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General practice location and malpractice litigation.

Søren Birkeland1, Søren Bie Bogh2

  • 1Centre for Quality and Department of Regional Health Research, University of Southern Denmark, P.V. Tuxensvej 3-5, 1st, 5500 Middelfart, Denmark soren.birkeland@rsyd.dk.

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General practitioners (GPs) with larger patient lists face higher malpractice litigation rates. Higher patient income was linked to fewer lawsuits, but when they occurred, criticism was more often justified.

Keywords:
general practicemalpracticeprimary carerural practiceDenmark

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Area of Science:

  • Healthcare policy
  • Medical malpractice
  • General practice

Background:

  • Healthcare systems globally face challenges in recruiting general practitioners (GPs) for rural areas.
  • Increased patient numbers strain GP resources, potentially impacting patient satisfaction and malpractice litigation risk.

Purpose of the Study:

  • To investigate the association between malpractice litigation and local setting characteristics for Danish GPs.
  • Examined rurality, patient list size, unemployment, education, income, and healthcare expenditure.

Main Methods:

  • Register-based study utilizing Danish complaint files and administrative data.
  • Multivariate logistic regression analysis was employed.

Main Results:

  • No significant association found between litigation and rurality, education, or healthcare expenditure.
  • Larger patient list size correlated with increased malpractice litigation (OR 1.05 per 100 patients).
  • Higher patient income settings showed lower litigation rates (OR 0.65), but litigation was more likely to be justified (OR 6.03).

Conclusions:

  • Increasing GP workload (patient lists) contributes to dissatisfaction and malpractice litigation.
  • Local socioeconomic factors, like patient income, can influence litigation, though not always preventing it.
  • Further research is needed on geographic variations, workload, and socioeconomic inequality in malpractice litigation.