Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
J Gastrointest Surg. 2013 Jan;17(1):168-77; discussion p177-8. doi: 10.1007/s11605-012-2013-4. Epub 2012 Sep 29.
Texas implemented comprehensive tort reform in 2003. We hypothesized that tort reform was followed by a significant increase of physicians practicing in Texas.
To test this hypothesis, we compared the rate of physician growth prior to and following tort reform, and the number of licensed physicians and physicians per 100,000.
Comparing before and after tort reform, the rate of increase in Texas physicians per 100,000 population increased significantly (p < 0.01). From 2002 to 2012, the Texas population increased 21 %. The number of actively practicing Texas physicians increased by 15,611 a 44 % increase (46 % metro areas vs. 9 % non-metro areas), an increase of 30 physicians per 100,000 population (p < 0.01). Non-metropolitan Texas had a net increase of 215 physicians; however, there was no change in the number of physicians per 100,000. Examining the data by trauma service areas (TSAs), 20 of 22 TSAs had an increase in both number of physicians and physicians per capita, five greater than 50 %.
The post-tort reform period in Texas was associated with a significantly increased growth rate of physicians relative to the Texas population. Tort reform, as implemented in Texas, provides a needed framework for improving access to health care.
德克萨斯州于 2003 年实施了全面的侵权改革。我们假设侵权改革后，在德克萨斯州行医的医生人数会显著增加。
为了验证这一假设，我们比较了改革前后医生增长率以及持照医生和每 10 万人中医生人数。
与改革前相比，改革后德克萨斯州每 10 万人中医生人数的增长率显著增加（p<0.01）。从 2002 年到 2012 年，德克萨斯州的人口增长了 21%。活跃行医的德克萨斯州医生人数增加了 15611 人，增长了 44%（46%的大都市地区与 9%的非大都市地区），每 10 万人增加了 30 名医生（p<0.01）。非大都市地区的医生净增 215 人；然而，每 10 万人中医生的数量并没有变化。按创伤服务区域（TSA）检查数据，22 个 TSA 中有 20 个在医生人数和人均医生数量上都有所增加，其中 5 个增加了 50%以上。
德克萨斯州侵权改革后的时期与医生人数相对于德克萨斯州人口的增长率显著增加有关。德克萨斯州实施的侵权改革为改善医疗保健提供了一个必要的框架。
