the government will suspend their medical licenses.[43] The government to raise the crisis level of the country's medical system to "serious".[45] South Korean Prime Minister Han Duck-soo chaired a meeting to acknowledge a large portion of the doctors still absent. Han's government planned a budget for replacement doctors and rewards for those remaining and government committees for healthcare reforms.[46] The Ministry implemented triage to protect regional emergency centers.[47] It also allowed nurses some physician roles,[48] and legalized telemedicine for all clinics and treatment centers.[49]

The Ministry of Health and Welfare deployed military and public health doctors to affected hospitals to ensure emergency patient care. It threatened trainee doctors with license suspensions for their collective action.[50] It tried to expand the role of nurses in emergency care units at general and training hospitals by allowing experienced nurses certain tasks assigned to doctors, such as CPR and medicating critical patients.[51]

The Ministry suspended two Korea Medical Association leaders' licenses, ordered interns back,[52][53] and issued a return-to-work order to the 13 interns and residents of the Korea Intern Resident Association committee.[54] It offered clemency for resuming work by February 29,[55] or before all suspension notices were sent.[56] It threatened to persecute whoever refused to return to work by March 1 using administrative sanctions and other judicial measures.[57] Only 565 doctors returned by March 1,[58] and March 8 recorded absent more than 11,994 interns and residents (92% of the trainee doctors).[59] On March 4, the Ministry announced a second inspection at 50 hospitals with the same clemency. The punishment included sanctions in employment records and a three month license suspension delaying their physician qualification by more than a year.[60][61] Suspensions affected 7,000 interns as of March 4,[61] and 5,566 interns and residents as of March 11.[47][contradictory]

A Central Disaster and Safety Countermeasure Headquarters was established, headed by the Prime Minister, to coordinate the government's response to the crisis. Situation rooms were set up to manage the transportation of severely ill patients in major regions.[62] The Seoul High Court ruled the quota increase is necessary for the greater good.[63]

The Education Ministry helped prevent boycotting medical students from failing semesters due to insufficient attendance by allowing measures including:[64]

  • A year- not semester-based grading system
  • Longer or shorter semesters, or three not two semesters per year
  • Night, online, or weekend classes

At an August 16 National Assembly parliamentary hearing, Health and Welfare Minister Cho Kyoo-hong planned additional reforms to increase medical school admissions in early September.[65] A martial law ordered doctors back to work from December 3 to 4.[66][67]

Experts in Medicine

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Medical professionals argue the plan would degrade medical education. However, the student-to-faculty ratio is 33% Germany's and 50% the United States', each Korean professor handling 1.6 students.[59]

The quota increase will not immediately resolve manpower problems because training takes ten years.[68] A fresh medical student becoming a specialist takes six-years studying, a one-year internship and three to four years of residency.[69] More immediate actions such as allowing some foreign doctors are necessary.

Medical professionals also point to frequent medical malpractice litigation. Approximately 750 South Korean doctors are accused of medical malpractice every year. That is 14.7 times Japan, 580.6 United Kingdom, and 26.6 Germany.[70] A 2019 study found one medical malpractice suit in the past 3 years per 3 doctors. More litigation occurs in emergency medicine, cardiothoracic surgery, gynecology, pediatrics, and other critical specialties. Such an indictment does not revoke licenses but still threatens these specialists.

Doctors

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In late February, many doctors resigned collectively,[71] and many medical undergraduates suspended their studies.[43] The Ministry of Health and Welfare found 10,034 resignation letters and 9,006 resignations among interns and residents in 100 hospitals.[72] The Korea Medical Association met at Yeouido island, Han River, Seoul, condemned government pressure on doctors, and mobilized doctors to protest.[73] Hospitals received 158 military and public health doctors.[74] Senior doctors and professors from 20 hospitals planned to resign on March 25 in solidarity,[75] but only started working reduced hours on that day.[76] Protesting residents had only 8.4% returning by July 18,[contradictory] and were terminated on July 15.[77] To fill vacancies, 7,645 residents started being recruited from teaching hospitals for the rest the year.[78]

Associations

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The Korea Medical Association stated that the right to resign is constitutionally protected.[79] The Korea Intern Resident Association opposed the quota increase and return-to-work order.[80] In May, the quota increase was reduced from 2,000 to 1,500 for one upcoming academic year.[81][82] This followed updated numbers from universities wanting a lower quota for conflict resolution between professors and other faculty.[citation needed] However, the Korea Medical Association (KMA), residents and interns maintained their stance.[citation needed]

