首先不伤害?侵权改革与分娩结局

First Do No Harm? Tort Reform and Birth Outcomes

Quarterly Journal of Economics · 2008
被引 266
人大 A+FT50ABS 4*

中文导读

利用1989-2001年美国数百万个体出生数据,考察侵权改革对分娩程序和母婴健康的影响,发现连带责任改革减少并发症和程序使用,而非经济损害赔偿上限则增加它们。

Abstract

In the 1980s and 1990s many states adopted tort reforms. It has been argued that these reforms have reduced the practice of defensive medicine arising from excess tort liability. We find that this does not appear to be true for a large and important class of cases—childbirth in the United States. Using data from national vital statistics natality files on millions of individual births from 1989 to 2001, we ask whether specific tort reforms affect the types of procedures that are performed, and the health outcomes of mothers and their infants. We find that reform of the Joint and Several Liability rule (or the "deep pockets rule") reduces complications of labor and procedure use, whereas caps on noneconomic damages increase them. We show that these results are consistent with a model of tort reform that explicitly allows for variations in patient condition.

侵权法改革分娩结果防御性医疗连带责任规则