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Administrative Personnel↗

An evaluation of emergency room services during the New York City house officer strike.

A chart audit of emergency services provided by attending staff during the New York City House Officers' strike is compared to an audit of work previously performed by house staff. The usual quality of services provided in this institution was maintained during the strike. However, deficiencies in quality noted in house staff charts, continued to be noted in the charts of attending staff. Failure to improve quality of medical records when trained staff substitute for trainees suggests that the central strike issue of poor working conditions contributes to low quality of care.

Collective Bargaining↗

Impacts of the medical malpractice slowdown in Los Angeles County: January 1976.

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.

Allied Health Personnel↗

The United Mine Workers of American and the recognition of occupational respiratory diseases, 1902-1968.

This study examines the early efforts of the United Mine Workers of America to illuminate the problem of occupational respiratory diseases in the coal fields. The union used the hearings of the US Anthracite Coal Strike Commission of 1902-3 to draw public attention to "miners' asthma." In 1915, it began to agitate for the provision of workers' compensation benefits for victims of this disorder. Throughout the 1950s and 1960s, the union's Welfare and Retirement Fund disseminated information on advances in understanding chronic pulmonary diseases of mining. In particular, the miners' fund promoted the British conceptualization of a distinctive coal workers' pneumoconiosis. At the same time, the staff of the union health plan pressed the US Public Health Service and the Pennsylvania Department of Health to investigate the prevalence of occupational respiratory diseases among bituminous miners. Taken together, these endeavors contributed significantly to growing recognition of the severity and extent of this important public health problem and thus helped lay the foundation for the Federal Coal Mine Health and Safety Act of 1969.

Collective Bargaining↗

An international perspective on strikes and strike threats by physicians: the case of Chile.

The program for health services developed by the government of Dr. Salvador Allende Gossens in Chile is outlined, as well as its early effects. A review of this development is necessary to an understanding of the systematic opposition of the organized medical profession to this program in particular, and to the broad socialist goals of the government in general. Three periods of activity by the medical profession are traced, beginning in September 1970 and culminating in September 1973 with the military coup and overthrow of the democratically elected government of Chile and the murder of its president, a physician. While the medical profession was opposed to the government program for community participation in health care and to changes in the models for delivery of care, and feared a changed status for the physician, clearly there were broader political links between the organized medical profession and the political opponents of the government which sought its overthrow.

Adolescent↗

Who supports public employees strikes?

This research found that strikes by public employees are most likely to be tolerated by younger people, by citizens who feel city wages should be higher, by blue-collar workers, by black people and by citizens dissatisfied with their treatment by police officers. Respondents to this survey did not distinguish among categories of public employees when evaluating the desirability of strikes.

Collective Bargaining↗