The Korean Health and Medical Workers' Union voted in favor of a general strike with 91% of workers across 61 hospitals in support. This was in response to furloughs, unpaid leave, mandatory overtime, and other hospital austerity emergency measures.[83] It was called off after negotiations with hospitals for pay raises and improved working conditions.[84]

Students' boycott

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Students began to boycott their classes from February 20. Gachon University postponed the start of the semester from mid-February to March 4 then March 25, and Gyeongsang National University to March 15. Leave applications numbered 5,401 (28.7%), increasing to over 14,000 when including improperly filed applications.[85] Only 495 of 19,345 students (2.6%) returned by July. Attendance rates varied, with first-year pre-med at 1.7% and seniors at 3.5%. Government concessions have not significantly increased attendance.[86]

Media

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President Yoon gave an hour-long nation address to reaffirm the quota increase and appealed to the public:[87]

As the president, I regret not being able to promptly address the public inconvenience ... All rational people will agree that the country faces a shortage of medical doctors.

— Yoon Suk Yeol, President of South Korea

The government labeled the collective criticism and social advocacy of medical students, residents, and doctors as "doctors' illegal collective actions," declaring a national healthcare crisis of the highest risk level. The "Central Disaster and Safety Countermeasures Headquarters for Doctors' Collective Actions," led by the Prime Minister, was established. The Emergency Response Headquarters conducted daily public briefings, marking an unprecedentedly swift governmental response. Pro-government advertisements featured the President's commitment, and included promotional videos in movie theaters displays on public buses and subways. Screens inside apartment elevators criticized "emergency room ping-pong" and "pediatric clinic open run". Doctors and the medical community were villainized as a self-serving cartel, a characterization cemented by the President in a national address. This was confrontational not collaborative in healthcare reform, undermining the trust in the doctor-patient relationship.[88][89]

Patient groups

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Patient groups feared continuing conflicts between the government and the doctors.[90] In July, 92 patient groups including the Union of Korea Breast Cancer Patients, Korea Alliance of Patients Organization and Korean Organization for Rare Diseases advocated stopping the collective actions and prohibiting patient-hostile actions.[91]

Opposition parties and the public

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Lee Jae-myung

Democratic Party politician Lee Jae-myung opposed doctors and supported the quota increase.[92] Cancer and ALS patient groups[93] and Korean Buddhist order Jogye Order called for the quick return of doctors.[94]

A February Gallup poll indicated 76% supporting the 2,000 quota increase and 16% opposing. A March Gallup poll indicated 49% considering the government response inadequate compared to the medical community's opposition to expanding medical services.[95]

Impact

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Severance Hospital, Seoul National University Hospital, and many other hospitals were forced to cancel or postpone many surgeries.[96] Some hospitals shortened operation durations or prioritized critically ill patients.[97]

An ophthalmology professor in his 40's died of brain hemorrhage on March 24,[98] and an internal medicine professor in his 50's died of intestinal obstruction on April 20.[99] This raised concerns about health risks to overworked medical school professors covering for resigning residents.[98][99]

