National costs of the medical liability system.

National costs of the medical liability system.
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DOI:
10.1377/hlthaff.2009.0807
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发表时间:
2010-09
期刊:
Health affairs (Project Hope)
影响因子:
--
通讯作者:
Studdert DM
Studdert DM
中科院分区:
其他
文献类型:
--
作者:
Mello MM;Chandra A;Gawande AA;Studdert DM

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对降低卫生支出增长率的担忧重新激发了人们对医疗责任改革及其通过减少防御性医疗实践来节省资金的潜力的兴趣。然而,估计医疗责任制度的成本并不容易。本文确定了责任制度成本的各个组成部分,对每个组成部分进行了国家估计,并讨论了可用于支持估计的证据水平。按 2008 年美元计算,包括防御性医疗在内的年度医疗责任体系总体成本估计为 556 亿美元,占医疗保健总支出的 2.4%。
Concerns about reducing the rate of growth of health expenditures have reignited interest in medical liability reforms and their potential to save money by reducing the practice of defensive medicine. It is not easy to estimate the costs of the medical liability system, however. This article identifies the various components of liability system costs, generates national estimates for each component, and discusses the level of evidence available to support the estimates. Overall annual medical liability system costs, including defensive medicine, are estimated to be $55.6 billion in 2008 dollars, or 2.4 percent of total health care spending.
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