PHYSICIANS PERCEPTIONS OF THE RISK OF BEING SUED
PHYSICIANS PERCEPTIONS OF THE RISK OF BEING SUED
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DOI：
10.1215/03616878-17-3-463
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发表时间：
1992-09-01
影响因子：
4.2
通讯作者：
BRENNAN, TA
中科院分区：
文献类型：
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作者：
LAWTHERS, AG;LOCALIO, AR;BRENNAN, TA
我们通过评估医生对被起诉风险的看法以及这些看法对他们自己的实践的影响来探讨侵权制度的威慑作用。数据来自1989年对1984年在纽约州执业的医生进行的随机抽样邮寄调查。使用组间（Wald）检验和逻辑回归方法将调查结果与实际诉讼风险进行比较。我们还调查了医生在过去十年中进行的实践变化，影响实践标准的因素，以及被起诉的成本，并将这些纳入分析。平均而言，医生估计，在给定的一年中，每100名同事中有19.5人会被起诉，大约是实际比率的三倍，并且在专业、地点和诉讼历史方面存在显著差异。感知风险与自我报告的考试排序频率的变化和实践范围的减少有关。为医疗事故诉讼辩护的平均天数为3到5天，6%的受访医生产生了一些自付费用。这些研究结果表明，医生回应的方式与侵权诉讼的威慑理论一致的诉讼发送的信息。
We explore the deterrent effect of the tort system by assessing physician perceptions of the risk of being sued and the impact of those perceptions on their own practice. The data are from a mailed survey conducted in 1989 of a random sample of physicians who were practicing in New York State in 1984. The survey results were compared to the actual risk of suit using the between-group (Wald) test and logistic regression methods. We also surveyed physicians about practice changes undertaken in the last ten years, factors influencing practice standards, and the costs of being sued and included these in the analysis. On average, physicians estimate that 19.5 out of one hundred of their colleagues will be sued in a given year, approximately three times the actual rate, with significant differences by specialty, location, and suit history. Perceived risk is associated with self-reported changes in test-ordering frequency and reduction in practice scope. The median number of days lost from practice to defend a malpractice suit was three to five, and 6 percent of the physicians surveyed incurred some out-of-pocket expenses. These findings suggest that physicians respond to the messages sent by litigation in a manner consistent with the deterrent theory of tort litigation.