About 40% of hospitals responding to a new national survey said some specialists have refused to provide on-call coverage in emergency departments over the past year. Nearly 90% of the respondents to the Governance Institute’s poll said the issue has “significant implications” now or for the future. Officials said 126 member healthcare institutions responded to the survey, designed to examine how healthcare organizations ensure specialty coverage in emergency departments. Despite the fact that about 25% of all emergency room patients require specialist physician services, fewer specialists are willing to sign up for call rosters, primarily because of payment issues, the Governance Institute said. Most respondents said they rely on voluntary participation or on-call services as a condition of hospital privileges and do not pay specialists for on-call coverage. But about 43% of respondents said they provide some payment, typically a daily stipend that can range from $392 to $1,120.
Specialists snubbing on-call duty at many hospitals
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