Department of Economics, The Hebrew University, Jerusalem 91905, Israel.
J Health Econ. 2013 Mar;32(2):331-40. doi: 10.1016/j.jhealeco.2012.11.011. Epub 2012 Dec 17.
How do medical errors affect physician behavior? Despite the importance of this question empirical evidence about it remains limited. This paper studies the impact of obstetricians' medical errors that resulted in malpractice litigation on their subsequent choice of whether to perform a C-section, a common procedure that is thought to be sensitive to physician incentives. The main result is that C-section rates jumped discontinuously by 4% after a medical error, establishing an association between medical errors and treatment patterns. C-section rates continued to increase afterwards, bringing the cumulative increase 2.5 years after a medical error to 8%.
医疗失误如何影响医生的行为？尽管这个问题很重要，但实证证据仍然有限。本文研究了产科医生因医疗事故而导致医疗事故诉讼对其随后选择是否进行剖腹产的影响，剖腹产是一种常见的手术，被认为对医生的激励因素很敏感。主要结果是，医疗失误后，剖腹产率突然跃升 4%，这表明医疗失误与治疗模式之间存在关联。此后，剖腹产率继续上升，在医疗失误后 2.5 年内累计增加 8%。