See also

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References

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  1. ^ "jeongong-ui oneul byeong-won tteonanda…"susul eotteoghae" uilyodaelan hyeonsillo" 전공의 오늘 병원 떠난다…"수술 어떡해" 의료대란 현실로 [The resident leaves the hospital today… “What should I do about the surgery?” The medical crisis is a reality.]. Yonhap News Agency. February 20, 2024. Retrieved February 20, 2024.
  2. ^ "South Korea's population passes 50 million". June 22, 2012. Archived from the original on July 4, 2018.{{cite web}}: CS1 maint: unfit URL (link)
  3. ^ "Population, total | Data". data.worldbank.org. Archived from the original on May 28, 2019. Retrieved April 12, 2018.
  4. ^ World Population Prospects 2019 Archived 2019-08-29 at the Wayback Machine by the United Nations, DESA, Population Division.
  5. ^ "S. Korea's childbirth tally drops to another historic low in October …". archive.fo. January 23, 2019. Archived from the original on January 23, 2019. Retrieved January 23, 2019.
  6. ^ "South Korea's fertility rate is the lowest in the world". The Economist. June 30, 2018. ISSN 0013-0613. Archived from the original on January 23, 2019. Retrieved January 23, 2019.
  7. ^ "Fertility rate dips below 1 in 2018: official". archive.fo. January 30, 2019. Archived from the original on January 30, 2019. Retrieved January 30, 2019.
  8. ^ Gladstone, Rick (January 4, 2021). "As Birthrate Falls, South Korea's Population Declines, Posing Threat to Economy". New York Times. Archived from the original on January 4, 2021. Retrieved January 5, 2021.
  9. ^ "South Korea is facing a crisis of extinction and it's not due to North's nukes". The Economic Times. January 5, 2021.
  10. ^ "jibang-uilyowon 69% uisa bujog… jeongnyeon neomgin 70daedo chaeyong" 지방의료원 69% 의사 부족… 정년 넘긴 70대도 채용 [69% shortage of doctors at local medical centers… Recruitment of people in their 70s who are past retirement age]. The Dong-A Ilbo (in Korean). March 6, 2023. Retrieved July 18, 2024.
  11. ^ 채, 혜선 (March 19, 2024). "4.5il geunmu, yeonbong 4eog-edo musosig…deo simhaejin jibang-uilyowon gu-innan" 4.5일 근무, 연봉 4억에도 무소식…더 심해진 지방의료원 구인난 [4.5 days of work, no news despite annual salary of 400 million won... Local medical center recruitment crisis worsens]. JoongAng Ilbo (in Korean). Retrieved July 18, 2024.
  12. ^ 박, 진호 (February 19, 2023). ""yeonbong 1eog deo…uisa, 4eog-e mosibnida" sogchouilyowon chogangsu" "연봉 1억 더…의사, 4억에 모십니다" 속초의료원 초강수 [“100 million more won in annual salary… Doctors are offered for 400 million won” Sokcho Medical Center Super Gangsu]. JoongAng Ilbo (in Korean). Retrieved July 21, 2024.
  13. ^ "Yīxué shēng kuòzhāo'yǐnbào wéijī! Nánhán wàn míng yīshēng bàgōng" 醫學生擴招」引爆危機！ 南韓萬名醫生罷工 ["Expansion of medical student enrollment" triggers]. February 26, 2024. Archived from the original on March 13, 2024. Retrieved February 27, 2024.
  14. ^ Park, Hyoung Wook (June 30, 2024). "The 2024 Medical Crisis : Challenges for Medical Education". Korean Medical Education Review. 26 (2): 118–121. doi:10.17496/kmer.24.021. ISSN 2092-5603.
  15. ^ Dohyeong Kim, Soojin Min and Hyoungah Kim, "Korean health policies", In: Chung-in Moon, M. Jae Moon (eds.) Routledge Handbook of Korean Politics and Public Administration (2020)
  16. ^ Yoon, Hee Sung; Cho, Sung Woock; Sugumaran, Vijayan (2011). "A Service System Design to Support Medical Tourism in South Korea". CONF-IRM 2011 Proceedings.
  17. ^ Kim, Hyun Ah; Jung, Sung Hoon; Park, In Young; Kang, Seong Hun (September 1, 2020). "Hourly wages of physicians within medical fees based on the Korean relative value unit system". The Korean Journal of Internal Medicine. 35 (5): 1238–1244. doi:10.3904/kjim.2018.452. PMC 7487311. PMID 31870135.
