The impact of malpractice fears on cesarean section rates

被引：170

作者：

Dubay, L

Kaestner, R

Waidmann, T

机构：

[1] Urban Inst, Ctr Hlth Policy, Washington, DC 20037 USA

[2] CUNY, Baruch Coll, New York, NY 10021 USA

[3] NBER, Cambridge, MA 02138 USA

来源：

JOURNAL OF HEALTH ECONOMICS | 1999年 / 18卷 / 04期

关键词：

malpractice; cesarean section; defensive medicine;

D O I：

10.1016/S0167-6296(99)00004-1

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

A longstanding issue in the health care industry is whether physicians' malpractice fears lead to defensive medicine. We use national birth certificate data from 1990 through 1992 to conduct a county fixed-effects analysis of the impact of malpractice claims risk on cesarean-section rates and infant health. Malpractice claims risk is measured by obstetricians' malpractice premiums. The study provides evidence that physicians practice defensive medicine in obstetrics but that the impact of increased cesarean sections that results from malpractice fears on total obstetric care costs is small. The study also finds that physicians' defensive response varies with the socioeconomic status of the mother. (C) 1999 Elsevier Science B.V. All rights reserved.

引用

页码：491 / 522

页数：32

共 39 条

[11]

DUBAY L, 1998, 6731001 URB I

[12]

Eden R D, 1990, ASSESSMENT CARE FETU

[13]

Gray JE, 1996, PEDIATRICS, V97, P832

[14] Do doctors practice defensive medicine? [J].

Kessler, D ;

McClellan, M .

QUARTERLY JOURNAL OF ECONOMICS, 1996, 111 (02) :353-390

[15] The effects of malpractice practice pressure and liability reforms on physicians' perceptions of medical care [J].

Kessler, DP ;

McClellan, MB .

LAW AND CONTEMPORARY PROBLEMS, 1997, 60 (1-2) :81-106

[16] RACIAL-DIFFERENCES IN LOW-BIRTH-WEIGHT - TRENDS AND RISK-FACTORS [J].

KLEINMAN, JC ;

KESSEL, SS .

NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (12) :749-753

[17]

LEWISIDEMA D, 1989, MED PROFESSIONAL LIA, V2, P78

[18] RELATIONSHIP BETWEEN MALPRACTICE CLAIMS AND CESAREAN DELIVERY [J].

LOCALIO, AR ;

LAWTHERS, AG ;

BENGTSON, JM ;

HEBERT, LE ;

WEAVER, SL ;

BRENNAN, TA ;

LANDIS, JR .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 269 (03) :366-373

[19]

MARIESKIND HI, 1979, EVALUATION CESAREAN

[20]

Moser James W., 1991, J MED PRAC MGMT, V7, P6

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