Defensive Medicine and Medical Malpractice (Part 4 of 19)
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چکیده
D espitc widespread use of the term in the current health policy debate, there is limited understanding of-—let alone consensus on-the true nature of defensive medicine. This chapter explores the concept of defensive medic inc. First, it sets forth the Office of Technology Assessment (OTA’s) definition and compares it with alternative approaches to defining defensive medicine. Second. it explores the sources of defensive medicine: why physicians want to avoid lawsuits: what types of signals the malpractice system sends to physicians; the role of institutional risk management and quality assurance activities in defensive medicine; and finally, the role of graduate medical education in promoting defensive medicine.
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Defensive Medicine and Medical Malpractice (Part 6 of 19)
A lthough it is impossible to measure with much Precision the extent of defensive medicine, the evidence summarized in Chapter 3 implies that it is neither a trivial nor a major contributor to health care costs. This chapter examines how different approaches to reforming the medical malpractice system might affect the frequency of defensive medicine. The chapter examines the potential for tort ...
متن کاملArticle 4 WHY DO DOCTORS PRACTICE DEFENSIVE MEDICINE? THE SIDE-EFFECTS OF MEDICAL LITIGATION
Defensive medicine takes place when doctors prescribe unnecessary tests, procedures or specialist visits (positive defensive medicine), or avoid high risk patients or procedures (negative defensive medicine). Doctors practice defensive medicine in order to reduce their exposure to medical malpractice litigation. This paper reports the results of two studies one national and one conducted at a r...
متن کاملThe Effects of Malpractice Tort Reform on Defensive Medicine
As the rising cost of malpractice threatens to reduce the number of hospitals and physicians in various states across the nation, policy-makers must examine the factors contributing to these crises. Beyond studying the symptoms of malpractice crises, such as increasing claims frequency and severity manifested through increasing malpractice premia, policy-makers must consider flaws within the ma...
متن کاملThe Culture of Defensive Medicine: Is Tort Reform Necessary?
This paper examines the culture of defensive medicine that has spread rapidly across the United States in response to an increase in malpractice lawsuits and staggering malpractice insurance premiums in certain high-risk medical and surgical specialties. Due to the presence of this culture, it is important to question whether tort reform (e.g. placing caps on jury awards) is necessary to curb r...
متن کاملMalpractice Liability and Defensive Medicine: A National Survey of Neurosurgeons
BACKGROUND Concern over rising healthcare expenditures has led to increased scrutiny of medical practices. As medical liability and malpractice risk rise to crisis levels, the medical-legal environment has contributed to the practice of defensive medicine as practitioners attempt to mitigate liability risk. High-risk specialties, such as neurosurgery, are particularly affected and neurosurgeons...
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