Document Detail


Changes in physician supply and scope of practice during a malpractice crisis: evidence from Pennsylvania.
MedLine Citation:
PMID:  17456502     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The extent to which liability costs cause physicians to restrict their scope of practice or cease practicing is controversial in policy debates over malpractice "crises." We used insurance department administrative data to analyze specialist physician scope-of-practice changes and exits in Pennsylvania in 1993-2002. In most specialties the proportions of high-risk specialists restricting their scope of practice did not increase during the crisis; however, the supply of obstetrician-gynecologists decreased by 8 percent in the three years following premium increases in 1999. We discuss methodological issues that could explain the disparate findings regarding physician supply effects in studies using administrative data sets and survey data.
Authors:
Michelle M Mello; David M Studdert; Jennifer Schumi; Troyen A Brennan; William M Sage
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-04-24
Journal Detail:
Title:  Health affairs (Project Hope)     Volume:  26     ISSN:  1544-5208     ISO Abbreviation:  Health Aff (Millwood)     Publication Date:    2007 May-Jun
Date Detail:
Created Date:  2007-05-08     Completed Date:  2007-07-05     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8303128     Medline TA:  Health Aff (Millwood)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  w425-35     Citation Subset:  IM    
Affiliation:
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA. mmello@hsph.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Economics, Medical
Humans
Insurance, Liability / economics*,  statistics & numerical data*
Malpractice / economics*
Medicine / statistics & numerical data
Pennsylvania
Physicians / supply & distribution
Professional Practice / economics*,  statistics & numerical data*
Specialization

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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