Evidence map›Paper›PMID 40228561›Full record

ArticleJournal of Korean medical science2025

Massive Closures of Pediatric Clinics and an Exodus of Pediatricians in Korea During the COVID-19 Pandemic: What Career Paths Did Closed-Down Pediatricians Choose?

Jin-Won Noh, Jun Hyuk Koo, Min-Hee Heo, Jin Yong Lee

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jin-Won Noh *Division of Health Administration, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea.ORCID https://orcid.org/0000-0001-5172-4023
Jun Hyuk Koo *Innovation Center Operation Division, Payment System Development Department, Health Insurance Review and Assessment Service, Wonju, Korea.ORCID https://orcid.org/0000-0002-5743-9271
Min-Hee HeoDepartment of Health Administration, Graduate School of Yonsei University, Wonju, Korea.ORCID https://orcid.org/0000-0002-7075-0064
Jin Yong LeeDepartment of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-7752-2697

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to investigate the size and characteristics of pediatric clinic closure during the coronavirus disease 2019 (COVID-19) period and what career paths pediatricians chose after closure.

methodsThis study utilized database of the Health Insurance Review and Assessment Service from 2013 to 2022. We examined the trend of the number of pediatric clinics in operation over the past 10 years. Additionally, the study identified factors associated with the closure of pediatric clinics during the COVID-19 pandemic. Furthermore, the affiliations of representatives who closed their clinics during the pandemic were tracked as of December 2022.

resultsIn 2019, there were 2,229 pediatric clinics. During the COVID-19 pandemic, 364 (16.3%) of these clinics closed. Factors associated with the closure of pediatric clinics included pediatricians over the age of 65, operational periods of less than 5 years, and lower levels of medical expenses. As of 2022, among the 364 clinics that closed, 108 pediatricians (29.7%) retired or ceased working, and 127 pediatricians (34.9%) still employed in pediatric-related healthcare institutions. A concerning phenomenon is that the remaining 129 pediatricians (35.4%) transitioned to unrelated healthcare institutions.

conclusionWe have identified the magnitude and factors contributing to pediatric clinic closures. A more pressing issue is that over one-third of the pediatricians have transitioned to non-specialty fields following the closure of their clinics. Pediatrics represents a critical and essential medical field. Health authorities must develop strategies to prevent the avoidable collapse and subsequent exodus of pediatricians.

Indexed as

Career ChoiceCOVID-19Health Facility ClosurePediatriciansAdultFemaleHumansMaleMiddle AgedPandemicsPediatricsRepublic of KoreaSARS-CoV-2COVID-19Health Facility ClosureHealth WorkersKoreaMedically Underserved AreaPediatrics

Identifiers

PMID40228561
PMCPMC11995197

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.