Adams E K, Burfield W B
J Med Pract Manage. 1988 Winter;3(3):163-8.
The continuing increase in malpractice claims, the severity of these claims, and onerous insurance premiums are contributing to the persistent crisis in this area. It is unclear whether there will be another general withdrawal of insurance availability. Rather, it seems more likely that problems will be isolated in certain geographical areas and among certain specialties. There is a high probability that physicians will selectively withdraw certain services in general or for specific patient groups. Data strongly indicate that certain subgroups of physicians such as obstetricians, younger doctors in general, and those in nonsolo practice are currently bearing more of the increased costs than some of their colleagues. Clearly, those in certain states are also differentially and adversely impacted.
医疗事故索赔持续增加、索赔的严重程度以及高昂的保险费，正导致该领域持续存在危机。目前尚不清楚是否会再次出现普遍的保险供应中断情况。相反，问题似乎更有可能集中在某些地理区域和某些专业领域。医生很有可能会普遍或针对特定患者群体选择性地减少某些服务。数据有力地表明，某些医生亚群体，如产科医生、一般较年轻的医生以及非单人执业的医生，目前承担的成本增加幅度比他们的一些同事更大。显然，某些州的医生也受到了不同程度的不利影响。
