| Is there empirical evidence for "Defensive Medicine"? A reassessment. | |
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MedLine Citation:
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PMID: 19201500 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Proponents of tort reform applied to medical malpractice argue for change partly on the premise that the threat of lawsuits has made medical care more costly. Using U.S. longitudinal data from the National Long-Term Care Survey merged with Medicare claims and other data for 1985-2000, this study assesses whether tort reforms have reduced Medicare payments made on behalf of beneficiaries and the survival probability following an index event. Direct reforms (caps on damages, abolition of punitive damages, eliminating mandatory prejudgment interest, and collateral source offset) did not significantly reduce payments for Medicare-covered services in any specification. Indirect reforms (limitations on contingency fees, mandatory periodic payments, joint-and-several liability reform, and patient compensation funds) significantly reduced Medicare payments only in a specification based on any hospitalization, but not in analysis of hospitalization for each of four common chronic conditions. Neither direct nor indirect reforms had a significant effect on the health outcomes, with one exception. The overall conclusion is that tort reforms do not significantly affect medical decisions, nor do they have a systematic effect on patient outcomes. |
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Authors:
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Frank A Sloan; John H Shadle |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-12-25 |
Journal Detail:
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Title: Journal of health economics Volume: 28 ISSN: 0167-6296 ISO Abbreviation: J Health Econ Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-03-20 Completed Date: 2009-06-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8410622 Medline TA: J Health Econ Country: Netherlands |
Other Details:
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Languages: eng Pagination: 481-91 Citation Subset: H |
Affiliation:
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Duke University and NBER, 302 Towerview Rd., Box 90253, Durham, NC 27708, United States. fsloan@duke.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Compensation and Redress / legislation & jurisprudence Data Collection Defensive Medicine / economics* Female Health Care Reform / legislation & jurisprudence* Humans Insurance Claim Review Longitudinal Studies Male Malpractice / economics Medicare / economics United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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