RESUMEN
The objectives of this study are (1) to examine the training and working conditions of residents after revision of the 'Regulations on Specialist Training and Accreditation,' (2) to determine the causes of problems with these training and working conditions, and (3) to seek improvement in these conditions. A questionnaire survey was conducted over two weeks. A total of 10,768 respondents and 1,793 valid responses were analyzed. Although revised regulations had been implemented, training conditions did not appear to have undergone any improvements. 52.9% of residents work over 80 hours per week and 27.1% respondents exceeded 100 hours per week. 76.9% of respondents indicated that they exceed the maximum continuous training time of 36 hours. 64.5% of respondents said their emergency room training time was over 12 hours. 25.4% of respondents' duty days exceeded three days a week. 34.7% of respondents said that they had less than three days off per month. The proportion of those with annual leave under 14 days is 70.2%. For substantive improvements in training and working conditions, new plans must consider practical factors in the implementation of improvements. This requires a governance structure based on participation, and an independent, objective training evaluation organization should be established to perform a reliable assessment. Above all, the government financial compensation plan must prepare for improving the training environment.
Asunto(s)
Compensación y Reparación , Educación , Servicio de Urgencia en Hospital , Control Social Formal , Especialización , Encuestas y CuestionariosRESUMEN
The Korean government is preparing the Basic Law on Service Industry Development(BLID). The final aim of the BLID is to improve competition and productivity in service industries. Industrialization and privatization generally result in the pursuit of profit. Health services are one of the services covered by the BLID. There are arguments that health services areone of the service industries that pursue profit on a preferential basis. Health services first pursue equity and then efficiency. There is an existing law for health services called the Basic Law on Health Care(BLHC). The BLHC contains the main contents of the BLID, but the aims of these two laws are different. Therefore, health services should be regulated by the BLHC, not the BLID, because health services are means of ensuring citizen's health, not profit.
Asunto(s)
Eficiencia , Servicios de Salud , Jurisprudencia , PrivatizaciónRESUMEN
The Korean government is preparing the Basic Law on Service Industry Development(BLID). The final aim of the BLID is to improve competition and productivity in service industries. Industrialization and privatization generally result in the pursuit of profit. Health services are one of the services covered by the BLID. There are arguments that health services areone of the service industries that pursue profit on a preferential basis. Health services first pursue equity and then efficiency. There is an existing law for health services called the Basic Law on Health Care(BLHC). The BLHC contains the main contents of the BLID, but the aims of these two laws are different. Therefore, health services should be regulated by the BLHC, not the BLID, because health services are means of ensuring citizen's health, not profit.