Manchester Royal Eye Hospital, Oxford Road, Manchester, M13 9WL, UK.
Department of Eye and Vision Science, Institute of Life Course and Medical Sciences, Faculty of Health & Life Sciences, University of Liverpool, William Henry Duncan Building, 6 West Derby Street, Liverpool, L7 8TX, UK.
Int Ophthalmol. 2023 Nov;43(11):4217-4223. doi: 10.1007/s10792-023-02832-w. Epub 2023 Aug 10.
To assess the impact of the junior doctors' industrial action on one of the largest emergency eye departments (EED) in the United Kingdom.
We compared staff allocation, patient presentation, time in streaming, time in the department, the Manchester Triage System (MTS) score, number of eye emergencies and follow-up care of patients who attended the EED in the Manchester Royal Eye Hospital (MREH) during the 3-day industrial action (13-15 March 2023) compared with control periods 2 weeks before and 2 weeks after the industrial action.
During the industrial action, there were almost 1.5 times more staff allocated to EED with a near doubling of the senior workforce. There was no difference in patient presentation, MTS score, number of eye emergencies or patient follow-up during the industrial action. However, patients had significantly less time in streaming (p < 0.001) and in the department (p < 0.001) during the industrial action compared to control periods.
Emergency ophthalmic patient care was not compromised during the industrial action due to the reallocation of the workforce to EED. The results of this study may help in the planning of ophthalmic eye-care services in the event of future industrial actions.
评估初级医生罢工对英国最大的急诊眼科部门之一的影响。
我们比较了在曼彻斯特皇家眼科医院（MREH）急诊眼科部门（EED）就诊的患者，在 2023 年 3 月 13 日至 15 日的三天罢工期间（13-15 日）与罢工前后两周的控制期相比，工作人员分配、患者就诊、分诊时间、部门停留时间、曼彻斯特分诊系统（MTS）评分、眼科急症数量和随访情况。
在罢工期间，EED 分配的工作人员几乎增加了 1.5 倍，高级工作人员的数量几乎翻了一番。在罢工期间，患者就诊、MTS 评分、眼科急症数量或患者随访方面没有差异。然而，与控制期相比，患者在分诊和部门的停留时间明显缩短（p<0.001）。
由于工作人员重新分配到 EED，急诊眼科患者的护理在罢工期间并未受到影响。本研究的结果可能有助于未来发生劳资纠纷时规划眼科眼保健服务。
