Negligent care and malpractice claiming behavior in Utah and Colorado.

Abstract:

BACKGROUND:Previous studies relating the incidence of negligent medical care to malpractice lawsuits in the United States may not be generalizable. These studies are based on data from 2 of the most populous states (California and New York), collected more than a decade ago, during volatile periods in the history of malpractice litigation. OBJECTIVES:The study objectives were (1) to calculate how frequently negligent and nonnegligent management of patients in Utah and Colorado in 1992 led to malpractice claims and (2) to understand the characteristics of victims of negligent care who do not or cannot obtain compensation for their injuries from the medical malpractice system. DESIGN:We linked medical malpractice claims data from Utah and Colorado with clinical data from a review of 14,700 medical records. We then analyzed characteristics of claimants and nonclaimants using evidence from their medical records about whether they had experienced a negligent adverse event. MEASURES:The study measures were negligent adverse events and medical malpractice claims. RESULTS:Eighteen patients from our study sample filed claims: 14 were made in the absence of discernible negligence and 10 were made in the absence of any adverse event. Of the patients who suffered negligent injury in our study sample, 97% did not sue. Compared with patients who did sue for negligence occurring in 1992, these nonclaimants were more likely to be Medicare recipients (odds ratio [OR], 3.5; 95% CI [CI], 1.3 to 9.6), Medicaid recipients (OR, 3.6; 95% CI, 1.4 to 9.0), > or =75 years of age (OR, 7.0; 95% CI, 1.7 to 29.6), and low income earners (OR, 1.9; 95% CI, 0.9 to 4.2) and to have suffered minor disability as a result of their injury (OR, 6.3; 95% CI, 2.7 to 14.9). CONCLUSIONS:The poor correlation between medical negligence and malpractice claims that was present in New York in 1984 is also present in Utah and Colorado in 1992. Paradoxically, the incidence of negligent adverse events exceeds the incidence of malpractice claims but when a physician is sued, there is a high probability that it will be for rendering nonnegligent care. The elderly and the poor are particularly likely to be among those who suffer negligence and do not sue, perhaps because their socioeconomic status inhibits opportunities to secure legal representation.

journal_name

Med Care

journal_title

Medical care

authors

Studdert DM,Thomas EJ,Burstin HR,Zbar BI,Orav EJ,Brennan TA

doi

10.1097/00005650-200003000-00002

keywords:

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

250-60

issue

3

eissn

0025-7079

issn

1537-1948

journal_volume

38

pub_type

杂志文章
  • Continuity of medical care: its impact on physician utilization.

    abstract::Past research in continuity of medical care has generally examined its determinants or its consequences. A model is proposed which combines these lines of research and incorporates a continuity measure as a process and specifying variable. The validity of this model is tested with a set of data consisting of 1,410 per...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197910000-00004

    authors: Hennelly VD,Boxerman SB

    更新日期:1979-10-01 00:00:00

  • Examining Measures of Income and Poverty in Medicare Administrative Data.

    abstract::Disparities by economic status are observed in the health status and health outcomes of Medicare beneficiaries. For health services and health policy researchers, one barrier to addressing these disparities is the ability to use Medicare data to ascertain information about an individual's income level or poverty, beca...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000606

    authors: Samson LW,Finegold K,Ahmed A,Jensen M,Filice CE,Joynt KE

    更新日期:2017-12-01 00:00:00

  • Measuring the necessity of medical procedures.

    abstract::This is a report on the extension of the concept of the appropriateness of a procedure to the necessity, or crucial importance, of that procedure. To state that a procedure is crucial means that withholding the procedure would be deleterious to the patient's health. Appropriateness and necessity ratings for six proced...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199404000-00004

    authors: Kahan JP,Bernstein SJ,Leape LL,Hilborne LH,Park RE,Parker L,Kamberg CJ,Brook RH

    更新日期:1994-04-01 00:00:00

  • Health Care Experiences of Latino Children in Emerging and Traditional Destinations.

