Langwell K M, Werner J L
J Health Polit Policy Law. 1980 Fall;5(3):498-513. doi: 10.1215/03616878-5-3-498.
The problem of professional liability claims and impact on the medical care market has become increasingly important in recent years. Professional liability insurance premiums, and the practice of defensive medicine by physicians in response to potential professional liability claims, have been cited as partly responsible for the increasing costs of medical care. This study is an analysis of factors which influence the probability of a professional liability claim occurring for physicians in each of the four Census Regions. The data analyzed are from the Eleventh Periodic Survey of Physicians conducted by the American Medical Association in 1977, in which respondents indicated whether they had a professional liability claim filed against them. A logit analysis suggests that variations across Census Regions in population characteristics, availability of medical resources and supply of legal services are determinants of the occurrence of claims.
近年来，职业责任索赔问题及其对医疗市场的影响变得越发重要。职业责任保险费以及医生为应对潜在职业责任索赔而采取的防御性医疗行为，被认为是医疗成本不断上升的部分原因。本研究分析了影响美国四个普查区域内科医生发生职业责任索赔概率的因素。所分析的数据来自美国医学协会于1977年进行的第十一次医生定期调查，受访者在调查中表明是否有针对他们的职业责任索赔。逻辑回归分析表明，各普查区域在人口特征、医疗资源可及性和法律服务供给方面的差异是索赔发生的决定因素。
