{"id":"https://openalex.org/W7130358409","doi":"https://doi.org/10.3346/jkms.2026.41.e83","title":"Impact of the 2024 Korean Healthcare Crisis on Foot and Ankle Surgery in Single Tertiary Medical Center: A Retrospective Study","display_name":"Impact of the 2024 Korean Healthcare Crisis on Foot and Ankle Surgery in Single Tertiary Medical Center: A Retrospective Study","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7130358409","doi":"https://doi.org/10.3346/jkms.2026.41.e83","pmid":"https://pubmed.ncbi.nlm.nih.gov/41844140","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12991927"},"language":"en","primary_location":{"id":"doi:10.3346/jkms.2026.41.e83","doi":"https://doi.org/10.3346/jkms.2026.41.e83","is_oa":true,"landing_page_url":"https://doi.org/10.3346/jkms.2026.41.e83","pdf_url":"http://jkms.org/Synapse/Data/PDFData/0063JKMS/jkms-41-e83.pdf","source":{"id":"https://openalex.org/S11290066","display_name":"Journal of Korean Medical Science","issn_l":"1011-8934","issn":["1011-8934","1598-6357"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","kci-registered","medline","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320101","host_organization_name":"Korean Academy of Medical Sciences","host_organization_lineage":["https://openalex.org/P4310320101"],"host_organization_lineage_names":["Korean Academy of Medical Sciences"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Korean Medical Science","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7130358409"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"http://jkms.org/Synapse/Data/PDFData/0063JKMS/jkms-41-e83.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5126305938","display_name":"Sung Jun Moon","orcid":"https://orcid.org/0000-0002-2719-0081","observed_orcids":["https://orcid.org/0000-0002-2719-0081"]},"institutions":[{"id":"https://openalex.org/I4210105394","display_name":"Konyang University Hospital","ror":"https://ror.org/01eksj726","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I4210105394"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Sung Jun Moon","raw_affiliation_strings":["Department of Orthopaedic Surgery, Konyang University Hospital, Daejeon, Korea"],"raw_orcid":"https://orcid.org/0000-0002-2719-0081","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Konyang University Hospital, Daejeon, Korea","institution_ids":["https://openalex.org/I4210105394"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060082712","display_name":"Youn Moo Heo","orcid":"https://orcid.org/0000-0002-8739-2224","observed_orcids":["https://orcid.org/0000-0002-8739-2224"]},"institutions":[{"id":"https://openalex.org/I4210105394","display_name":"Konyang University Hospital","ror":"https://ror.org/01eksj726","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I4210105394"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Youn Moo Heo","raw_affiliation_strings":["Department of Orthopaedic Surgery, Konyang University Hospital, Daejeon, Korea"],"raw_orcid":"https://orcid.org/0000-0002-8739-2224","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Konyang University Hospital, Daejeon, Korea","institution_ids":["https://openalex.org/I4210105394"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126355604","display_name":"Sung-Jin Hwang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Sung-Jin Hwang","raw_affiliation_strings":["Department of Orthopaedic Surgery, Daejeon Centum Hospital, Daejeon, Korea"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Daejeon Centum Hospital, Daejeon, Korea","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113922480","display_name":"Je Hyung Jeon","orcid":"https://orcid.org/0000-0002-2689-7536","observed_orcids":["https://orcid.org/0000-0002-2689-7536"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Je Hyung Jeon","raw_affiliation_strings":["Department of Orthopaedic Surgery, Daejeon Centum Hospital, Daejeon, Korea"],"raw_orcid":"https://orcid.org/0000-0002-2689-7536","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Daejeon Centum Hospital, Daejeon, Korea","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126305952","display_name":"Dong Hun Kang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dong Hun Kang","raw_affiliation_strings":["Department of Orthopaedic Surgery, Daejeon Centum Hospital, Daejeon, Korea"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Daejeon Centum Hospital, Daejeon, Korea","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103781117","display_name":"Jaehwang Song","orcid":"https://orcid.org/0000-0001-5192-4965","observed_orcids":["https://orcid.org/0000-0001-5192-4965"]},"institutions":[{"id":"https://openalex.org/I4210105394","display_name":"Konyang University Hospital","ror":"https://ror.org/01eksj726","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I4210105394"]}],"countries":["KR"],"is_corresponding":true,"raw_author_name":"Jaehwang Song","raw_affiliation_strings":["Department of Orthopaedic Surgery, Konyang University Hospital, Daejeon, Korea"],"raw_orcid":"https://orcid.org/0000-0001-5192-4965","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Konyang