The Impact of State Tort Reforms on Imaging Utilization

Li, Suhui; Dor, Avi; Deyo, Darwyyn; Hughes, Danny R.

doi:10.1016/j.jacr.2016.10.002

Cited by 21 publications

(29 citation statements)

References 14 publications

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“…However, the recent follow‐up study found no difference after dropping the unstated births . Two other studies found no association . Cotet found that joint‐and‐several liability reform was significantly associated with reduced surgeries but increased outpatient visits .…”

Section: Resultsmentioning

confidence: 96%

“…12,16,[27][28][29][30]32,[34][35][36]38,40,[42][43][44][45][46] Twelve studies evaluated the impact of tort reform on defensive medicine by assessing health care utilization 20,22,23,25,26,28,37,38,47,49,51,52 of which two (17 percent) used a difference-in-differences specification. 28,38 Thirteen studies studied quality of care 16,20,21,26,28,29,[33][34][35]37,41,48,54 of which five (38 percent) used a difference-in-differences specification. 16,28,29,34,35 Health care spending was evaluated by eight studies…”

Section: Study Characteristicsmentioning

confidence: 99%

“…12,16,35,43,44 Thirteen studies evaluated the association of tort reform with physician supply 24,27,30,32,34,36,39,40,42,45,46,50,53 of which nine (69 percent) used a difference-in-differences specification. 12,16,[27][28][29][30]32,[34][35][36]38,40,[42][43][44][45][46] The study characteristics are summarized in Table 3 and presented in detail in Table S1.…”

Section: Study Characteristicsmentioning

confidence: 99%

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The impact of tort reform on defensive medicine, quality of care, and physician supply: A systematic review

Agarwal¹,

Gupta²,

Gupta

2019

Health Services Research

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Objective To evaluate the impact of tort reform on defensive medicine, quality of care, and physician supply. Data Sources Empirical, peer‐reviewed English‐language studies in the MEDLINE and HeinOnline databases that evaluated the association between tort reform and our study outcomes. Study Design We performed a systematic review in accordance with the PRISMA guidelines. Data Collection/Extraction Methods Title and abstract screening was followed by full‐text screening of relevant citations. We created evidence tables, grouped studies by outcome, and qualitatively compared the findings of included studies. We assigned a higher rating to study designs that controlled for unobservable sources of confounding. Principal Findings Thirty‐seven studies met screening criteria. Caps on damages, collateral‐source rule reform, and joint‐and‐several liability reform were the most common types of tort reform evaluated in the included studies. We found that caps on noneconomic damages were associated with a decrease in defensive medicine, increase in physician supply, and decrease in health care spending, but had no effect on quality of care. Other reform approaches did not have a clear or consistent impact on study outcomes. Conclusions We conclude that traditional tort reform methods may not be sufficient for health reform and policy makers should evaluate and incorporate newer approaches.

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Section: Resultsmentioning

confidence: 96%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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The impact of tort reform on defensive medicine, quality of care, and physician supply: A systematic review

Agarwal¹,

Gupta²,

Gupta

2019

Health Services Research

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“…However, there is no data to support this contention. Another survey seemed to disclose that greater numbers of tort reform laws were associated with a reduction in radiography orders [52].…”

Section: Malpractice Litigation Decreasingmentioning

confidence: 99%

Medical errors, malpractice, and defensive medicine: an ill-fated triad

Berlin

2017

Diagnosis

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For the first 180 years following the founding of the US, physicians occasionally were sued for medical malpractice. Allegations of negligence were errors of commission -i.e. the physician made a mistake by doing something wrong, usually mistreatment of a fracture or dislocation, a complication or death following a surgical procedure, prescribing the wrong medication, and after the discovery of the X-ray by Roentgen in 1895, causing radiation burns. In the mid twentieth century malpractice allegations slowly changed from errors of commission to errors of omission -i.e. the physician failed to do something right: almost always, failed to make a diagnosis. The number of malpractice lawsuits increased at a geometric rate beginning in the 1960s, and in the 1970s physicians began practicing defensive medicine, which lead physicians to order unnecessary radiology exams and tests. In the past 20 years the number of malpractice lawsuits has been decreasing, but the practice of defensive medicine has continued. Unnecessary exams and tests increase the likelihood of overdiagnosis and overtreatment, i.e. a new kind of error of commission.

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“…The ideal golden mean would be a legal system-medical system interplay that could provide patient safety via the identification and correction of abuses and the successful employment of quality control, while avoiding burdensome economic damages to providers and hospitals as well as expensive preventive measures employed to avoid lawsuits. 4 All stakeholders involved in spine care, including patients, providers, hospitals, third-party payers, medical device and pharmaceutical companies, malpractice insurance companies, and governments, are being forced to look at both sides of each dynamic. Currently, each party has "budgeted in" the cost of potential or actual medicolegal involvement.…”

mentioning

confidence: 99%

Editorial. Spine professionals must critically examine the impact of medicolegal pressures on delivering care

Sciubba

2017

Journal of Neurosurgery: Spine

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The Impact of State Tort Reforms on Imaging Utilization

Cited by 21 publications

References 14 publications

The impact of tort reform on defensive medicine, quality of care, and physician supply: A systematic review

The impact of tort reform on defensive medicine, quality of care, and physician supply: A systematic review

Medical errors, malpractice, and defensive medicine: an ill-fated triad

Editorial. Spine professionals must critically examine the impact of medicolegal pressures on delivering care

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