National Costs Of The Medical Liability System

被引:344
作者
Mello, Michelle M. [1 ]
Chandra, Amitabh [2 ]
Gawande, Atul A. [1 ,3 ,4 ]
Studdert, David M. [5 ,6 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA 02115 USA
[2] Harvard Univ, John F Kennedy Sch Govt, Cambridge, MA 02138 USA
[3] Harvard Univ, Sch Med, Boston, MA 02115 USA
[4] Brigham & Womens Hosp, Boston, MA 02115 USA
[5] Univ Melbourne, Sch Law, Carlton, Vic 3053, Australia
[6] Univ Melbourne, Sch Populat Hlth, Carlton, Vic 3053, Australia
基金
澳大利亚研究理事会;
关键词
HEALTH-CARE REFORM; DEFENSIVE MEDICINE; MALPRACTICE LITIGATION; TORT REFORM; CLAIMS; ERRORS; IMPACT; LAW;
D O I
10.1377/hlthaff.2009.0807
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Concerns about reducing the rate of growth of health expenditures have reignited interest in medical liability reforms and their potential to save money by reducing the practice of defensive medicine. It is not easy to estimate the costs of the medical liability system, however. This article identifies the various components of liability system costs, generates national estimates for each component, and discusses the level of evidence available to support the estimates. Overall annual medical liability system costs, including defensive medicine, are estimated to be $55.6 billion in 2008 dollars, or 2.4 percent of total health care spending.
引用
收藏
页码:1569 / 1577
页数:9
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