  18. ^ Jack, Andrew (June 24, 2015). "Why the panic? South Korea's MERS response questioned". BMJ. 350: h3403. doi:10.1136/bmj.h3403. ISSN 1756-1833. PMID 26108610. S2CID 38833740.
  19. ^ Lee, Wang Jung (January 1, 2004). "What Drove Korean Doctors into the Streets?". AMA Journal of Ethics. 6 (1): 37–40. doi:10.1001/virtualmentor.2004.6.1.msoc1-0401. PMID 23260071.
  20. ^ "Korean pediatrician shortage means long lines, frustration". Korea JoongAng Daily. January 11, 2023. Retrieved February 12, 2023.
  21. ^ Kim, Arin (February 22, 2023). "Korea declares emergency measures over children's health care crisis". The Korea Herald. Retrieved June 18, 2023.
  22. ^ Lee, Hae-rin (June 14, 2023). "'Unpopular' medical departments face shortage of doctors". The Korea Times. Retrieved June 18, 2023.
  23. ^ Lee, Yuri; Kim, Siwoo; Kim, So Yoon; Kim, Ganglip (March 2019). "Ethical Consideration of National Health Insurance Reform for Universal Health Coverage in the Republic of Korea". Asian Bioethics Review. 11 (1): 41–56. doi:10.1007/s41649-019-00079-1. PMC 7747280. PMID 33717299.
  24. ^ Lee, Eunhee (December 2019). "Why newly graduated nurses in South Korea leave their first job in a short time? A survival analysis". Human Resources for Health. 17 (1): 61. doi:10.1186/s12960-019-0397-x. PMC 6664533. PMID 31358009.
  25. ^ "South Korean medical students revolt over government health reform plans". Reuters. August 26, 2020. Retrieved February 12, 2023.
  26. ^ "S. Korea suffers shortage of medical workers as burned out nurses quit". The Hankyoreh. Retrieved February 25, 2023.
  27. ^ Koh, Jung Min (November 30, 2022). "Harassed by low medical fees, Korean doctors see their patients hurriedly". Korea Biomedical Review. Retrieved June 18, 2023.
  28. ^ Kwak, J. Y. (2010). "Searching for good governance of Korean medical policy: case study of the separation of dispensary from medical practice". Korean Party Stud Rev. 9 (1): 149–181.
  29. ^ Yang, JungHye (2001). "Media Framing of a Social Conflict-A Case Study of Medical Doctors' Strike in Korea". Korean Journal of Journalism & Communication Studies. 45 (2): 284–315.
  30. ^ a b "Hánguó xué é fēngbō jiē yīliáo xìtǒng zhēngyì yīshēng cízhí kàngyì zǒnglǐ jǐnggào wù yǐ rénmìng yào xié" 韓國學額風波 揭醫療系統爭議 醫生辭職抗議 總理警告勿以人命要脅 [South Korea’s school quota scandal reveals controversy in the medical system. Doctors resign in protest. The Prime Minister warns not to threaten human lives.]. 明報新聞網 - 每日明報 daily news (in Chinese). February 19, 2024. Retrieved February 22, 2024.
  31. ^ Watts, Jonathan (2000). "Doctors' first strike in Republic of Korea likely to end". Bulletin of the World Health Organization. 78 (12): 1478. ISSN 0042-9686. PMC 2560667. PMID 11196505.
  32. ^ "We're overworked and unheard, say South Korean doctors in mass walkout". The Straits Times. February 26, 2024. Retrieved August 29, 2024.
  33. ^ "'ju 80sigan' jeongong-ui jwieojjaneun byeong-won… "jeonmun-ui neulligo jeosuga gaeseon-eul"[icham-e tteud-eogochyeoya hal, daehanmingug gihyeongjeog uilyochegye]" '주 80시간' 전공의 쥐어짜는 병원… "전문의 늘리고 저수가 개선을"[이참에 뜯어고쳐야 할, 대한민국 기형적 의료체계] [A hospital that is squeezing in residents for ‘80 hours a week’… “Increase the number of specialists and improve the number of medical staff” [Korea’s deformed medical system that needs to be repaired now]]. Seoul Shinmun (in Korean). March 8, 2024. Retrieved July 18, 2024.
  34. ^ "munsinsa habbeobhwa yogue ui bandae ibjang jaehwag-in" 문신사 합법화 요구에 醫 반대 입장 재확인 [The hospital reaffirms its opposition to the demand for legalization of tattoo parlors.]. 청년의사 (in Korean). October 10, 2023. Retrieved July 15, 2024.
