ArticleJournal of Korean medical science2025
Impact of Medical Crisis on the Competency of Surgical Conduct Regarding Departmental, Institutional and Regional Distribution in Korea: A National Insurance Claim Data Analysis.
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 4 papers.
What it found
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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.
The trial behind it
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Who cites it
4 citing papers in PubMed.
- Changes in Patient Characteristics and Early Clinical Outcomes Among Emergency Department-Admitted Inpatients During the 2024 Medical Workforce Crisis in South Korea.Journal of clinical medicine · 2026Article
- Decoupling of Respiratory Virus Positivity and Host Inflammatory Response: A 16-Year Longitudinal Study.Microorganisms · 2026Article
- Allocative inefficiency in physician workforce distribution: specialty-level NHI-covered reimbursement analysis in South Korea's single-payer system.Frontiers in public health · 2026Article
- Changes in General Thoracic Surgery Volume during the Medical-Political Conflict in South Korea by Institutional Type and Surgical Complexity: An Analysis of National Health Insurance Claims.Journal of chest surgery · 2025Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
backgroundIn February 2024, a nationwide medical crisis erupted in South Korea following the mass resignation of over 90% of trainee physicians in protest against the government's healthcare reform policy. Amid the ongoing crisis, the government initiated a series of restructuring activities aimed at concentrating high-complexity surgeries and critical care at tertiary hospitals, while redistributing low-complexity procedures to hospitals and clinics. However, the nationwide impact of the reform policy on high-complexity surgical practices, particularly in terms of institutional type, departmental specialty, and regional distribution, has not yet been assessed.
methodsUsing national insurance claims data from the Korean Health Insurance Review and Assessment Service, we analyzed 914 high-complexity surgical procedures across tertiary hospitals (n = 47), general hospitals (n = 331), and hospitals/clinics (n = 37,888). Claims data from February to July 2023 (pre-crisis) were compared with those from February to July 2024 (post-crisis), stratified by institutional type, medical specialty, and geographic region.
resultsAfter the medical crisis, overall high-complexity surgical claims decreased by 10% (
conclusionDuring the Korean medical crisis in 2024, nationwide surgical capacity and systems for maintaining competency were significantly compromised. Although some procedures were offset by redistribution to lower-tier institutions or regional hospitals, most high-complexity surgeries-particularly those requiring critical care-did not recover.
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