Hellinger Fred J, Encinosa William E
Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, MD 20850, USA.
Am J Public Health. 2006 Aug;96(8):1375-81. doi: 10.2105/AJPH.2005.077883. Epub 2006 Jun 29.
Twenty-eight states have laws that limit payments in malpractice cases, and several studies indicate that these laws reduce the frequency and severity of malpractice claims and lower premiums. Moreover, proponents believe that such laws reduce health care expenditures by reducing the practice of defensive medicine. However, there is a dearth of empirical evidence about the impact of these laws on the cost of health care. We used multivariate models and relatively recent data to estimate the impact of state tort reform laws that directly limit malpractice damage payments on health care expenditures. Estimates from these models suggest that laws limiting malpractice payments lower state health care expenditures by between 3% and 4%.
28个州制定了限制医疗事故案件赔偿金额的法律，多项研究表明，这些法律降低了医疗事故索赔的频率和严重程度，并降低了保费。此外，支持者认为，此类法律通过减少防御性医疗行为降低了医疗保健支出。然而，关于这些法律对医疗保健成本影响的实证证据却很匮乏。我们使用多变量模型和相对近期的数据来估计直接限制医疗事故损害赔偿的州侵权改革法对医疗保健支出的影响。这些模型的估计结果表明，限制医疗事故赔偿的法律使州医疗保健支出降低了3%至4%。