University Hospital, Daejeon, Korea","institution_ids":["https://openalex.org/I4210105394"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5103781117","https://openalex.org/A5126355604"],"corresponding_institution_ids":["https://openalex.org/I4210105394"],"apc_list":{"value":900000,"currency":"KRW","value_usd":690},"apc_paid":{"value":900000,"currency":"KRW","value_usd":690},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"41","issue":"10","first_page":"e83","last_page":"e83"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11296","display_name":"COVID-19 and healthcare impacts","score":0.40059998631477356,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11296","display_name":"COVID-19 and healthcare impacts","score":0.40059998631477356,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.12430000305175781,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12847","display_name":"Healthcare Systems and Challenges","score":0.0843999981880188,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/foot-and-ankle-surgery","display_name":"foot and ankle surgery","score":0.8820000290870667},{"id":"https://openalex.org/keywords/surgical-volume-decline","display_name":"surgical volume decline","score":0.6690000295639038},{"id":"https://openalex.org/keywords/postoperative-infection","display_name":"postoperative infection","score":0.7129999995231628},{"id":"https://openalex.org/keywords/major-amputation","display_name":"major amputation","score":0.9190000295639038},{"id":"https://openalex.org/keywords/c-reactive-protein","display_name":"C-reactive protein","score":0.9150000214576721},{"id":"https://openalex.org/keywords/white-blood-cell-count","display_name":"white blood cell count","score":0.9660000205039978},{"id":"https://openalex.org/keywords/anesthetic-techniques","display_name":"anesthetic techniques","score":0.5350000262260437},{"id":"https://openalex.org/keywords/local-anesthesia","display_name":"local anesthesia","score":0.703000009059906},{"id":"https://openalex.org/keywords/spinal-anesthesia","display_name":"spinal anesthesia","score":0.5879999995231628},{"id":"https://openalex.org/keywords/general-anesthesia","display_name":"general anesthesia","score":0.7590000033378601},{"id":"https://openalex.org/keywords/health-workforce-shortage","display_name":"health workforce shortage","score":0.5849999785423279}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8271999955177307},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7502999901771545},{"id":"https://openalex.org/C2778640784","wikidata":"https://www.wikidata.org/wiki/Q168002","display_name":"Ankle","level":2,"score":0.6266000270843506},{"id":"https://openalex.org/C115076146","wikidata":"https://www.wikidata.org/wiki/Q1651051","display_name":"Foot (prosody)","level":2,"score":0.5918999910354614},{"id":"https://openalex.org/C2778451411","wikidata":"https://www.wikidata.org/wiki/Q2963979","display_name":"Foot and ankle surgery","level":3,"score":0.5103999972343445},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4936000108718872},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4090999960899353},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.38280001282691956},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.36890000104904175},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3495999872684479},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.33550000190734863},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2662999927997589},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.2524000108242035}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000671","descriptor_name":"Amputation, Surgical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D000768","descriptor_name":"Anesthesia, General","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000842","descriptor_name":"Ankle","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D002097","descriptor_name":"C-Reactive Protein","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005528","descriptor_name":"Foot","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007958","descriptor_name":"Leukocyte Count","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D056910","descriptor_name":"Republic of Korea","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D062606","descriptor_name":"Tertiary Care Centers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.3346/jkms.2026.41.e83","doi":"https://doi.org/10.3346/jkms.2026.41.e83","is_oa":true,"landing_page_url":"https://doi.org/10.3346/jkms.2026.41.e83","pdf_url":"http://jkms.org/Synapse/Data/PDFData/0063JKMS/jkms-41-e83.pdf","source":{"id":"https://openalex.org/S11290066","display_name":"Journal of Korean Medical Science","issn_l":"1011-8934","issn":["1011-8934","1598-6357"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","kci-registered","medline","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320101","host_organization_name":"Korean Academy of Medical Sciences","host_organization_lineage":["https://openalex.org/P4310320101"],"host_organization_lineage_names":["Korean