Public Health
Volume 122, Issue 10 , Pages 1051-1060 , October 2008

Effect of physician strategies for coping with the US medical malpractise crisis on healthcare delivery and patient access to healthcare

  • G.D. Dalton

      Affiliations

    • Winston-Salem, NC, USA
    • Corresponding Author InformationCorresponding author. +1 336 749 4489; fax: +1 336 703 0380.
  • ,
  • X.F. Samaropoulos

      Affiliations

    • Wake Forest University Baptist Medical Center, USA
  • ,
  • A.C. Dalton

      Affiliations

    • Louisiana State University School of Medicine at New Orleans, USA

Received 22 May 2007 ,Revised 26 October 2007 ,Accepted 22 January 2008.

References 

  1. Mello MM, Studdert DM, Brennan TA. The new medical malpractise crisis. N Engl J Med. 2003;348:2281–2284
  2. Robinson GO. The medical malpractise crisis of the 1970's: a retrospective. Law Contemp Probl. 1986;49:5–35
  3. Weissburg C, Cohen HW. The malpractise insurance crisis: why?. Health Care Strateg Manage. 1986;4:4–8
  4. Palmisano DJ. Health care in crisis. Circulation. 2004;109:2933–2935
  5. Finkelstein JB. Bush to AMA: tort reform a must. American Medical Association. Chicago, IL. 17 March 2003. Available from: http://www.ama-assn.org/amednews/2003/03/17/gvl10317.htm〉(last accessed 9 May 2007)
  6. CNN . Bush outlines medical liability reform. Proposal would limit jury awards in malpractise lawsuit. CNN.COM. Atlanta, GA. 16 January 2003. Available from: http://www.cnn.com/2003/ALLPOLITICS/01/16/bush.malpractice/(last accessed 9 May 2007)
  7. Californians Allied for Patient Protection . The California story MICRA: a successful model for affordable and accessible health care. California Story Brochure. Sacramento, CA; 2002;
  8. Laros RK. Presidential address: medical-legal issues in obstetrics and gynecology. Am J Obstet Gynecol. 2005;192:1883–1889
  9. Mello MM. Medical malpractise: impact of the crisis and effect of state tort reforms. The Robert Wood Johnson Foundation. The Synthesis Project. Research Synthesis Report No. 10. p. 1–32. Available from: http://www.rwjf.org/pr/synthesis/reports and briefs/pdf/no10_researchreport.pdf(last accessed 10 October 2007)
  10. Pritchard DJ. A plaintiff attorney's candid view of medical malpractise. Clin Perinatol. 2005;32:191–202
  11. Schoenbaum SC, Bovbjerg RR. Malpractice reform must include steps to prevent medical injury. Ann Intern Med. 2004;140:51–53
  12. Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: ‘avoidable classes of events’ are a key improvement. J Law Med Ethics. 2005;33:478–500
  13. Clinton HR, Obama B. Making patient safety the centerpiece of medical liability reform. N Engl J Med. 2006;354:2205–2208
  14. Sage WM. The forgotten third: liability insurance and the medical malpractise crisis. Health Aff. 2004;23:10–21
  15. Baker T. The medical malpractise myth. Chicago and London: University of Chicago Press; 2005;
  16. Johnston J. Malpractice concerns keeping baby docs away from Boca. Boca Raton News, 23 September 2006. Available from: http://www.bocaratonnews.com/index.php?src=newsprid=17358category=MainHeadline(last accessed 10 February 2007)
  17. Excellus. The facts about NYS medical malpractise coverage premiums. 2005 standard medical malpractise premium rates. Excellus BlueCross BlueShield. Rochester, NY; 2005.
  18. Ivry B. Crisis in the baby business. The Bergen Record, 18 December 2005.
  19. Kirn TF. Two states mired in malpractise crisis – Penn., W. Va. fear loss of OB.GYNS. Ob Gyn News. 2001;36:1
