Tippett T M
Neurosurgical Group, Pensacola.
J Fla Med Assoc. 1994 Oct;81(10):673-5.
A survey of Florida neurosurgeons was conducted in April 1993 with a 68% response rate. One hundred twenty-three (81%) had malpractice insurance. Of the 29 (19%) without insurance, all but one practiced in South Florida. Cost was the major factor in dropping coverage. The cutoff appeared to be in excess of $100,000 per year for coverage for $250,000 per incident. Over 50% have considered early retirement. Those without coverage are limiting patient access. The number unable to afford minimal coverage is likely to increase; consequently patient access will continue to decline unless reforms allow coverage at a reasonable cost.
1993年4月对佛罗里达州的神经外科医生进行了一项调查,回应率为68%。123名(81%)医生有医疗事故保险。在29名(19%)没有保险的医生中,除一人外,其他人都在南佛罗里达州行医。费用是放弃保险的主要因素。每年超过10万美元的保险费才能获得每次事故25万美元的保险额,这似乎是个界限。超过50%的医生考虑提前退休。没有保险的医生正在限制患者就诊。无力承担最低保险费用的人数可能会增加;因此,除非改革能让人们以合理的费用获得保险,否则患者就诊机会将继续减少。