Encinosa William E, Hellinger Fred J
Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality (AHRQ), Rockville, Maryland, USA.
Health Aff (Millwood). 2005 Jan-Jun;Suppl Web Exclusives:W5-250-W5-258. doi: 10.1377/hlthaff.w5.250.
Twenty-seven states have laws that cap payments for noneconomic damages in malpractice cases. In this study we examined whether these laws have increased the supply of physicians, using county-level data from all fifty states from 1985 to 2000. Counties in states with a cap had 2.2 percent more physicians per capita because of the cap, and rural counties in states with a cap had 3.2 percent more physicians per capita. Rural counties in states with a dollar 250,000 cap had 5.4 percent more obstetrician-gynecologists and 5.5 percent more surgical specialists per capita than did rural counties in states with a cap above dollar 250,000.
27个州制定了法律,对医疗事故案件中的非经济损害赔偿设定上限。在本研究中,我们利用1985年至2000年来自所有50个州的县级数据,研究了这些法律是否增加了医生的供应量。由于设定了上限,有上限的州的县人均医生数量多2.2%,有上限的州的农村县人均医生数量多3.2%。与上限高于25万美元的州的农村县相比,上限为25万美元的州的农村县人均妇产科医生多5.4%,外科专家多5.5%。