Academy of Medical Sciences"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Korean Medical Science","raw_type":"journal-article"},{"id":"pmid:41844140","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41844140","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Korean medical science","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12991927","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12991927/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Korean Med Sci","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3346/jkms.2026.41.e83","doi":"https://doi.org/10.3346/jkms.2026.41.e83","is_oa":true,"landing_page_url":"https://doi.org/10.3346/jkms.2026.41.e83","pdf_url":"http://jkms.org/Synapse/Data/PDFData/0063JKMS/jkms-41-e83.pdf","source":{"id":"https://openalex.org/S11290066","display_name":"Journal of Korean Medical Science","issn_l":"1011-8934","issn":["1011-8934","1598-6357"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","kci-registered","medline","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320101","host_organization_name":"Korean Academy of Medical Sciences","host_organization_lineage":["https://openalex.org/P4310320101"],"host_organization_lineage_names":["Korean Academy of Medical Sciences"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Korean Medical Science","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320321252","display_name":"Konyang University","ror":"https://ror.org/02v8yp068"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7130358409.pdf","grobid_xml":"https://content.openalex.org/works/W7130358409.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W333483475","https://openalex.org/W2026985226","https://openalex.org/W2918317484","https://openalex.org/W2946940583","https://openalex.org/W3089359999","https://openalex.org/W3180457853","https://openalex.org/W4220700868","https://openalex.org/W4283696636","https://openalex.org/W4393127952","https://openalex.org/W4399609807","https://openalex.org/W4400218378","https://openalex.org/W4401567177","https://openalex.org/W4404766260"],"related_works":["https://openalex.org/W4414400830","https://openalex.org/W4411075641","https://openalex.org/W4415830342","https://openalex.org/W3118604908","https://openalex.org/W4283752917","https://openalex.org/W7155384972","https://openalex.org/W2508400830","https://openalex.org/W3198144599","https://openalex.org/W3100833698","https://openalex.org/W2136167582"],"abstract_inverted_index":{"Background:":[0],"The":[1,77],"2024":[2],"healthcare":[3,18,84],"crisis":[4,26,85,116,212],"in":[5,17,37,100,217,223,229],"South":[6,38,209],"Korea,":[7],"triggered":[8],"by":[9],"mass":[10],"resignations":[11,207],"of":[12,24,80,107,151,201],"residents,":[13],"caused":[14],"widespread":[15],"disruptions":[16],"services.This":[19],"study":[20,57,191],"investigates":[21],"the":[22,96,105,115,189,199],"impact":[23],"this":[25],"on":[27,45,66,188],"foot":[28,49],"and":[29,50,63,72,126,145,176,226],"ankle":[30,51],"surgery":[31,68],"at":[32,53,193],"a":[33,54,194,215,227],"tertiary":[34,55,196],"medical":[35,197,202,211],"center":[36],"Korea.Methods:":[39],"A":[40],"retrospective":[41],"analysis":[42],"was":[43,59],"conducted":[44,192],"patients":[46],"who":[47],"underwent":[48],"surgeries":[52,81,135],"center.The":[56],"population":[58],"divided":[60],"into":[61],"pre-crisis":[62,141,158],"post-crisis":[64,98,139],"groups.Data":[65],"demographics,":[67],"types,":[69],"anesthesia":[70,154,167,178,230],"methods,":[71],"clinical":[73],"outcomes":[74],"were":[75,93,136],"analyzed.Results:":[76],"total":[78,218],"number":[79],"decreased":[82,155],"after":[83,114],"(from":[86],"181":[87],"to":[88,118,159,171,182,205,214],"109":[89],"cases).No":[90],"significant":[91],"differences":[92],"found":[94],"between":[95],"pre-and":[97],"periods":[99],"demographics":[101],"(P":[102,120,142,162,173,184],">":[103],"0.05).However,":[104],"proportion":[106],"major":[108],"amputations":[109],"for":[110,133],"infection":[111,134,224],"significantly":[112,137],"increased":[113,168,179],"compared":[117],"before":[119],"=":[121,143,185],"0.033).Additionally,":[122],"C-reactive":[123],"protein":[124],"levels":[125],"white":[127],"blood":[128],"cell":[129],"count":[130],"upon":[131],"admission":[132],"higher":[138],"than":[140],"0.028":[144],"P":[146],"<":[147,163,174],"0.001,":[148],"respectively).In":[149],"terms":[150],"anesthesia,":[152],"general":[153],"from":[156,169,180],"58.0%":[157],"35.8%":[160],"postcrisis":[161],"0.001),":[164,175],"while":[165],"spinal":[166],"6.1%":[170],"26.6%":[172],"local":[177],"1.7%":[181],"9.2%":[183],"0.006).":[186],"Conclusion:Based":[187],"present":[190],"single":[195],"center,":[198],"shortage":[200],"personnel":[203],"due":[204],"resident":[206],"during":[208],"Korea's":[210],"led":[213],"reduction":[216],"surgical":[219],"volume,":[220],"an":[221],"increase":[222],"severity,":[225],"shift":[228],"techniques.":[231]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-02-19T00:00:00"}