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An Experiment in Compassion for Physicians

Barbara H. Warren, MD, MPH; Patti L. Bell, RN; Sharon Isikoff, MD; Patricia L. Hale, EdD

Arch Intern Med. 1991;151(4):741-744.

Abstract
A review of emergency department visits during a 2-year period and before and after the liberation of physicians from a requirement of gatekeeping for some patients during the night showed no significant increases in the use or costs of services to our Medicaid enrollees for all but children under 6 years of age between 10 PM and midnight. We recommend that a more humane and practical view be taken of middle-of-the-night gatekeeping requirements for physicians functioning in managed-care environments. We also suggest, as many hospitals have already learned, that the costs of emergency department services for Medicaid patients can be reduced and that care may be enhanced by the offering of 24-hour urgent care services at or near the emergency department.

(Arch Intern Med. 1991;151:741-744)

Author Affiliations
From the Departments of Internal Medicine and Family and Community Medicine, University of Arizona College of Medicine (Drs Warren and Isikoff), and University Physicians Inc (Drs Warren and Hale and Ms Bell), Tucson.

Footnotes
Accepted for publication October 9, 1990.

Reprint requests to University Physicians Inc, 3443 N Campbell Ave, Tucson, AZ 85719 (Dr Warren).

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