    abstract:BACKGROUND:Latino populations have disproportionately moved to areas in the Southeast and Midwest (emerging destinations), outside traditional Latino enclaves, in recent years. OBJECTIVE:To examine whether health care experiences differ between traditional and emerging destinations for Latino children. RESEARCH DESIG...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000504

    authors: Saloner B,Gresenz CR

    更新日期:2016-05-01 00:00:00

  • Differences in Methods of Suicide Death Among Transgender and Nontransgender Patients in the Veterans Health Administration, 1999-2016.

    abstract:BACKGROUND:Limited research suggests that rates of suicide death among transgender people may be higher than their nontransgender peers. OBJECTIVE:The objective of this study was to compare rates of suicide deaths by different means between transgender and nontransgender patients. RESEARCH DESIGN:This secondary analy...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001384

    authors: Blosnich JR,Boyer TL,Brown GR,Kauth MR,Shipherd JC

    更新日期:2021-02-01 00:00:00

  • Family violence and the evaluation of behavioral concerns in a pediatric primary care clinic.

    abstract::The goals of this study were to determine 1) the prevalence of exposure to intrafamilial violence among children attending a pediatric primary care clinic; 2) the prevalence of psychosocial distress among mothers bringing their children to the clinic; 3) the extent to which pediatricians are aware of family violence a...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199205001-00013

    authors: Wissow LS,Wilson ME,Roter D,Larson S,Berman HI

    更新日期:1992-05-01 00:00:00

  • Association of physician and hospital volume with use of aspirin and reperfusion therapy in acute myocardial infarction.

    abstract:BACKGROUND:The association between volume of patients treated and quality of care has important implications for patient referral policies and approaches to quality improvement. Most studies have focused on hospital volume alone and health outcomes. OBJECTIVES:The objective of this work was to examine the association ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200011000-00004

    authors: Willison DJ,Soumerai SB,Palmer RH

    更新日期:2000-11-01 00:00:00

  • Mobile health services: a study in cost-effectiveness.

    abstract::The techniques of cost-effectiveness are employed to simplify resource allocation decisions concerned with the use of land and air transport systems in the health services of a developing country. Outcome classifications are produced for patients seen by mobile and fixed primary care units. The mobile services examine...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197704000-00001

    authors: Walker G,Gish O

    更新日期:1977-04-01 00:00:00

  • A multivariate approach for classifying hospitals and computing blended payment rates.

    abstract::Prospective payment for inpatient hospital care is based on the ideal that hospitals that produce similar outputs, as measured by the types of cases the hospital treats, should be paid similar prices. However, similar output is a multidimensional concept. Thus operationalization of this ideal will ultimately require a...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198604000-00001

    authors: Vertrees JC,Manton KG

    更新日期:1986-04-01 00:00:00

  • The impact of Medicare Part D on medication adherence among older adults enrolled in Medicare-Advantage products.

    abstract:BACKGROUND:Little is known about how Medicare Part D affects the medication refill adherence for cardiovascular and diabetes medications, particularly among beneficiaries without prior drug coverage. OBJECTIVES:To evaluate Medicare Part D's effect on medication adherence among beneficiaries with hyperlipidemia, hypert...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3181d68978

    authors: Zhang Y,Lave JR,Donohue JM,Fischer MA,Chernew ME,Newhouse JP

    更新日期:2010-05-01 00:00:00

  • Comparing generic and disease-specific measures of physical and role functioning: results from the Veterans Health Study.

    abstract:OBJECTIVES:This study compared the performance of generic measures of Medical Outcome Study Short Form 36-Item Health Survey physical functioning and role limitations with disease-specific measures of physical functioning and role limitations using specific disease attributions for chronic lung disease, chronic low bac...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199802000-00005

    authors: Ren XS,Kazis L,Lee A,Miller DR,Clark JA,Skinner K,Rogers W

    更新日期:1998-02-01 00:00:00

  • Can administrative data be used to compare postoperative complication rates across hospitals?

