医疗过失改革、医生供给与逆向选择

Medical Malpractice Reform, the Supply of Physicians, and Adverse Selection

Journal of Law & Economics · 2014
被引 24
人大 A-ABS 3

中文导读

研究美国各州医疗过失改革对医生选址和医疗过失率的影响,发现邻州通过非经济损害赔偿上限后,本州医生人口比和过失率均下降,表明因改革而迁入的医生更易发生医疗过失。

Abstract

Malpractice reforms tend to reduce physicians' liability for harming patients. Because these reforms are passed at the state level, the costs of harming patients vary widely by geographic location. In this paper, I test whether malpractice reforms affect where physicians choose to practice and whether physicians who relocate in response to reforms are particularly prone to commit malpractice. Because a state's own reforms cannot separately distinguish moral hazard from adverse selection, and because those reforms are likely to have direct effects on measures of malpractice via the legal market, I focus attention on neighboring states' reforms. I find that when a state's neighbor passes a cap on noneconomic damages, both the physician-to-population ratio and the malpractice rate fall. This suggests that physicians who relocate in response to noneconomic damages caps are more likely to commit malpractice.

医疗事故改革医生供给逆向选择