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Doctors Need to Work Weekends

Peter Orszag: No one wants to work Saturdays, but we need them to

By Kate Seamons,  Newser Staff

Posted Oct 4, 2010 11:21 AM CDT

(Newser) – If we're serious about raising the quality of health care while lowering its cost, doctors need to do two things: The first is suck it up and work weekends, writes Peter Orszag. There are plenty of compelling reasons: People who are hospitalized on Saturdays and Sundays don't fare so well, for one. A 2007 study found that for every 1,000 heart-attack sufferers admitted on the weekend, 9 to 10 more died versus weekday admissions. Our hospitals sit idle 25% of the time, meaning we're not using our expensive equipment and space fully.

Plus, how convenient would it be to be able to schedule elective surgery for a Saturday morning? But that's just one side of the coin, writes Orszag for the New York Times. The second thing is that they have to consent to quality management. "As the saying goes, if you can’t measure it, you can’t manage it—or improve it." New York University Langone Medical Center is doing both of these things, offering MRIs and scheduled C-sections on weekends, and digging into the data to uncover why so few eligible patients are discharged before noon. "If it succeeds, it will help point the way to the health care system of the future," Orszag writes.

In this May 27, 2010 photo, Dr. Rebecca Parker walks through Chicago's Advocate Trinity Hospital's emergency room during visits to multiple patients.
In this May 27, 2010 photo, Dr. Rebecca Parker walks through Chicago's Advocate Trinity Hospital's emergency room during visits to multiple patients.   (AP)
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COMMENTS
Showing 3 of 38 comments
Avi
Oct 5, 2010 7:55 AM CDT
Illness or sickness doesn't have any time frame, meaning it can occur anytime, anywhere, any day. There is no rules when it comes to health of a person so equal quality health care must given either on weekdays or weekends. Doctors do need to work on weekends based on the study given that "9 to 10 more died versus weekday admissions" to decrease the mortality rate and prevent further increasing the ratio of deaths during weekends. Management is one of the keys to a successful quality health care. We help Americans find jobs and prosperity in Asia. Visit http://www.pathtoasia.com for details.
Snarfeh
Oct 5, 2010 12:38 AM CDT
I think this is a good idea. Saturdays and Sundays need to be covered, too. It doesn't mean they have to work 7 days a week. It means they take days off during the week. What's the big deal?
paul123
Oct 4, 2010 10:40 PM CDT
Let's just cage the doctors up, put harnesses on them and have a task master whip them into servitude 24/7/365. Maybe if they're good, we'll give them 5 minute meal breaks once a day and another 5 for the potty, otherwise, those rich SOB's can just suck it up.
 

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