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Daily check up: More MDs paid on call

Posted by Chelsea Conaboy  May 9, 2011 08:23 AM
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A look at the morning's top health industry news.

Payment on call: Hospitals have been having a harder time getting doctors to put in on-call hours in recent years and more are offering extra payment for on-call hours as a result, the American Medical News reports. The number of physicians who were paid for their on-call time grew from 59% in 2009 to 65% last year.

Military members could pay more for health care: As the costs of health care to most American workers have risen quickly in recent years, lawmakers have largely resisted increasing the contributions paid by military members. But the costs of the military plan, called TRICARE, have increased from $19 billion in 2001 to $53 billion today. The Associated Press reports that House lawmakers are debating whether to raise fees for working-age retirees or to move forward on President Obama's plan for a small increase in contributions under which families would pay $5 per month more on a plan that costs $460 for the year.

A nurse on doctors: Pittsburgh nurse Theresa Brown wrote in the New York Times Saturday about workplace bullying. She used a personal anecdote about a doctor wrongfully blaming her for a late report in front of a patient then reportedly telling her, "It's a time-honored tradition -- blame the nurse whenever anything goes on." Brown outlines bullying among medical professionals as a well-studied problem. Two area doctors responded: Dr. Ford Vox, a Boston University School of Medicine fellow, and blogging Dr. Kevin Pho of the Nashua Medical Group in New Hampshire.

CT scans in kids: A study led by Children's Hospital Boston and the University of California-Davis concluded that children who come to the emergency room for a bump to the head in many cases should be observed for awhile before being rushed to a CT scan, which can expose them to radiation. CNN reports that children who were observed first were about half as likely to be referred by the doctor for a scan.

Waiting for the doctor: Don't miss Globe reporter Liz Kowalczyk's post this morning about a Massachusetts Medical Society report on how long patients are waiting to see primary care doctors and specialists.

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About white coat notes

White Coat Notes covers the latest from the health care industry, hospitals, doctors offices, labs, insurers, and the corridors of government. Chelsea Conaboy previously covered health care for The Philadelphia Inquirer. Write her at cconaboy@boston.com. Follow her on Twitter: @cconaboy.
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