医疗错误改革对医生服务供应的影响
Daniel P Kessler1, William M Sage, David J Becker
1Stanford University Graduate School of Business, Hoover Institution, and the National Bureau of Economic Research, Stanford, Calif, USA.
医疗错误侵权改革限制了损害赔偿,医生的总体供应增加了3.3%. 这一改革通过退休和新入职而影响了医生供应,而不是从州到州的迁移.
科学领域:
- 卫生政策研究 卫生政策研究
- 医学经济学 医学经济学
- 医生劳动力研究 医生劳动力研究
背景情况:
- 职责不当诉讼限制的支持者认为,侵权纠纷改革提高了医疗保健的准入.
- 这项研究考察了侵权行为改革对医生供应的影响.
研究的目的:
- 量化国家医疗不当法律变化对医生人数的影响.
- 调查直接的医疗错误改革如何影响医生的可用性.
主要方法:
- 使用差异差异回归分析.
- 分析了来自AMA医生主档的医生供应数据 (1985-2001).
- 根据特定州的人口统计,政治因素,人口和医疗保健市场特征进行控制.
主要成果:
- 在三年内,直接的医疗错误改革导致整体医生供应增加了3.3%.
- 改革对非集团医生和专业医生产生了更大的影响,这些专业医生有较高的医疗失误保费.
- 供应的增加是由退休和新入职的医生推动的,而不是州际移民.
结论:
- 国家级的侵权纠纷改革显然增加了医生的供应.
- 需要进一步的研究来确定这些增加的医生供应是否转化为患者的好处.
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