  20. American College of Obstetricians and Gynecologists . Women's access to health care hurt by medical liability crisis. ACOG News Release. 3 November 2006. Available from: http://www.acog.org/from_home/publications/press_releases/nr11 03–06.cfm(last accessed 10 February 2007)
  21. American College of Obstetricians and Gynecologists . How the medical liability crisis is affecting medicine in NYS. American College of Obstetricians and Gynecologists. Washington, D.C. 2007. Available from: http://www.acog.org/acog_districts/dist_notice.cfm?recno=1&bulletin=2316(last accessed 15 October 2007)
  22. Hidalgo J. OB-GYNs feeling the pinch. Reno Gazette-Journal. 30 October 2004. Available from: http://www.rgj.com/news/printstory.php?id=84058(last accessed 10 October 2007)
  23. Brooks RG, Menachemi N, Hughes C, Clawson A. Impact of the medical professional liability insurance crisis on access to care in Florida. Arch Intern Med. 2004;164:2217–2222
  24. Brooks RG, Menachemi N, Clawson A, Beitsch L. Availability of physician services in Florida, revisited: the effect of the professional liability insurance market on access to health care. Arch Intern Med. 2005;165:2136–2141
  25. Donlen J, Puro JS. The impact of the medical malpractise crisis on OB-GYNs and patients in southern New Jersey. N J Med. 2003;100:12–19
  26. Hale RW. Legal issues impacting women's access to care in the United States – the malpractise insurance crisis. Int J Gynaecol Obstet. 2006;94:382–385
  27. Mello MM, Studdert DM, DesRoches CM, Peugh J, Zapert K, Brennan TA, et al. Effects of a malpractise crisis on specialist supply and patient access to care. Ann Surg. 2005;242:621–628
  28. Berenson RA, Kuo S, May JH. Medical malpractise liability crisis meets markets: stress in unexpected places. Issue Brief Cent Stud Health Syst Change. 2003;68:1–7
  29. Dranove D, Gron A. Effects of the malpractise crisis on access to and incidence of high-risk procedures: evidence from Florida. Health Aff. 2005;24:802–810
  30. American Academy of Orthopaedic Surgeons . Professional liability insurance crisis. American Academy of Orthopaedic Surgeons. Rosemont, IL; 2002. Available from: http://www.orthoinfo.org/fact/thr_report.cfm?Thread_ ID=376&topcategory=GeneralInformation(last accessed 10 February 2007)
  31. Statement of the Alliance of Specialty Medicine. Current issues related to medical liability reform. Presented by James R. Bean, M.D. before the House Energy and Commerce Health Subcommittee, 10 February 2005, p. 1–31.
  32. Menachemi N, Brooks RG, Clawson A, Stine C, Beitsch L. Continuing decline in service delivery for family physicians: is the malpractise crisis playing a role?. Qual Manag Health Care. 2006;15:39–45
  33. Menachemi N, Stine C, Clawson A, Brooks RG. The changing face of access to family physicians in rural Florida. Fam Med. 2005;37:54–58
  34. Martin JC, Avant RF, Bowman MA, Bucholtz JR, Dickinson JR, Evans KL, et al. The future of family medicine: a collaborative project of the family medicine community. Ann Fam Med. 2004;2:S3–S32
  35. Bagby RJ, Dudley A, Porter AH, Muroff LR, Entel R, Maloy R. The Florida Radiological Society's efforts to correct the professional liability insurance crisis. J Am Coll Radiol. 2004;1:364–365
  36. American Academy of Pediatrics Committee on Pediatric Emergency Medicine . Overcrowding crisis in our nation's emergency departments: is our safety net unraveling?. Pediatrics. 2004;114:878–888
  37. American College of Emergency Physicians (ACEP) . On-call specialist coverage in U.S. emergency departments. ACEP survey of emergency department directors. Irving, TX. 2006. Available from: http://www.acep.org/NR/rdonlyres/DF81A858-FD39-46F6-B46A-15DF99A45806/0/RWJ_OncallReport2006.pdf(last accessed 10 February 2007)
