James J J
Am J Public Health. 1979 May;69(5):437-43. doi: 10.2105/ajph.69.5.437.
The Los Angeles County (California) physician strike of January 1976 resulted in a partial withdrawal of physician services. Among recorded impacts were a $17.5 million loss in hospital revenues and an $8.5 million pay loss for hospital employees. Several surveys revealed no evidence of a significant impact on the general public in finding medical care. Analysis of emergency room visits and paramedical ambulance calls showed no significant increases during the strike. County mortality statistics for the strike were not affected. Eighty-eight fatalities among 2,171 patients transferred during the strike were analyzed; a Case Attributable Mortality Probability generated on 21 cases selected for final review by a five-physician multispecialist panel indicated that 29 per cent of the Attributable Mortality could be ascribed to the strike itself and 71 per cent to ongoing "patient dumping" from private sector to County hospitals. Even if sample attributable mortality rates were generalized to overall county deaths, the resultant figures are below the estimated range of 55 to 153 deaths that did not occur because of the number of elective operations not performed secondary to the strike.
1976年1月，加利福尼亚州洛杉矶县的医生罢工导致医生服务部分中断。记录在案的影响包括医院收入损失1750万美元，医院员工工资损失850万美元。多项调查显示，没有证据表明罢工对公众寻求医疗服务产生重大影响。对急诊室就诊情况和辅助医疗救护车呼叫情况的分析表明，罢工期间这些数据没有显著增加。该县罢工期间的死亡率统计数据未受影响。对罢工期间转运的2171名患者中的88例死亡病例进行了分析；由五名医生组成的多专科专家小组挑选出21例进行最终审查，得出的病例归因死亡率概率表明，29%的归因死亡率可归因于罢工本身，71%归因于私营部门向县医院持续的“患者倾销”。即使将样本归因死亡率推广到全县总体死亡情况，所得数字也低于因罢工导致择期手术未进行而估计未发生的55至153例死亡范围。
