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Home Science & Environment Medical Research

Experts highlight urgent need for US physician strike regulations

January 11, 2025
in Medical Research
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A new Perspective published in the New England Journal of Medicine led by researchers from the Harvard Pilgrim Health Care Institute calls for urgent regulatory reforms to address the rising trend of physician strikes in the United States. The piece provides a comprehensive analysis of the increasing frequency of physician strikes and offers a framework for U.S. policymakers to learn from international best practices.

The piece was led by the Harvard Pilgrim Health Care Institute and co-authored by a collaborator from Harvard Law School.

Over the past two years, there have been significant physician strikes around the globe, including three physician strikes in the U.S. in the last year, with potentially more strikes anticipated in the coming years. Concerns about higher workload, lower compensation, and increased financial pressures have contributed to the rise in unionization among medical residents, fellows, and attending physicians.

The Perspective documents the significant rise in physician strikes globally, citing notable examples from South Korea, France, and the U.K. “Physician strikes are a growing reality that we can no longer ignore,” said lead author Tarun Ramesh, research fellow at the Harvard Pilgrim Health Care Institute. “We examined the impacts of these strikes on health care delivery and patient outcomes with the goal of finding potential solutions that, if implemented, can support all sides during times of unrest.”

To address the challenges posed by physician strikes, the authors propose several actionable solutions:

  • Address Regulatory Gaps: Despite the growing risk of strikes, the U.S. lacks comprehensive regulations to manage them. Policies mandating minimum staffing levels during strikes are critical to ensuring patient safety, as demonstrated by successful models from countries like France and Italy.
  • Reduce Legal Challenges: Current U.S. labor laws exclude many physicians from unionizing. Modernizing these laws can empower more physicians to negotiate better working conditions without compromising patient care.
  • Prevent Punitive Actions: Protecting striking physicians from punitive actions to align with International Labor Organization guidelines can protect employee–employer relations, public confidence in the medical system, and physicians’ working conditions.
  • Engage Stakeholders: Involve key stakeholders such as hospitals, health care systems, the American Medical Association, and State Medical Boards in developing and implementing these policies.

“Our findings underscore the urgent need for regulatory reforms to balance the rights of physicians with the imperative of patient safety,” said Hao Yu, senior author and Harvard Medical School associate professor of population medicine at the Harvard Pilgrim Health Care Institute. “By learning from international examples, we can develop policies that protect both health care providers and patients.”

More information:
Striking a Balance—Advancing Physician Collective-Bargaining Rights and Patient Protections, New England Journal of Medicine (2025). DOI: 10.1056/NEJMp2411647

Provided by
Harvard Pilgrim Health Care Institute


Citation:
Experts highlight urgent need for US physician strike regulations (2025, January 11)
retrieved 11 January 2025
from https://medicalxpress.com/news/2025-01-experts-highlight-urgent-physician.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.



physician
Credit: Pixabay/CC0 Public Domain

A new Perspective published in the New England Journal of Medicine led by researchers from the Harvard Pilgrim Health Care Institute calls for urgent regulatory reforms to address the rising trend of physician strikes in the United States. The piece provides a comprehensive analysis of the increasing frequency of physician strikes and offers a framework for U.S. policymakers to learn from international best practices.

The piece was led by the Harvard Pilgrim Health Care Institute and co-authored by a collaborator from Harvard Law School.

Over the past two years, there have been significant physician strikes around the globe, including three physician strikes in the U.S. in the last year, with potentially more strikes anticipated in the coming years. Concerns about higher workload, lower compensation, and increased financial pressures have contributed to the rise in unionization among medical residents, fellows, and attending physicians.

The Perspective documents the significant rise in physician strikes globally, citing notable examples from South Korea, France, and the U.K. “Physician strikes are a growing reality that we can no longer ignore,” said lead author Tarun Ramesh, research fellow at the Harvard Pilgrim Health Care Institute. “We examined the impacts of these strikes on health care delivery and patient outcomes with the goal of finding potential solutions that, if implemented, can support all sides during times of unrest.”

To address the challenges posed by physician strikes, the authors propose several actionable solutions:

  • Address Regulatory Gaps: Despite the growing risk of strikes, the U.S. lacks comprehensive regulations to manage them. Policies mandating minimum staffing levels during strikes are critical to ensuring patient safety, as demonstrated by successful models from countries like France and Italy.
  • Reduce Legal Challenges: Current U.S. labor laws exclude many physicians from unionizing. Modernizing these laws can empower more physicians to negotiate better working conditions without compromising patient care.
  • Prevent Punitive Actions: Protecting striking physicians from punitive actions to align with International Labor Organization guidelines can protect employee–employer relations, public confidence in the medical system, and physicians’ working conditions.
  • Engage Stakeholders: Involve key stakeholders such as hospitals, health care systems, the American Medical Association, and State Medical Boards in developing and implementing these policies.

“Our findings underscore the urgent need for regulatory reforms to balance the rights of physicians with the imperative of patient safety,” said Hao Yu, senior author and Harvard Medical School associate professor of population medicine at the Harvard Pilgrim Health Care Institute. “By learning from international examples, we can develop policies that protect both health care providers and patients.”

More information:
Striking a Balance—Advancing Physician Collective-Bargaining Rights and Patient Protections, New England Journal of Medicine (2025). DOI: 10.1056/NEJMp2411647

Provided by
Harvard Pilgrim Health Care Institute


Citation:
Experts highlight urgent need for US physician strike regulations (2025, January 11)
retrieved 11 January 2025
from https://medicalxpress.com/news/2025-01-experts-highlight-urgent-physician.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.


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