Hospitals struggle for emergency on-call coverage
Case Management Weekly, November 27, 2007
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According to a study by nonpartisan policy research organization, the Center for Studying Health System Change (HSC), hospitals struggle to obtain on-call coverage from specialist physicians due to the increased volume of patients frequenting emergency departments.
Physicians fail to provide on-call coverage due to a decreased dependence on hospital admitting privileges, the payment they receive for emergency care, and medical liability concerns. Physician reluctance to uphold their obligations threatens the quality of care delivered to both insured and uninsured patients.
To combat the problem, many hospitals are adopting strategies to secure on-call coverage such as:
- Enforcing hospital medical staff bylaws that require physicians to take call
- Contracting physicians to provide coverage
- Paying physicians daily or monthly stipends
- Employing specialists to provide on-call coverage
Other articles of interest:
Physicians group: EDs a significant trouble area
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