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Effect of Medical Malpractice on Resource Use and Mortality of AMI Patients

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  • Praveen Dhankhar
  • M. Mahmud Khan
  • Shalini Bagga

Abstract

We estimate the effect of medical malpractice on physician behavior and health outcomes of AMI patients. The National Practitioner Data Bank (NPDB) has been combined with the Nationwide Inpatient Sample (NIS). Frequency of paid claims and claims severity are used as measures of medical malpractice risk in each state. Results suggest that an increase in medical malpractice risk leads to a reduction in resource use and improvement in health outcome for patients with less severe medical conditions. For patients with more severe medical conditions, medical malpractice is associated with an improvement in mortality. Therefore, we find no evidence that the costs of defensive medicine for most AMI patients are escalating. Threat of a malpractice lawsuit lowers the mortality rate of AMI patients, contradicting the widely held view that defensive medicine has no positive effect on health status of patients.

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  • Praveen Dhankhar & M. Mahmud Khan & Shalini Bagga, 2007. "Effect of Medical Malpractice on Resource Use and Mortality of AMI Patients," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 4(1), pages 163-183, March.
  • Handle: RePEc:wly:empleg:v:4:y:2007:i:1:p:163-183
    DOI: 10.1111/j.1740-1461.2007.00086.x
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    1. Daniel P. Kessler & Mark McClellan, 1996. "Do Doctors Practice Defensive Medicine?," NBER Working Papers 5466, National Bureau of Economic Research, Inc.
    2. David M. Cutler & Mark McClellan, 1996. "The Determinants of Technological Change in Heart Attack Treatment," NBER Working Papers 5751, National Bureau of Economic Research, Inc.
    3. Daniel Kessler & Mark McClellan, 1996. "Do Doctors Practice Defensive Medicine?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 353-390.
    4. Romeo, Anthony A. & Wagner, Judith L. & Lee, Robert H., 1984. "Prospective reimbursement and the diffusion of new technologies in hospitals," Journal of Health Economics, Elsevier, vol. 3(1), pages 1-24, April.
    5. Cutler, David M. & Huckman, Robert S., 2003. "Technological development and medical productivity: the diffusion of angioplasty in New York state," Journal of Health Economics, Elsevier, vol. 22(2), pages 187-217, March.
    6. Mas, Núria & Seinfeld, Janice, 2008. "Is managed care restraining the adoption of technology by hospitals?," Journal of Health Economics, Elsevier, vol. 27(4), pages 1026-1045, July.
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