Rolph J E, Pekelney D, McGuigan K
RAND Corporation, Santa Monica, CA 90407-2138.
Inquiry. 1993 Winter;30(4):441-6.
This study addresses whether a physician incurring small malpractice claims is predictive of large claims. This is one consideration behind reevaluating whether all claims that result in an indemnity payment should continue to be reported to the National Practitioner Data Bank, or whether claims with payments below some "floor" should be excluded. Using a claims database from 3,098 physicians for 1977-1986, both cross-sectional and longitudinal analyses show that an individual having a small claim (under $30,000) is indicative of a propensity to incur large claims. This finding is robust to the cutpoint between large and small claims.
本研究探讨了发生小额医疗事故索赔的医生是否预示着会发生大额索赔。这是重新评估所有导致赔偿支付的索赔是否应继续报告给国家从业者数据库，还是应排除低于某个“下限”支付金额的索赔背后的一个考虑因素。利用1977年至1986年3098名医生的索赔数据库，横断面分析和纵向分析均表明，有小额索赔（低于3万美元）的个体具有发生大额索赔的倾向。这一发现对于大额索赔和小额索赔之间的分界点具有稳健性。