  35. ^ Yeo, Young Hyun; Lee, Keon-Hyung; Kim, Hye Jeong (November 11, 2016). "Closure of a local public hospital in Korea: focusing on the organizational life cycle". Journal of Healthcare Leadership. 8: 95–105. doi:10.2147/JHL.S113070. PMC 5741012. PMID 29355194.
  36. ^ "South Korea set to adjust medical reforms in bid to end walkout". CNA. Retrieved May 15, 2024.
  37. ^ "Korea medical body's response to foreign doctor hiring plan blasted as 'racist'". South China Morning Post. May 10, 2024. Retrieved May 15, 2024.
  38. ^ "uihyeobhoejang "somallia uisa keomingssun"…"injongchabyeol" musmaee sagje(jonghab)" 의협회장 "소말리아 의사 커밍쑨"…"인종차별" 뭇매에 삭제(종합) [Chairman of the Medical Association "Somali doctor Coming Sun"... Deleted due to criticism over “racism” (comprehensive)]. Seoul Shinmun (in Korean). May 9, 2024. Retrieved July 22, 2024.
  39. ^ "gugnae oegug-in 251manmyeong···'damunhwasahoe' jin-ib nun-ap" 국내 외국인 251만명···‘다문화사회’ 진입 눈앞 [2.51 million foreigners in Korea... we are on the verge of entering a ‘multicultural society’]. 한국문화홍보서비스 (in Korean). Retrieved July 21, 2024.
  40. ^ "Int'l couples account for one out of 10 marriages in Korea". The Korea Times. March 19, 2024. Retrieved July 22, 2024.
  41. ^ "jeongong-ui gongbaeg me-uneun 'jungdong-uisa' 130yeomyeong, susul-jinlyo bojo… uisasotong deung-en hangyedo" 전공의 공백 메우는 '중동의사' 130여명, 수술-진료 보조… 의사소통 등엔 한계도 [About 130 ‘Middle Eastern doctors’ fill the gap in specialties, assisting in surgery and medical treatment… There are limits to communication, etc.]. The Dong-A Ilbo (in Korean). May 30, 2024. Retrieved July 15, 2024.
  42. ^ "uidae jeung-won susja '2cheon myeong'…geungeowa nonlan-eun?" 의대 증원 숫자 '2천 명'…근거와 논란은? [Number of medical schools increased by ‘2,000’… What is the basis and controversy?]. Korean Broadcasting System. February 19, 2024.
  43. ^ a b c "'jibdansajig jeongong-ui' 831myeong eobmugaesimyeonglyeong…'myeonheo bagtal' gyeong-go" '집단사직 전공의' 831명 업무개시명령…'면허 박탈' 경고 [831 ‘residents who resigned collectively’ ordered to start work… ‘License revoked’ warning]. Korean Broadcasting System. February 20, 2024.
  44. ^ "'uidaejeung-won = jil jeoha' jujang-e daehan daetonglyeong-ui banbag [hyeonjang-yeongsang]" '의대증원 = 질 저하' 주장에 대한 대통령의 반박 [현장영상] [President's rebuttal to the argument that 'increasing medical schools = lowering quality' [On-site video]]. Korean Broadcasting System. February 20, 2024.
  45. ^ "Chāo 9000 míng yīshēng jítǐ cízhí! Hánguó yīliáo xìtǒng wéijī shēng zhì zuì gāojí-xīn húnán" 超9000名医生集体辞职！韩国医疗系统危机升至最高级-新湖南 [More than 9,000 doctors resigned en masse! The crisis in South Korea's medical system reaches the highest level - New Hunan]. 新湖南_湖南新闻第一端 (in Chinese). February 22, 2024. Retrieved February 22, 2024.
  46. ^ "Hán zǒnglǐ: Jiāng cǎiqǔ cuòshī yìngduì fēifǎ lí gǎng yīshēng" 韩总理：将采取措施应对非法离岗医生 [Prime Minister of South Korea: Measures will be taken to deal with doctors who leave their jobs illegally]. 韩联社（韩国联合通讯社） (in Chinese). March 3, 2024. Retrieved March 3, 2024.
  47. ^ a b "Shǒu'ěr dàxué yīxué yuàn jiàoshòu huò jítǐ cízhí hánguó bǎojiàn fúzhǐ bù chēng jiāng yǔ yīshēng duìhuà" 首尔大学医学院教授或集体辞职 韩国保健福祉部称将与医生对话 [Professors at Seoul National University School of Medicine may resign en masse. South Korea’s Ministry of Health and Welfare says it will have dialogue with doctors]. 新闻频道_央视网(cctv.com) (in Chinese). March 12, 2024. Retrieved March 12, 2024.
