Mussman M G, Zawistowich L, Weisman C S, Malitz F E, Morlock L L
Department of Health Policy and Management, Johns Hopkins University School of Hygiene, Baltimore, MD 21205.
JAMA. 1991 Jun 12;265(22):2992-4.
Several databases available in Maryland are used to investigate whether Medicaid recipients are more likely than other persons to engage in medical malpractice litigation. All malpractice claims filed during 1985 and 1986 (N = 1037) were updated for outcomes through 1989 and described with regard to the payer status of claimants. The proportion of claims filed by persons enrolled in Medicaid before and/or during the alleged malpractice incident was lower than the proportion of state residents enrolled in Medicaid. In addition, the proportion of obstetric claims filed by Medicaid recipients was identical to their proportion of hospital discharges for obstetric services during the period in which the incidents occurred.
马里兰州现有的几个数据库被用于调查医疗补助计划的受益者是否比其他人更有可能参与医疗事故诉讼。对1985年和1986年期间提交的所有医疗事故索赔(N = 1037)进行了更新,以了解截至1989年的结果,并对索赔人的付款人身份进行了描述。在涉嫌医疗事故事件发生之前和/或期间参加医疗补助计划的人提出的索赔比例低于参加医疗补助计划的该州居民比例。此外,医疗补助计划受益者提出的产科索赔比例与事件发生期间他们产科服务的医院出院比例相同。