@article{ref1,
title="The worsening of ED on-call coverage in California: 6-year trend",
journal="American journal of emergency medicine",
year="2009",
author="Rudkin, Scott E. and Langdorf, Mark I. and Oman, Jennifer A. and Kahn, Christopher A. and White, Hayley and Anderson, Craig Lewis",
volume="27",
number="7",
pages="785-791",
abstract="o reassess problems with on-call physician coverage in California, we repeated our anonymous 2000 survey of the California chapter of the American College of Emergency Physicians. Physicians responded from 77.4% of California emergency departments (EDs), 51.0% of ED directors, and 34% of those surveyed. Of 21 specialties, on-call availability worsened since 2000 for 9, was unchanged for 11, and improved for 1. Of ED directors, 54% report medical staff rules require on-call duty, down from 72% in 2000. Hospitals have increased specialist on-call payments (from 21% to 35%, with 75% paying at least one specialty). Most emergency physicians (80.3%) report insurance status negatively affects on-call physician responsiveness, up from 42% in 2000. Emergency departments with predominately minority or uninsured patients had fewer specialists and more trouble accessing them. Insurance status has a …<p /><p>Language: en</p>",
language="en",
issn="0735-6757",
doi="10.1016/j.ajem.2008.06.012",
url="http://dx.doi.org/10.1016/j.ajem.2008.06.012"
}