Risk of nosocomial infection during a 50-day surgeon strike

Dierssen, Trinidad; Fariñas‐Álvarez, Concepción; Llorca, Javier; Antolín, Francisco; Delgado-Rodrı́guez, Miguel

doi:10.1016/s0195-6701(97)90200-0

Cited by 4 publications

(6 citation statements)

References 7 publications

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“…Four studies scored well, scoring six or above 12‐15 . Several studies scored relatively low on this scale, with five papers scoring three or less 16‐20 . The remainder of these studies fell somewhere between, scoring four or five 21‐24 .…”

Section: Resultsmentioning

confidence: 92%

“…Dierssen et al. 16 reported no significant changes in the risk of all nosocomial infections (and surgical site infections) during a 50 day doctor strike in Spain. Similarly, Pantell and Irwin 15 reported there were no changes in appendectomies performed, inflamed appendices or delays in surgery during a 30 day doctor strike in the US.…”

Section: Resultsmentioning

confidence: 98%

“… 12 , 13 , 14 , 15 Several studies scored relatively low on this scale, with five papers scoring three or less. 16 , 17 , 18 , 19 , 20 The remainder of these studies fell somewhere between, scoring four or five. 21 , 22 , 23 , 24 Collectively, the majority of papers lacked detail relating to the representativeness of the exposed cohort (and to a lesser degree the selection of the non‐exposed cohort), the comparability of the cohorts and the follow up related to the cohorts.…”

Section: Resultsmentioning

confidence: 99%

“…Daga and Shende 23 reported no significant difference in the number of high-risk deliveries during a 69 day junior doctor strike in India. Dierssen et al 16 reported no significant changes in the risk of all nosocomial infections (and surgical site infections) during a 50 day doctor strike in Spain.…”

Section: In the 1980smentioning

confidence: 98%

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The impact of strike action on patient morbidity: A systematic literature review

Essex

Milligan

Williams

et al. 2022

Health Planning & Management

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Strike action in healthcare has been common over the last several decades. The overarching aim of this systematic review was to synthesise and analyse the empirical literature that examines the impact of strike action on patient morbidity, that is, all patient outcomes except mortality. After conducting a search and apply eligibility criteria, 15 studies were included in this review. These articles included a variety of outcomes from hypertension control to rates of chlamydia. Strikes ranged from 13 to 118 days, with a mean strike length of 56 days. A textual narrative synthesis was employed to arrange studies by whether they had a positive, mixed or neutral or negative impact on patient morbidity.Results suggest that strike action has little impact on patient morbidity. The majority of studies reported that strike action had a neutral or mixed impact of strike action on patient morbidity. One study reported positive outcomes and three studies reported negative outcomes, however in both cases, the impact that the strike had was marginal.

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Section: Resultsmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: In the 1980smentioning

confidence: 98%

See 2 more Smart Citations

The impact of strike action on patient morbidity: A systematic literature review

Essex

Milligan

Williams

et al. 2022

Health Planning & Management

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“…[8] The impact of physician strikes and slowdowns on emergency room use and mortality has been explored in Croatia, [9] Israel, [10]–[14] and Spain. [15] Studies have also been conducted to examine the disruption of health services by natural disasters or armed conflict. [16] Interestingly, most studies found that mortality rates were unchanged or decreased when physician services were suspended.…”

Section: Introductionmentioning

confidence: 99%

Impact of a Labour Disruption Affecting Local Public Health on the Incidence of Chlamydia Infections in Toronto

et al. 2013

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IntroductionLabour disruptions that interrupt services can be a natural experiment to examine the effect of halting a program. A five-week municipal labour disruption in Toronto during the summer of 2009 provided an opportunity to investigate the impact of reduced sexual health services.MethodsWe examined the incidence of reported chlamydia in Toronto during the five years (2004–2008) preceding the labour disruption and during the periods just before, during, and after the labour disruption. Comparisons of actual reports for 2009 were made to immediately adjacent periods around the labour disruption, to historical trends and to forecasted rates. Interrupted time series analysis was used to test for significant differences in the trend of reported chlamydia incidence.ResultsThere was no significant difference in the trend of reported chlamydia incidence around the time of the strike. However, there was a small but significant increase in the incidence of reported chlamydia, particularly among females under 25 years old immediately following the labour disruption. The reported incidence for this group was higher than would be expected based on annual increases and projected seasonal trends.ConclusionsThere was a small increase in incidence of reported cases of chlamydia for certain groups that went beyond what is expected during the time immediately following the labour disruption. While causation cannot be implied from our ecological study, public health services may play a role in the control of sexually transmitted infections, even in the short-term. This underscores the need for future work to understand whether the changes observed can be attributed to the absence of these services.

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The impact of strike action on healthcare delivery: A scoping review

Essex

Ahmed

Elliott

et al. 2022

Health Planning & Management

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Background: Strike action carried out by healthcare workers raises a range of ethical issues.Most fundamentally, as a strike is designed to disrupt, it has the potential to impact patient outcomes and healthcare delivery. This paper synthesises and analyses the empirical literature that details the impact of strike action on healthcare delivery.Methods: A systematic scoping review was utilised to examine the extent, range and nature of research activity. Embase, Medline, CINAHL, Bioethicsline, EconLit and Web of Science were searched, yielding 5644 results. Papers were included if they examined the impact that strike action had on healthcare delivery (i.e., admissions, presentation). After screening 43 papers met inclusion criteria.Results: Nineteen studies explored presentations to emergency or admissions to hospital. Both dropped dramatically when comparing non-strike to strike periods. Ten studies examined length of stay in hospital and waiting times. No relation to either was found in relation to strike action, with some studies showing that wait times decreased. Nine studies examined the impact of strike action in facilities that were not on strike, but impacted by nearby strike action and the impact that strike action had on treatment seeking. Hospitals dealing with these upstream impacts often saw increase in presentations at hospitals, but results relates to treatment seeking during strike action were mixed. Conclusion: Strike action can have a substantial impact on the delivery of healthcare, but this impact is not felt uniformly across services. While many services are disrupted, a number are not, with several studies reporting increased efficiency.

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Risk of nosocomial infection during a 50-day surgeon strike

Cited by 4 publications

References 7 publications

The impact of strike action on patient morbidity: A systematic literature review

The impact of strike action on patient morbidity: A systematic literature review

Impact of a Labour Disruption Affecting Local Public Health on the Incidence of Chlamydia Infections in Toronto

The impact of strike action on healthcare delivery: A scoping review

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