PDF(Pubmed)
Abstract：
UNASSIGNED: Strikes in the health sector have been of growing concern, given their disruptive nature, negatively impacting the provision of health care and jeopardizing the well-being of patients. This study aims to identify the main actors, the reasons behind industrial actions protests, strikes and lockouts (IAPSL) in sub-Saharan African countries and their impact on health care workers (specifically doctors) and health services, as well as to identify the main strategies adopted to reduce their impact on healthcare services.
UNASSIGNED: Studies published between January 2000 and December 2021 and archived in MEDLINE, Google Scholar, Scopus, ProQuest, and Science Direct were included. Quantitative, observational (i.e., cohort, case-control, cross-sectional, and ecological) and experimental studies, as well as mixed methods, quasi-experimental, and qualitative studies were eligible.
UNASSIGNED: A total of 5521 studies were identified and after eliminating duplicates, applying the inclusion criteria, and assessing the risk of bias, a total of 11 studies were included in the review. Nurses and doctors are the actors most commonly involved in strikes. The main causes of strikes were salary claims and poor working conditions. The main strategies adopted to mitigate the strike consequences were to restrict services and prioritize emergency and chronic care, greater cooperation with the private sector and rearrange tasks of the available staff. The strikes led to a reduction in hospitalizations and in the number of women giving birth in health units, an increase in maternal and child morbidities and delays in the immunization process. Increased mortality was only reported in faith-based hospitals.
UNASSIGNED: This evidence can assist decision-makers in developing strategies and interventions to address IAPSL by health care workers, contributing to strengthen the health system. Strikes in the health sector disrupt healthcare services provision and compromise the well-being of patients, especially the most disadvantaged, with consequences that may be difficult to overcome ever. The potential health impacts of strikes highlights the importance of their prevention or timely resolution through regulation and negotiations to balance the rights of health care workers and the rights of patients.
UNASSIGNED: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=334173, identifier CRD42022334173.
UNASSIGNED: Studies published between January 2000 and December 2021 and archived in MEDLINE, Google Scholar, Scopus, ProQuest, and Science Direct were included. Quantitative, observational (i.e., cohort, case-control, cross-sectional, and ecological) and experimental studies, as well as mixed methods, quasi-experimental, and qualitative studies were eligible.
UNASSIGNED: A total of 5521 studies were identified and after eliminating duplicates, applying the inclusion criteria, and assessing the risk of bias, a total of 11 studies were included in the review. Nurses and doctors are the actors most commonly involved in strikes. The main causes of strikes were salary claims and poor working conditions. The main strategies adopted to mitigate the strike consequences were to restrict services and prioritize emergency and chronic care, greater cooperation with the private sector and rearrange tasks of the available staff. The strikes led to a reduction in hospitalizations and in the number of women giving birth in health units, an increase in maternal and child morbidities and delays in the immunization process. Increased mortality was only reported in faith-based hospitals.
UNASSIGNED: This evidence can assist decision-makers in developing strategies and interventions to address IAPSL by health care workers, contributing to strengthen the health system. Strikes in the health sector disrupt healthcare services provision and compromise the well-being of patients, especially the most disadvantaged, with consequences that may be difficult to overcome ever. The potential health impacts of strikes highlights the importance of their prevention or timely resolution through regulation and negotiations to balance the rights of health care workers and the rights of patients.
UNASSIGNED: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=334173, identifier CRD42022334173.
摘要：
■卫生部门的罢工越来越受到关注，鉴于它们的破坏性，对医疗保健的提供产生负面影响，并危及患者的福祉。本研究旨在确定主要参与者，工业行动抗议背后的原因，撒哈拉以南非洲国家的罢工和停工（IAPSL）及其对医护人员（特别是医生）和卫生服务的影响，以及确定为减少其对医疗保健服务的影响而采取的主要策略。
■在2000年1月至2021年12月之间发表并存档在MEDLINE中的研究，谷歌学者，Scopus,ProQuest,包括科学直接。定量,观察性(即，队列,病例控制，横截面,和生态)和实验研究，以及混合方法，准实验,和定性研究是合格的。
■总共确定了5521项研究，在消除重复项之后，应用纳入标准，评估偏见的风险，本综述共纳入11项研究.护士和医生是最经常参与罢工的演员。罢工的主要原因是工资索赔和恶劣的工作条件。为减轻罢工后果而采取的主要策略是限制服务，并优先考虑紧急和长期护理，加强与私营部门的合作，重新安排现有工作人员的任务。罢工导致住院人数和在卫生部门分娩的妇女人数减少，孕产妇和儿童发病率的增加和免疫接种过程的延误。仅在宗教医院报告死亡率增加。
■这些证据可以帮助决策者制定战略和干预措施，以解决卫生保健工作者的IAPSL问题，有助于加强卫生系统。卫生部门的罢工破坏了医疗服务的提供，损害了患者的福祉，尤其是处境最不利的人，可能难以克服的后果。罢工的潜在健康影响凸显了通过监管和谈判来预防或及时解决罢工的重要性，以平衡医护人员的权利和患者的权利。
■https://www.crd.约克。AC.uk/PROSPERO/display_record。php?RecordID=334173，标识符CRD4202234173。
■在2000年1月至2021年12月之间发表并存档在MEDLINE中的研究，谷歌学者，Scopus,ProQuest,包括科学直接。定量,观察性(即，队列,病例控制，横截面,和生态)和实验研究，以及混合方法，准实验,和定性研究是合格的。
■总共确定了5521项研究，在消除重复项之后，应用纳入标准，评估偏见的风险，本综述共纳入11项研究.护士和医生是最经常参与罢工的演员。罢工的主要原因是工资索赔和恶劣的工作条件。为减轻罢工后果而采取的主要策略是限制服务，并优先考虑紧急和长期护理，加强与私营部门的合作，重新安排现有工作人员的任务。罢工导致住院人数和在卫生部门分娩的妇女人数减少，孕产妇和儿童发病率的增加和免疫接种过程的延误。仅在宗教医院报告死亡率增加。
■这些证据可以帮助决策者制定战略和干预措施，以解决卫生保健工作者的IAPSL问题，有助于加强卫生系统。卫生部门的罢工破坏了医疗服务的提供，损害了患者的福祉，尤其是处境最不利的人，可能难以克服的后果。罢工的潜在健康影响凸显了通过监管和谈判来预防或及时解决罢工的重要性，以平衡医护人员的权利和患者的权利。
■https://www.crd.约克。AC.uk/PROSPERO/display_record。php?RecordID=334173，标识符CRD4202234173。
