Medical malpractice : a comprehensive analysis / Vasanthakumar N. Bhat.

Format:

Book

Author/Creator:

Bhat, Vasanthakumar N.

Language:

English

Subjects (All):

Physicians--Malpractice.

Physicians.

Physicians' malpractice insurance.

Physical Description:

1 online resource (279 p.)

Edition:

1st ed.

Distribution:

London : Bloomsbury Publishing, 2024

Place of Publication:

Westport, Conn. : Praeger, 2001.

Language Note:

English

Summary:

The healthcare delivery system in the United States is inundated with medical malpractice and liability issues, and there is no consensus about causes or solutions. Both physicians and an alliance of lawyers and consumer groups agree that there is a crisis, but physicians claim that the current medical malpractice system inheres in too many lawsuits while the lawyers argue that the current level of litigation is insufficient. Multivariate statistical methods are used in this much needed effort to investigate the effects of medical malpractice on various aspects of health care. After introducing the various tort reforms that have been proposed and implemented by some states, the author analyzes the impact of these reforms on medical malpractice payment rates, claim payments, malpractice insurance, and in dental malpractice. The impact of malpractice liability on costs, licensure, disciplinary action, the supply of physicians, and the practice of defensive medicine are also covered. This is an essential guide for students in law, medicine, and health administration, as well as anyone who wants to research these issues for public policy.

Contents:

Cover

MEDICAL MALPRACTICE

Contents

Tables and Figures

TABLES

APPENDIX II

FIGURES

Preface

1 Opening Statement

INTRODUCTION

THE U.S. HEALTH CARE SYSTEM

International Comparison

State Heath Indicators

MEDICAL MALPRACTICE DEBATE

MEDICAL MALPRACTICE GOALS

MEDICAL MALPRACTICE MODEL

RESPONSES TO MEDICAL MALPRACTICE

Changes in Provider Behavior

Tort Reforms

Reforms That Reduce Access to Courts

Reforms That Reduce Malpractice Awards

Approaches to Malpractice Compensation

Administrative Fault-Based Approaches

STATEWIDE TORT REFORMS

DATA SOURCES

NATIONAL PRACTITIONER DATA BANK

CONCLUSIONS

NOTES

2 Malpractice Claims

MALPRACTICE LAWSUITS TREND

Variations among Specialties

Variations by Physician Characteristics

IMPACT OF TORT REFORMS

Univariate Analysis

Multivariate Analysis

ANALYSIS BY REASONS

ANALYSIS BY PAYMENTS PER PHYSICIANS

Multivariate Analysis of Payments per Physician

Analysis of Results

THE DISPOSITION OF MALPRACTICE LAWSUITS

PHYSICIAN DISCIPLINE

3 Severity of Medical Malpractice Claims

SEVERITY BY MALPRACTICE REASON

DISTRIBUTION OF SEVERITY

MEAN SEVERITY BY STATES

PAYMENT DELAYS

4 Medical Malpractice Insurance Premiums

MEDICAL MALPRACTICE INSURANCE PREMIUMS

Physician Premiums

Impact of Tort Reforms

Hospital Malpractice Premiums

COMBINED RATIOS

5 Dental Malpractice

DENTAL EXPENDITURE

DENTAL PAYMENT RATES

DENTAL MALPRACTICE PAYMENTS

ANALYSIS OF SETTLEMENTS

DENTAL DISCIPLINE

IMPACT OF STATE DENTAL BOARD LICENSING POLICIES

NOTES.

6 Politics of Malpractice

REFORMS OF THE SEVENTIES

Background

Patterns of Reforms

Influence of Socioeconomic Factors

Similarities in Reforms

Role of Courts

REFORMS OF THE 1980s

TORT REFORMS AT THE FEDERAL LEVEL

7 Medical Malpractice and the Supply of Physicians

SUPPLY OF PHYSICIANS

SUPPLY OF OBSTETRICIANS AND GYNECOLOGISTS

BIRTHS ATTENDED BY MIDWIVES

IMPACT OF MALPRACTICE ON PRACTICE PATTERNS

8 Malpractice and Defensive Medicine

MAGNITUDE OF DEFENSIVE MEDICINE

Historical and International Trends

The Review of Literature

Mathematical Model

IMPACT OF TORT REFORMS ON DEFICIENT CARE

APPROPRIATENESS OF CARE

9 Malpractice and Health Care Costs

HEALTH CARE EXPENDITURES AND THEIR DETERMINANTS

DETERMINANTS OF HEALTH EXPENDITURES

IMPACT OF PHYSICIANS' INCOMES ON HEALTH CARE COSTS

UNIVARIATE ANALYSIS FOR CHARGES FOR PROCEDURES

ANALYSIS OF GROWTH IN PER CAPITA HEALTH SPENDING

10 Closing Statement

NATURE AND EXTENT OF MEDICAL ERRORS

COSTS OF MEDICAL ERRORS

CLAIMS

DISCIPLINARY ACTIONS

QUALITY OF THE U.S. HEALTH CARE SYSTEM

UNINSURED PERSONS

TORT REFORM

THE NATIONAL PRACTITIONER DATA BANK

DENTAL MALPRACTICE

POLITICS OF MALPRACTICE

DEFENSIVE MEDICINE

HEALTH CARE COSTS

TO SUMMARIZE

Appendix I: Statistical Methods

UNIVARIATE METHODS

MULTIVARIATE METHODS

Appendix II

Selected Bibliography

Author Index

Subject Index

About the Author.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references and indexes.

ISBN:

9798400684340

9780313003981

031300398X

OCLC:

614564607