  48. ^ "Hánguó bǎojiàn fúzhǐ bù xuānbù jírì qǐ tiáozhěng hùshì yèwù fànwéi chéngdān bùfèn yīshēng yèwù" 韩国保健福祉部宣布即日起调整护士业务范围 承担部分医生业务 [South Korea's Ministry of Health and Welfare announced that it will adjust the business scope of nurses and assume some of the doctor's business from now on]. 川观新闻 (in Chinese). August 11, 2020. Retrieved February 27, 2024.
  49. ^ "Telemedicine services to be expanded as 'golden hour' of medical crisis looms". February 23, 2024. Retrieved August 26, 2024.
  50. ^ "Gov't deploys military doctors to address medical service disruptions". koreatimes. March 11, 2024.
  51. ^ "PA nurses to fill medical manpower gap amid gov't-doctor conflict". koreatimes. March 7, 2024.
  52. ^ "Health ministry sends final notice of license suspension to 2 leaders of doctors' group". koreatimes. March 18, 2024.
  53. ^ "Police open probe into doctors' ringleaders as deadline approaches". koreajoongangdaily.joins.com. February 28, 2024.
  54. ^ "Hán zhèngfǔ yī jiè fǎn gǎng lìng shíxiàn yǐguò jíjiāng cǎiqǔ xíngzhèng sīfǎ chǔfèn" 韩政府医界返岗令时限已过 即将采取行政司法处分 [The time limit for the Korean government’s order for the medical community to return to work has expired and administrative and judicial sanctions will be taken soon]. 韩联社（韩国联合通讯社） (in Chinese). March 3, 2024. Retrieved March 3, 2024.
  55. ^ "Nánhán cízhí yīshēng pò wàn zhèngfǔ zhǐ ruò zài zhōu sì qián fùgōng jiāng bù zhuījiù" 南韓辭職醫生破萬 政府指若在周四前復工將不追究 [The number of doctors who resigned in South Korea exceeds 10,000, and the government says that if they resume work before Thursday, they will not be held accountable]. Now 新聞 (in Chinese). February 26, 2024. Retrieved February 26, 2024.
  56. ^ "Hán zhèngfǔ xiàng jìn 5000 míng jù bù fǎn gǎng yīshī fāsòng diàoxiāo zhízhào tōngzhī" 韩政府向近5000名拒不返岗医师发送吊销执照通知 [South Korean government sends license revocation notices to nearly 5,000 doctors who refuse to return to work]. 韩联社（韩国联合通讯社） (in Chinese). March 11, 2024. Retrieved March 11, 2024.
  57. ^ "Hánguó jìn 300 yīshēng fùgōng zhèngfǔ míng qǐ chǔfèn wèi fǎn gǎng yīshēng" 韩国近300医生复工 政府明起处分未返岗医生 [Nearly 300 doctors in South Korea have returned to work. The government will punish doctors who fail to return to work tomorrow.]. 联合早报 (in Chinese). February 29, 2024. Retrieved February 29, 2024.
  58. ^ "Hánguó 100 jiā dàxíng yīyuàn zhōng yǐ yǒu 565 míng cízhí yīshēng fǎn gǎng_zhōngguó wǎng" 韩国100家大型医院中已有565名辞职医生返岗_中国网 [565 resigned doctors from 100 large hospitals in South Korea have returned to work_China Net]. 中国网新闻中心_传递中国价值. March 1, 2024. Retrieved March 3, 2024.
  59. ^ a b "South Korean Doctors Should Return to Duty". thediplomat.com. Retrieved March 17, 2024.
  60. ^ "Hánguó zhèngfǔ: Jiāng xiànchǎng jiǎnchá yīshēng chūqín qíngkuàng wèi fù gǎng yīshēng zhízhào jiāng bèi diàoxiāo zhìshǎo 3 gè yuè" 韩国政府：将现场检查医生出勤情况 未复岗医生执照将被吊销至少3个月 [South Korean Government: Doctors’ attendance status will be checked on-site. Doctors who fail to return to work will have their licenses revoked for at least 3 months.]. 新闻频道_央视网(cctv.com) (in Chinese). March 4, 2024. Retrieved March 4, 2024.
  61. ^ a b "Hánguó zhèngfǔ jì tiěwàn xíngdòng, qīqiān míng shíxí yīshēng zāo diàoxiāo zhízhào" 韓國政府祭鐵腕行動，七千名實習醫生遭吊銷執照 [The South Korean government's iron-fisted operation resulted in the suspension of the licenses of 7,000 intern doctors.]. Yahoo News (in Chinese). March 4, 2024. Retrieved March 4, 2024.
  62. ^ Jun-hee, Park (February 23, 2024). "Health care crisis hits highest level amid doctor walkout". The Korea Herald. Retrieved August 6, 2024.
  63. ^ "uidae jeung-won: seoulgobeob, uidaejeung-won jibhaengjeongji 'gagha·gigag'... uilyo galdeung eotteohge doena?" 의대 증원: 서울고법, 의대증원 집행정지 '각하·기각'... 의료 갈등 어떻게 되나? [Medical school expansion: Seoul High Court 'dismisses/dismisses' suspension of medical school expansion... What happens to the medical conflict?]. BBC News 코리아 (in Korean). May 16, 2024. Retrieved July 19, 2024.
