Gronfein W P, Kinney E D
Indiana University-Indianapolis.
J Health Polit Policy Law. 1991 Fall;16(3):441-64. doi: 10.1215/03616878-16-3-441.
Indiana's comprehensive malpractice reforms, inaugurated in 1975, include a cap on damages, a mandated medical review before trial, and a state insurance fund to pay claims equal to or greater than $100,000. We have found that the amount of compensation going to claimants with such large malpractice claims in Indiana is, on average, substantially higher than in Michigan and Ohio. Indiana's mean claim severity between 1977 and 1988 was $404,832, while the means for Michigan and Ohio were $290,022 and $303,220, respectively, with the difference between these three means being highly significant. Although data on claim and claimant characteristics reveal considerable interstate variation, the results of regression analyses show that Indiana claim payment amounts are higher than Michigan or Ohio payments, independent of the effect of factors such as sex, age, severity of injury, allegations of negligence, and year of settlement.
印第安纳州于1975年启动的全面医疗事故改革措施包括损害赔偿上限、审判前强制进行医疗审查，以及设立一个州保险基金来支付等于或超过10万美元的索赔。我们发现，印第安纳州此类大额医疗事故索赔的索赔人所获得的赔偿金额，平均而言，大幅高于密歇根州和俄亥俄州。1977年至1988年期间，印第安纳州的平均索赔严重程度为404,832美元，而密歇根州和俄亥俄州的平均索赔严重程度分别为290,022美元和303,220美元，这三个平均值之间的差异非常显著。尽管关于索赔和索赔人特征的数据显示出相当大的州际差异，但回归分析结果表明，印第安纳州的索赔支付金额高于密歇根州或俄亥俄州的支付金额，与性别、年龄、伤害严重程度、过失指控和和解年份等因素的影响无关。
