Hospital Emergency On-Call Coverage: Is There a Doctor in the House?

Hospital Emergency On-Call Coverage: Is There a Doctor in the House?
Source: Center for Studying Health System Change
From press release:

As emergency departments face ever-rising demands, hospitals are confronting greater problems obtaining emergency on-call coverage from specialist physicians, according to study released today by the Center for Studying Health System Change’s (HSC).

Factors influencing physician reluctance to provide on-call coverage include decreased dependence on hospital admitting privileges as more services shift to non-hospital settings; payment for emergency care, especially for uninsured patients; and medical liability concerns, according to the study. Hospital strategies to secure on-call coverage include enforcing hospital medical staff bylaws that require physicians to take call, contracting with physicians to provide coverage, paying physicians daily or monthly stipends, and employing specialists.

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