Document Detail


The impact of malpractice burden on Michigan obstetrician-gynecologists' career satisfaction.
MedLine Citation:
PMID:  18590881     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Medical services for pregnancy and childbirth are inherently risky and unpredictable. In many states, obstetrician-gynecologists (OB-GYNS) who attend the majority of childbirths in the United States and provide the most clinically complex obstetric procedures are struggling with increasing malpractice insurance premiums and litigation risk. Despite its significant implications for patient care, the potential impact of malpractice burden on OB-GYN physicians' career satisfaction has not been rigorously tested in previous research.
METHODS: Drawing on data from a statewide survey of obstetric providers in Michigan, this paper examined the association between medical liability burden and OB-GYNs' career satisfaction. Malpractice insurance premiums and malpractice claims experience were used as 2 objective measures for medical liability burden. Descriptive statistics were calculated and multivariable logistic regressions estimated for data analysis.
RESULTS: Although most respondents reported satisfaction with their overall career in medicine, 43.7% had become less satisfied over the last 5 years and 34.0% would not recommend obstetrics/gynecology to students seeking career advice. Multivariable regression analysis showed that compared to coverage through an employer, paying > or =$50,000/year for liability insurance premium was associated with lower career satisfaction among OB-GYNs (odds ratio, 0.35; 95% confidence interval, 0.13-0.93). We found no significant impact of malpractice claims experience, including both recent malpractice claims (during the last 5 years [2001--2006]) and earlier malpractice claims (>5 years ago), on overall career satisfaction.
CONCLUSIONS: The findings of this study suggest that high malpractice premiums negatively affect OB-GYN physicians' career satisfaction. The impact of the current medical liability climate on quality of care for pregnant women warrants further investigation.
Authors:
Xiao Xu; Kristine A Siefert; Peter D Jacobson; Jody R Lori; Scott B Ransom
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Women's health issues : official publication of the Jacobs Institute of Women's Health     Volume:  18     ISSN:  1049-3867     ISO Abbreviation:  Womens Health Issues     Publication Date:    2008 Jul-Aug
Date Detail:
Created Date:  2008-07-01     Completed Date:  2008-10-17     Revised Date:  2013-06-05    
Medline Journal Info:
Nlm Unique ID:  9101000     Medline TA:  Womens Health Issues     Country:  United States    
Other Details:
Languages:  eng     Pagination:  229-37     Citation Subset:  IM    
Affiliation:
Department of Obstetrics & Gynecology, University of Michigan, Ann Arbor, Michigan 48109, USA. xiaox@med.umich.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Attitude of Health Personnel*
Female
Gynecology / legislation & jurisprudence*,  manpower
Humans
Job Satisfaction*
Liability, Legal
Male
Malpractice / legislation & jurisprudence*
Michigan
Middle Aged
Obstetrics / legislation & jurisprudence*,  manpower
Physician's Practice Patterns / legislation & jurisprudence*
Professional Autonomy
Questionnaires
Grant Support
ID/Acronym/Agency:
1 P20 RR020682-01/RR/NCRR NIH HHS; P20 RR020682-01/RR/NCRR NIH HHS
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