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A Practical Guide to Phylogenetics for Nonexperts

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Published on: February 5, 2014

Changes in Practice among Physicians with Malpractice Claims.

David M Studdert¹, Matthew J Spittal¹, Yifan Zhang¹

¹From the Departments of Medicine (D.M.S., Y.Z.) and Health Research and Policy (M.M.M.), Stanford University School of Medicine, and Stanford Law School (D.M.S., M.M.M.) - both in Stanford, CA; the Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia (M.J.S.); and the Health Resources and Services Administration, Department of Health and Human Services, Rockville, MD (D.S.W., H.S.).

The New England Journal of Medicine

|March 28, 2019

Summary

This summary is machine-generated.

Physicians with multiple malpractice claims are more likely to leave medicine or join smaller practices, not relocate geographically. This impacts patient safety and physician workforce dynamics.

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Area of Science:

Medical Practice Analysis
Physician Workforce Studies
Patient Safety Research

Background:

Physicians with a history of malpractice claims may pose risks to patient safety.
Concerns exist regarding physicians with poor malpractice records relocating to continue practice.
Limited data available on the practice patterns of physicians with malpractice claims.

Purpose of the Study:

To investigate the association between malpractice claims and physician practice changes.
To determine if physicians with malpractice claims are more likely to relocate geographically.
To analyze shifts in clinical volume, practice setting, and exits from medical practice.

Main Methods:

Linked National Practitioner Data Bank and Medicare Provider data (2008-2015).
Created a national cohort of physicians aged 35-65.
Analyzed associations between paid malpractice claims and practice exits, volume changes, relocation, and practice size.

Main Results:

Physicians with more malpractice claims showed increased odds of leaving medical practice.
No significant association found between malpractice claims and geographic relocation.
Physicians with multiple claims were more likely to move to smaller practices, including solo practices.

Conclusions:

Multiple malpractice claims correlate with physicians exiting practice or reducing practice size.
Geographic relocation is not a primary outcome for physicians with malpractice claims.
Findings suggest a need to address physician practice changes and patient safety implications.