  38. Babula J. Medical malpractise crisis: OB/GYNs shedding ER duties. Doctors say they can't take chance of treating patients at high risk. Las Vegas Review-Journal. 24 April 2002. Available from: http://www.reviewjournal.com/lvrj_home/2002/Apr-24-Wed-2002/news/18592153.html(last accessed 26 April 2007)
  39. McConnell KJ, Johnson LA, Arab N, Richards CF, Newgard CD, Edlund T. The on-call crisis: a statewide assessment of the costs of providing on-call specialist coverage. Ann Emerg Med. 2007;49:727–733
  40. The Joint Commission . Sentinel event alert. The Joint Commission. Oakbrook Terrace, IL. 17 June 2002. Available from: http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_26.htm?print=yes(last accessed 10 April 2007)
  41. Statement of the Alliance of Specialty Medicine. Current issues related to medical liability reform. Remarks by Mary Rasar before the House Energy and Commerce Health Subcommittee, 10 February 2005, p. 1–3.
  42. Babula J. Liability concerns: trauma center closes; ER gears up. Doctors reject criticism they've left Southern Nevadans at risk. Las Vegas Review-Journal. 4 July 2002. Available from: http://www.reviewjournal.com/lvrj_home/2002/Jul-04-Thu-2002/news/19117587.html(last accessed 10 April 2007)
  43. Kooyer K. New crisis in the Mississippi Delta: litigation as a health care challenge. Minds in the making. An e-collection from Calvin College. Grand Rapids, MI; 2004. Available from: http://www. calvin.edu/minds/vol01/issue01/mississippi.php(last accessed 10 April 2007)
  44. Tancredi LR, Barondess JA. The problem of defensive medicine. Science. 1978;200:879–882
  45. Solomon RC. Ethical issues in medical malpractise. Emerg Med Clin North Am. 2006;24:733–747
  46. Summerton N. Positive and negative factors in defensive medicine: a questionnaire study of general practitioners. BMJ. 1995;310:27–29
  47. Tussing AD, Wojtowycz MA. Malpractice, defensive medicine, and obstetric behavior. Med Care. 1997;35:172–191
  48. Birbeck GL, Gifford DR, Song J, Belin TR, Mittman BS, Vickrey BG. Do malpractise concerns, payment mechanisms, and attitudes influence test-ordering decisions?. Neurology. 2004;62:119–121
  49. Katz DA, Williams GC, Brown RL, Aufderheide TP, Bogner M, Rahko PS, et al. Emergency physicians' fear of malpractise in evaluating patients with possible acute cardiac ischemia. Ann Emerg Med. 2005;46:525–533
  50. Elmore JG, Taplin SH, Barlow WE, Cutter GR, D'Orsi CJ, Hendrick RE, et al. Does litigation influence medical practice? The influence of community radiologists' medical malpractise perceptions and experience on screening mammography. Radiology. 2005;236:37–46
  51. Dubay L, Kaestner R, Waidmann T. The impact of malpractise fears on cesarean section rates. J Health Econ. 1999;18:491–522
  52. Ryan K, Schnatz P, Greene J, Curry S. Change in cesarean section rate as a reflection of the present malpractise crisis. Conn Med. 2005;69:139–141
  53. Studdert DM, Mello MM, Sage WM, DesRoches CM, Peugh J, Zapert K, et al. Defensive medicine among high-risk specialist physicians in a volatile malpractise environment. JAMA. 2005;293:2609–2617
  54. DeKay ML, Asch DA. Is the defensive use of diagnostic tests good for patients, or bad?. Med Decis Making. 1998;18:19–28
  55. Elmore JG, Barton MB, Moceri VM, Polk S, Arena PJ, Fletcher SW. Ten-year risk of false positive screening mammograms and clinical breast examinations. N Engl J Med. 1998;338:1089–1096
