Carter C, Cromwell J
Health Economics Research, Needham, MA 02194.
Inquiry. 1987 Winter;24(4):392-404.
The rapid increase in the costs of hospital liability in recent years has focused attention on the present and future ability of hospitals to offer complex, high-risk procedures. In this study of the costs of malpractice coverage and their rates of increase between 1983 and 1985, we found that the rapid increases in the costs of liability insurance are largely accounted for by the fact that hospitals are purchasing more coverage. Their costs per dollar coverage remained constant over the two-year period. Although malpractice cost differences are narrowing among the nine U.S. census regions, our analyses suggest that there will be significant inequities in what Medicare allows in its prospective payment formula for malpractice insurance costs.
近年来，医院医疗责任成本的迅速增加已使人们将注意力集中到医院目前及未来开展复杂高风险手术的能力上。在这项关于1983年至1985年期间医疗事故保险成本及其增长率的研究中，我们发现责任保险成本的迅速增加在很大程度上是由于医院购买了更多保险。在这两年期间，每美元保险的成本保持不变。虽然美国九个普查地区之间的医疗事故成本差异正在缩小，但我们的分析表明，医疗保险在其医疗事故保险成本预期支付公式中所允许的金额将存在显著的不公平现象。
