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The impact of malpractice liability ...

Gimm, Gilbert W.

The impact of malpractice liability claims on physician outcomes and practice patterns.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The impact of malpractice liability claims on physician outcomes and practice patterns.
Author:	Gimm, Gilbert W.
Description:	158 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-12, Section: B, page: 6512.
Notes:	Supervisor: Patricia Danzon.
Contained By:	Dissertation Abstracts International66-12B.
Subject:	Health Sciences, Health Care Management.
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3197673
ISBN:	9780542434969

The impact of malpractice liability claims on physician outcomes and practice patterns.
Gimm, Gilbert W.

The impact of malpractice liability claims on physician outcomes and practice patterns. - 158 p.

Source: Dissertation Abstracts International, Volume: 66-12, Section: B, page: 6512.

Thesis (Ph.D.)--University of Pennsylvania, 2005.

Since the late 1960s, a dramatic rise in medical malpractice premiums has sparked both debate and concern among physicians and health policymakers. Much of the concern has focused on assertions that malpractice premiums and claims have risen to a point where physicians are now choosing to leave their practice or being forced to change. However, empirical evidence is limited to a few studies which rely on market-level variation, so the impact of claims on the individual response of physicians is not well understood. This dissertation examines whether malpractice claims have an impact on individual physician behavior, with respect to delivery volume, adverse outcome rates, C-section rates, and Medicaid patient mix. It also analyzes the factors that contribute to the likelihood of physician exit. Using a micro-level panel data set that links inpatient deliveries in Florida to malpractice claims from 1992-2000 with unique physician identifiers, I find strong evidence of a negative impact on volume. Physicians perform 6-10 fewer inpatient deliveries on average in response to the closing of a malpractice claim. Also, an incident occurrence is associated with a small improvement in the adverse outcome rate, and higher C-section rate among older physicians. Finally, physicians with a malpractice claim award of

ISBN: 9780542434969Subjects--Topical Terms:

212791
Health Sciences, Health Care Management.

The impact of malpractice liability claims on physician outcomes and practice patterns.
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