  56. Anderson RE. Billions for defense: the pervasive nature of defensive medicine. Arch Intern Med. 1999;159:2399–2402
  57. Kessler DP, McClellan M. Do doctors practice defensive medicine?. Q J Econ. 1996;111:353–390
  58. American Medical Association . Medical liability reform-NOW! American Medical Association. Washington, D.C. 2006. Available from: http://www.ama-assn.org/ama1/pub/upload/mm/-1/mlrnow.pdf(last accessed 20 April 2007)
  59. Dubay L, Kaestner R, Waidmann T. Medical malpractice liability and its effect on prenatal care utilization and infant health. J Health Econ. 2001;20:591–611
  60. Mello MM, Studdert DM, Schumi J, Brennan TA, Sage WM. Changes in physician supply and scope of practice during a malpractice crisis: evidence from Pennsylvania. Health Aff. 2007;26:w425–w435
  61. Kessler DP, Sage WM, Becker DJ. Impact of malpractice reforms on the supply of physician services. JAMA. 2005;293:2618–2625
  62. Encinosa WE, Hellinger FJ. Have state caps on malpractice awards increased the supply of physicians?. Health Aff. 2005;W5-250–W5-258
  63. Matsa D. Does liability keep the doctor away? Evidence from tort reform damage caps. Department of Economics, Massachusetts Institute of Technology; 2005;
  64. Gius MP. An examination of the determinants of physician supply at the state level. J Bus Econ Stud. 2000;6:73–79
  65. Baicker K, Chandra A. The effect of malpractice liability on the delivery of health care. Paper presented at the National Bureau of Economic Research conference Frontiers in Health Policy. 24 June 2004. Available from: http://computing.ccpr.ucla.edu/ccprwpseries/ccpr_028_05.pdf(last accessed 19 October 2007)
  66. Robinson P, Xu X, Keeton K, Fenner D, Johnson TR, Ransom S. The impact of medical legal risk on obstetrician-gynecologist supply. Obstet Gynecol. 2005;105:1296–1302
  67. Mello MM, Kelly CN. Effects of a professional liability crisis on residents' practice decisions. Obstet Gynecol. 2005;105:1287–1295
  68. National Resident Matching Program . Advanced data tables for 2003 main residency match. National Resident Matching Program. Washington, D.C. 2003. Available from: http://www.nrmp.org/res_match/tables/adt2003.pdf(last accessed 27 April 2007)
  69. National Resident Matching Program . Advanced data tables for 2005 main residency match. National Resident Matching Program. Washington, D.C. 2005. Available from: http://www.nrmp.org/2005advdata.pdf(last accessed 27 April 2007)
  70. US Senate . S. 22 – The Medical Care Access Protection Act of 2006. Democratic Policy Committee. Washington, D.C. 4 May 2006. Available from: http://rpc.senate.gov/_files/L34liabilityJS050506.pdf(last accessed 8 May 2007)
  71. US Senate . S. 23 – The Healthy Mothers and Healthy Babies Access to Care Act. Democratic Policy Committee. Washington, D.C. 4 May 2006. Available from: http://rpc.senate.gov/_files/L35liabilityJS050506.pdf(last accessed 8 May 2007)
  72. Mello MM, Brennan TA. Deterrence of medical errors: theory and evidence for malpractice reform. Tex L Rev. 2002;80:1595–1638
  73. Mariner WK, Miller FH. Medical error reporting: professional tensions between confidentiality & liability. Massachusetts Health Policy Forum. Boston, MA. November 2001. Available from: http://www.sihp.brandeis.edu/mhpf/prof_liability_Issue_Brief.pdf(last accessed 10 October 2007)
  74. Leape LL. Reporting of adverse events. N Engl J Med. 2002;347:1633–1638

PII: S0033-3506(08)00041-3

doi: 10.1016/j.puhe.2008.01.010

Public Health
Volume 122, Issue 10 , Pages 1051-1060 , October 2008