Malpractice liability costs and the practice of medicine in the medicare program - This analysis suggests that an important association exists between malpractice costs and the use of imaging services in particular.
Malpractice liability costs and the practice of medicine in the medicare program - This analysis suggests that an important association exists between malpractice costs and the use of imaging services in particular.
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DOI：
10.1377/hlthaff.26.3.841
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发表时间：
2007-05-01
期刊：
影响因子：
9.7
通讯作者：
Chandra, Amitabh
中科院分区：
文献类型：
--
作者：
Baicker, Katherine;Fisher, Elliott S.;Chandra, Amitabh
不断增加的医疗事故责任成本可能会在许多方面影响医生的执业模式，例如增加诊断程序的使用，同时减少大手术。本文量化了医疗事故责任成本和医疗保险中医生服务的使用之间的关联。我们发现，更高的医疗事故赔偿和保费与更高的医疗保险支出有关，特别是对于成像服务，通常被认为是由医生对医疗事故的恐惧驱动的。2000年至2003年期间，医疗事故保险费增加了60%，这与医疗保险总支出超过150亿美元的增加有关。
Mounting malpractice liability costs might affect physician practice patterns in many ways, such as increasing the use of diagnostic procedures while reducing major surgeries. This paper quantifies the association between malpractice liability costs and the use of physician services in Medicare. We find that higher malpractice awards and premiums are associated with higher Medicare spending, especially for imaging services that are often believed to be driven by physicians' fears of malpractice. The 60 percent increase in malpractice premiums between 2000 and 2003 is associated with an increase in total Medicare spending of more than $15 billion.