医疗责任标准对医生行为地区差异的影响:基于国家标准规则采纳的证据

The Impact of Medical Liability Standards on Regional Variations in Physician Behavior: Evidence from the Adoption of National-Standard Rules

American Economic Review · 2013
被引 88
人大 A+FT50ABS 4*

中文导读

研究了医疗事故责任标准从地方标准转向国家标准后,医生行为地区差异的变化,发现采用国家标准使各州与全国平均治疗和诊断使用率的差距缩小30-50%,且患者健康未受影响。

Abstract

I explore the association between regional variations in physician behavior and the geographical scope of malpractice standards of care. I estimate a 30–50 percent reduction in the gap between state and national utilization rates of various treatments and diagnostic procedures following the adoption of a rule requiring physicians to follow national, as opposed to local, standards. These findings suggest that standardization in malpractice law may lead to greater standardization in practices and, more generally, that physicians may indeed adhere to specific liability standards. In connection with the estimated convergence in practices, I observe no associated changes in patient health.

医疗责任标准医生行为区域差异国家标准规则