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Medical Malpractice and Physician Discipline: The Good, The Bad and The Ugly
Journal of Empirical Legal Studies ( IF 1.268 ) Pub Date : 2021-04-05 , DOI: 10.1111/jels.12277
David A. Hyman, Mohammad Rahmati, Bernard Black

We study the overlap between the medical malpractice (med mal) and medical disciplinary systems using the records of almost 90,000 Illinois physicians who held an active license at any point from 1990–2016. We quantify the specialty‐specific risk of having a paid med mal claim or a disciplinary action; how many physicians have both; and the extent to which physicians with two or more paid claims or two or more disciplinary actions account for a disproportionate share of the activity of both systems. We also examine which factors are associated with paid claims and disciplinary actions, and whether physicians with multiple paid claims or disciplinary actions are concentrated at particular hospitals. Physicians with two or more paid claims account for only 2.37 percent of all licensed physicians, but they account for 53 percent of paid claims and payouts. Physicians with two or more disciplinary actions account for only 0.47 percent of physicians but 28 percent of all disciplinary actions. The risk of paid claims and disciplinary actions varies greatly by specialty. Physicians who attended non‐U.S. medical schools are more likely to have paid claims but (except for high‐disciplinary‐risk specialties) are not more likely to be subject to disciplinary action. Physicians with prior paid claims are more likely to be the target of disciplinary action—but not vice versa. A small number of Illinois hospitals are staffed by physicians with unusually high numbers of paid med mal claims, disciplinary actions, or both.

中文翻译:

医疗事故和医师学科:好,坏和丑陋

我们使用近90,000名在1990年至2016年期间随时持有有效执照的伊利诺伊州医生的记录来研究医疗事故(med mal)与医学纪律系统之间的重叠。我们对有偿医疗索赔或纪律处分的专业风险进行量化;两者都有多少位医生?以及具有两个或更多已付费索偿或两个或更多纪律处分的医师在两个系统的活动中所占比例不成比例。我们还将检查哪些因素与已付费索赔和纪律处分有关,以及具有多个已付费​​索赔或纪律处分的医生是否集中在特定医院。具有两个或多个已付费​​索偿的医师仅占所有许可医师的2.37%,但它们占已付索赔和支出的53%。具有两个或更多纪律处分的医师仅占医师的0.47%,但占所有纪律处分的28%。付费索赔和纪律处分的风险因专业而异。在非美国医学院就读的医师更有可能支付索赔,但(高学科风险专业除外)则不太可能受到纪律处分。有事先付款要求的医师更有可能成为纪律处分的对象,反之则不然。少数伊利诺伊州医院的医生配备了付费医疗索赔,纪律处分或两者中异常多的医生。47%的医生但是所有纪律处分的28%。付费索赔和纪律处分的风险因专业而异。在非美国医学院就读的医师更有可能提出索赔,但是(高学科风险专业除外)不太可能受到纪律处分。有事先付款要求的医师更有可能成为纪律处分的对象,反之则不然。少数伊利诺伊州医院的医生配备了付费医疗索赔,纪律处分或两者中异常多的医生。47%的医生但是所有纪律处分的28%。付费索赔和纪律处分的风险因专业而异。在非美国医学院就读的医师更有可能提出索赔,但是(高学科风险专业除外)不太可能受到纪律处分。有事先付款要求的医师更有可能成为纪律处分的对象,反之则不然。少数伊利诺伊州医院的医生配备了付费医疗索赔,纪律处分或两者中异常多的医生。医学院更有可能支付索赔,但(高学科风险专业除外)则不太可能受到纪律处分。有事先付款要求的医师更有可能成为纪律处分的对象,反之则不然。少数伊利诺伊州医院的医生配备了付费医疗索赔,纪律处分或两者中异常多的医生。医学院更有可能支付索赔,但(高学科风险专业除外)则不太可能受到纪律处分。有事先付款要求的医师更有可能成为纪律处分的对象,反之则不然。少数伊利诺伊州医院的医生配备了付费医疗索赔,纪律处分或两者中异常多的医生。
更新日期:2021-04-05
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