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The Impact of Medical E rrors on Physician B ehavior: Evidence from Malpractice L itigation

Fall 2013: Econ 339 Final Presentation. Eric Felton December 3 2013. The Impact of Medical E rrors on Physician B ehavior: Evidence from Malpractice L itigation. Reference: Ity Shurtz , 17 December 2012, Journal of Health Economics 32 (2013) 331–340. Total:_________.

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The Impact of Medical E rrors on Physician B ehavior: Evidence from Malpractice L itigation

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  1. Fall 2013: Econ 339 Final Presentation Eric Felton December 3 2013 The Impact of Medical Errors on Physician Behavior: Evidence from Malpractice Litigation Reference:ItyShurtz, 17 December 2012, Journal of Health Economics 32 (2013) 331–340 Total:_________

  2. Background to the Study • Medical errors have become of greater concern to society. • Examines the impact of physicians’ medical errors on their subsequent behavior • Relationship?

  3. Data Used • Florida Obstetricians • sensitive to malpractice concerns • 25+ deliveries 1992-2008 • 403,336 Births by 459 Doctors • Looks at adverse events effect on decisions

  4. Adverse Event • Procedure that led to a lawsuit • Average of 40 per year since 1992 • 55% of doctors in study had zero adverse events • Compares pre-adverse event rate of C-Sections performed to post-adverse event rate

  5. Findings • 4% increase in C-Sections one year after adverse event • 8% increase in C-Sections two years after adverse event • Successful claims effect decision more than unsuccessful ones

  6. C-Section Rate for Florida

  7. Adverse Event’s Effect on C-Sections

  8. Outcome of Claim • 69% of claims resulted in a payout • Weaker response among physicians who experienced an unsuccessful claim • Physicians’ response is concentrated among claims which are ultimately successful

  9. Successful vs. Unsuccessful Claims

  10. Conclusion • Relationship between medical errors and doctors subsequent events • Doctors who experience successful claims against them are more likely to perform C-Sections

  11. QUESTIONS???

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