Rodwin Marc A, Chang Hak J, Clausen Jeffrey
Suffolk University Law School, Boston, Massachusetts, USA.
Health Aff (Millwood). 2006 May-Jun;25(3):750-8. doi: 10.1377/hlthaff.25.3.750.
The conventional wisdom is that malpractice premiums have steadily risen and now constitute a crisis for medical practice. The best available data suggest otherwise. American Medical Association (AMA) surveys of self-employed physicians from 1970 to 2000 indicate that premiums rose until 1986, then declined until 1996, rose thereafter, but were lower in 2000 than in 1986. Other items represented a much greater share of total practice expenses in 1970 yet increased rapidly until 1996 and moderately thereafter, while spending on premiums fell during 1986-2000. National trends were reflected with variations in obstetrics/gynecology, surgery, and anesthesiology and in nine regions surveyed.
传统观点认为，医疗事故保险费一直在稳步上涨，如今已对医疗行业构成危机。但现有最佳数据却并非如此。美国医学协会（AMA）对1970年至2000年个体开业医生的调查显示，保险费在1986年之前上涨，之后下降至1996年，此后又上涨，但2000年的保险费低于1986年。1970年其他项目在总业务开支中所占份额要大得多，但在1996年之前迅速增加，此后适度增加，而保险费支出在1986年至2000年期间下降。产科/妇科、外科和麻醉科以及所调查的九个地区都反映出了全国性的趋势，只是存在差异。