  64. ^ "Gov't unveils measures to prevent boycotting med students from failing semester". The Korea Times. July 10, 2024. Retrieved August 6, 2024.
  65. ^ "Health ministry to unveil measures in connection with medical school admission hike". Yonhap News Agency. August 16, 2024.
  66. ^ Oh, Seok-min (December 4, 2024). "Full text of martial law decree". Yonhap News Agency. Retrieved December 3, 2024.
  67. ^ "South Korea lifts president's martial law decree after lawmakers vote against it". AP News. December 3, 2024. Retrieved December 3, 2024.
  68. ^ Davies, Ed; Shin, Hyonhee (March 6, 2024). "Explainer: Why South Korean doctors and the government remain at odds over walkout?". Reuters.
  69. ^ "jeongong-ui 'ju 80sigan' jangsigan geunmu" 전공의 '주 80시간' 장시간 근무 [Residents work long hours, ‘80 hours a week’]. Korean Broadcasting System. February 21, 2024.
  70. ^ de Guzman, Chad (February 9, 2023). "South Korea Has a Dire Doctor Shortage. Will Relaxing Malpractice Punishment Help?". TIME. Retrieved July 27, 2024.
  71. ^ "Trainee doctors set to stop work in protest over med school quota hike". February 20, 2024. Retrieved August 26, 2024.
  72. ^ 집단사직 전공의 ‘1만명’ 넘었다…전체 80.5% [The number of students who resigned en masse exceeded 10,000… 80.5% of the total]. 청년의사 (in Korean). February 26, 2024. Retrieved August 29, 2024.
  73. ^ "Doctors take to streets in protest of medical school quota hike". koreatimes. March 3, 2024. Retrieved August 26, 2024.
  74. ^ "Gov't deploys military doctors to address medical service disruptions". koreatimes. March 11, 2024. Retrieved August 26, 2024.
  75. ^ "South Korean senior doctors to resign in support of junior medics' walkout". CNA. Retrieved March 17, 2024.
  76. ^ "South Korea's medical professors join protests, reduce hours in practice". TODAY. Retrieved March 26, 2024.
  77. ^ "15일 정오 기준 '전공의 출근율 8.4%…인턴은 3.4%'". 청년의사 (in Korean). 청년의사. July 16, 2024. Retrieved August 26, 2024.
  78. ^ "oneulbuteo habangi jeongong-ui mojib sijag…inteon·lejideonteu chong 7,645myeong chaeyong" 오늘부터 하반기 전공의 모집 시작…인턴·레지던트 총 7,645명 채용 [Recruitment of majors for the second half of the year begins today... Recruitment of a total of 7,645 interns and residents]. KBS News (in Korean). Retrieved July 26, 2024.
  79. ^ "uihyeob bidaewi "jeongong-ui sajig-eun gibongwon haengsa…wiheonjeog haengtae jungdanhala"" 의협 비대위 "전공의 사직은 기본권 행사…위헌적 행태 중단하라" [Medical Association Non-Captain "Resignation by a major is an exercise of basic right... Stop this unconstitutional behavior."]. Korean Broadcasting System. February 20, 2024.
  80. ^ 전공의 대표가 '복귀 조건'으로 언급한 7가지 요구안은?. 의협신문 (in Korean). February 23, 2024. Retrieved August 29, 2024.
  81. ^ "2025hagnyeondo uidae jeung-won choedae 1500myeongdae choban…2026nyeon-eun '2cheon myeong' jeung-won" 2025학년도 의대 증원 최대 1500명대 초반…2026년은 ‘2천 명’ 증원 [Medical school enrollment for the 2025 school year is expected to increase to around 1,500 students… In 2026, the number of employees will be increased by ‘2,000’.]. KBS News (in Korean). Retrieved July 23, 2024.
  82. ^ "South Korea adds 1,500 medical student slots in scaled-back expansion". Nikkei Asia. Retrieved July 23, 2024.
  83. ^ "Health care worker union to launch general strike on Thursday". JoongAng Daily. August 25, 2024. Retrieved August 30, 2024.
  84. ^ "Unionized hospital workers pull out from strike". The Korea Herald. August 29, 2024.
  85. ^ "Coursework boycotts could mean thousands of Korean med students are held back a grade". The Hankyoreh. Retrieved August 6, 2024.
