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Evaluating the Medical Malpractice System and Options for Reform

Bibliographic Data

ID4030336
AuthorsDaniel P Kessler (0000-0003-0344-0418, Professor of Law, Stanford Law School, Stanford University, Stanford, California.; Professor, Graduate School of Business, Stanford University, Stanford, California.; Senior Fellow, Hoover Institution, Stanford University, Stanford, California.; Research Associate, National Bureau of Economic Research, Cambridge, Massachusetts., corresponding author)
Year2011
Volume25
Issue2
Pages93-110
Publication date2011-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Journal of Economic Perspectives (JOURNAL)
Journal identifiersISSN: 0895-3309 • E-ISSN: 1944-7965
PublisherAmerican Economic Association (PUBLISHER • US)
DOI10.1257/jep.25.2.93
PMID21595327
OpenAlexW2128871836
LanguageEN
Citations received4
References cited49

The U.S. medical malpractice liability system has two principal objectives: to compensate patients who are injured through the negligence of healthcare providers and to deter providers from practicing negligently. In practice, however, the system is slow and costly to administer. It both fails to compensate patients who have suffered from bad medical care and compensates those who haven't. According to opinion surveys of physicians, the system creates incentives to undertake cost-ineffective treatments based on fear of legal liability-to practice "defensive medicine." The failures of the liability system and the high cost of health care in the United States have led to an important debate over tort policy. How well does malpractice law achieve its intended goals? How large of a problem is defensive medicine and can reforms to malpractice law reduce its impact on healthcare spending? The flaws of the existing system have led a number of states to change their laws in a way that would reduce malpractice liability-to adopt "tort reforms." Evidence from several studies suggests that wisely chosen reforms have the potential to reduce healthcare spending significantly with no adverse impact on patient health outcomes

Actuarial science · Business · Computer security · Defensive medicine · Economics · Health care · Incentive · Law and economics · Liability · Malpractice · Medical malpractice · Political science · Tort · Tort reform · Healthcare cost, quality, practices · Healthcare Policy and Management · Law · Medical Malpractice and Liability Issues · Finance

  • Medical Malpractice Reform—Historical Approaches, Alternative Models, and Communication and Resolution Programs

    Open Access•Joseph S Kass, Rachel V Rose•The AMA Journal of Ethic•2016

  • Civil liability for the actions of autonomous AI in healthcare

    Open Access•Ahmed Eldakak, Abdulla Alremeithi et al.•Humanities and Social Sciences…•2024

  • A colonized general practice? A critical habermasian analysis of how general practitioners experience defensive medicine in their everyday working life

    Open Access•Elisabeth Assing Hvidt, Line Bjørnskov Pedersen et al.•Health An Interdisciplinary…•2021

  • Exploring Lawyer Misconduct

    Nicole Leeper Piquero, Michele Bisaccia Meitl et al.•Deviant Behavior•2016

  • Why Don't Physicians Follow Clinical Practice Guidelines?

    Michael D Cabana, Cynthia S Rand et al.•JAMA•1999

  • Incidence of Adverse Events and Negligence in Hospitalized Patients

    Troyen A Brennan, LUCIAN L LEAPE et al.•New England Journal of Medicine•1991

  • The Impact of State Laws Limiting Malpractice Damage Awards on Health Care Expenditures

    Fred J Hellinger, William Encinosa et al.•American Journal of Public Health•2006

  • Incidence and Types of Adverse Events and Negligent Care in Utah and Colorado

    Eric J Thomas, David M Studdert et al.•Medical Care•2000

  • Relationship Between Malpractice Litigation Pressure and Rates of Cesarean Section and Vaginal Birth After Cesarean Section

    Ya-Ting Yang, Y Tony Yang et al.•Medical Care•2009

  • Negligent Care and Malpractice Claiming Behavior in Utah and Colorado

    David M Studdert, Eric J Thomas et al.•Medical Care•2000

  • Variability in Medical Malpractice Payments

    Open Access•Frank A Sloan, Chee Ruey Hsieh•Law & Society Review•1990

Unique citing works4
Citations per year0,4
Citation span2016 - 2024 (9)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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