  86. ^ Jun-hee, Park. "2.7% of med students return to class amid ongoing boycott". The Korea Herald. The Korea Herald. Retrieved August 4, 2024.
  87. ^ "Yoon refuses to back down on medical school quota hike". The Korea Times. April 4, 2024.
  88. ^ An, Shinki (June 30, 2024). "The Abyss from Which We Must Arise Despite Our Pain: The 2024 Medical Crisis and the Moral Injury of Medical School Professors". Korean Medical Education Review. 26 (2): 125–132. doi:10.17496/kmer.24.023. ISSN 2092-5603.
  89. ^ ""90eog ssod-a bueossda" gugmin yeonghwagwan-eseo nandeeobs-i 'uidaejeung-won'…mwonga bwassdeoni" "90억 쏟아 부었다" 국민 영화관에서 난데없이 ‘의대증원’…뭔가 봤더니 [“We poured 9 billion won” The national movie theater suddenly ‘increased the number of medical schools’… I saw something]. 헤럴드경제 (in Korean). March 24, 2024. Retrieved July 28, 2024.
  90. ^ Wendy (July 5, 2024). "'Heading straight towards death': South Korean patients urge doctors to end prolonged strike". The Straits Times. ISSN 0585-3923. Retrieved August 7, 2024.
  91. ^ "uilyopa-eob jang-gihwa-e gyeolgug geolilo naseon hwanjadeul...'50nyeon gat-eun 5gaewol-ieossda'" 의료파업 장기화에 결국 거리로 나선 환자들...'50년 같은 5개월이었다' [Patients ended up taking to the streets due to the prolonged medical strike... 'It was 5 months that felt like 50 years']. BBC News 코리아 (in Korean). July 4, 2024. Retrieved August 7, 2024.
  92. ^ "ijaemyeong "uidae suncha jeung-won-i mattang…uisa pa-eob jeuggag jungdanhaeya"" 이재명 "의대 순차 증원이 마땅…의사 파업 즉각 중단해야" [Lee Jae-myeong "Medical schools should be sequentially increased... The doctors' strike must be stopped immediately."]. Korean Broadcasting System. February 21, 2024.
  93. ^ "jungjeungjilhwanja·simindanche "byeong-won-eulo boggwihaedalla"" 중증질환자·시민단체 "병원으로 복귀해달라" [Severely ill patients and civic groups ask to return to the hospital]. Korean Broadcasting System. February 21, 2024.
  94. ^ "jogyejong, jeongong-ui boggwi hoso…"saengmyeong-eun mueosboda jongwi"" 조계종, 전공의 복귀 호소…"생명은 무엇보다 존귀" [Jogye Order appeals for the return of majors… “Life is more precious than anything else”]. Korean Broadcasting System. February 22, 2024.
  95. ^ "의료공백 장기화에... 국민 49% "정부 대응 잘못"[한국갤럽]". 한국일보 (in Korean). March 15, 2024. Retrieved August 29, 2024.
  96. ^ "jeongong-ui eobsneun big5 byeong-won 'olseutob'?…jungjeung·eung-geub jinlyo choeuseon" 전공의 없는 빅5 병원 '올스톱'?…중증·응급 진료 최우선 [Big 5 hospitals without medical residents ‘all stop’?… Severe/emergency care is the top priority]. Korean Broadcasting System. February 22, 2024.
  97. ^ "jeongong-ui jibdan ital uilyo pahaeng bongyeoghwa…jeongug byeong-won bisang un-yeong dol-ib(jonghab)" 전공의 집단 이탈 의료 파행 본격화…전국 병원 비상 운영 돌입(종합) [Medical crippling is in full swing due to group departure of medical residents... Nationwide hospitals begin emergency operation (comprehensive)]. Naver News (in Korean). February 20, 2024. Retrieved February 22, 2024.
  98. ^ a b "byeong-won jikideon busandaebyeong-won angwa gyosu samang…uilyogye aedo" 병원 지키던 부산대병원 안과 교수 사망…의료계 애도 [Pusan National University Hospital ophthalmology professor who was guarding the hospital dies... medical community mourning]. 청년의사 (in Korean). March 24, 2024. Retrieved June 12, 2024.
  99. ^ a b "ibeon-en naegwa gyosu samang...uilyogye "gwalo ttaemun", byeong-won "gwalowa mugwan"" 이번엔 내과 교수 사망...의료계 "과로 때문", 병원 "과로와 무관" [This time, an internal medicine professor dies... The medical community says it's "due to overwork," and the hospital says it has nothing to do with overwork.]. The Chosun Ilbo (in Korean). April 21, 2024. Retrieved June 12, 2024.
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