    abstract:BACKGROUND:Several quality assessment systems use administrative data to identify postoperative complications, with uncertain validity. OBJECTIVES:To determine how accurately postoperative complications are reported in administrative data, whether accuracy varies systematically across hospitals, and whether serious co...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200210000-00004

    authors: Romano PS,Chan BK,Schembri ME,Rainwater JA

    更新日期:2002-10-01 00:00:00

  • Access to and utilization of health care by subgroups of Latino children.

    abstract:BACKGROUND:Latinos make up the largest group of minority children in the United States. Despite great diversity among Latino children, studies have traditionally treated them as a monolithic group. Few studies have examined patterns and determinants of access to and use of health care for different subgroups of Latino ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318190d9e4

    authors: Perez VH,Fang H,Inkelas M,Kuo AA,Ortega AN

    更新日期:2009-06-01 00:00:00

  • Cesarean Delivery Rates and Costs of Childbirth in a State Medicaid Program After Implementation of a Blended Payment Policy.

    abstract:BACKGROUND:Nearly half of US births are financed by Medicaid, and one-third of births occur by cesarean delivery, at double the cost of vaginal delivery. With the goal of reducing unnecessary cesarean use and improving value, in 2009 Minnesota's Medicaid program introduced a blended payment rate for uncomplicated birth...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000937

    authors: Kozhimannil KB,Graves AJ,Ecklund AM,Shah N,Aggarwal R,Snowden JM

    更新日期:2018-08-01 00:00:00

  • Overall quality of life and difficulty paying for ostomy supplies in the Veterans Affairs ostomy health-related quality of life study: an exploratory analysis.

    abstract:PURPOSE:To explore whether there was a significant relationship between difficulty paying for ostomy supplies and overall quality of life among a sample of ostomates receiving care from the Veterans Health Administration (VHA). METHODS:The data were collected as part of the Veterans Affairs (VA) Ostomy Health-Related ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318074ce9b

    authors: Coons SJ,Chongpison Y,Wendel CS,Grant M,Krouse RS

    更新日期:2007-09-01 00:00:00

  • Evaluation of a cardiopulmonary resuscitation course for secondary schools retention study.

    abstract::A retention study was implemented in Marshfield, Massachusetts in May 1974 in order to ascertain if cardiopulmonary resuscitation (CPR) skills could be retained by secondary school students who had 15 months previously received training in mouth to mouth resuscitation and cardiac compression. The retention study also ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197602000-00008

    authors: Vanderschmidt H,Burnap TK,Thwaites JK

    更新日期:1976-02-01 00:00:00

  • Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry.

    abstract:OBJECTIVE:Understanding provider perceptions of and experiences with order entry and order checks (drug alerts) in an electronic prescribing system may help improve medication safety technology. DESIGN:Cross-sectional, national survey of Veterans Administration physicians practicing in various specialties. MEASUREMEN...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318222a6f5

    authors: Spina JR,Glassman PA,Simon B,Lanto A,Lee M,Cunningham F,Good CB

    更新日期:2011-10-01 00:00:00

  • The indirect costs of arthritis resulting from unemployment, reduced performance, and occupational changes while at work.

    abstract:OBJECTIVE:The objective of this study was to assess the cost attributable to lost productivity from arthritis and the association between the degree of loss and demographic, disease-related, occupational, and psychosocial variables for people. METHODS:In a prospective study, 383 employed individuals with arthritis wer...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000204257.25875.04

    authors: Li X,Gignac MA,Anis AH

    更新日期:2006-04-01 00:00:00

  • Rates of complete colonic evaluation after incomplete colonoscopy and their associated factors: a population-based study.

    abstract:BACKGROUND:With the increasing use of colonoscopy there is growing concern about the quality of these procedures. OBJECTIVE:To evaluate the rates of complete colonic evaluation after an incomplete colonoscopy and their associated factors. METHODS:Men and women > or =50 years old living in Ontario on January 1, 1997 w...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31817d92bc

    authors: Rizek R,Paszat LF,Stukel TA,Saskin R,Li C,Rabeneck L

    更新日期:2009-01-01 00:00:00

  • Application of functional independence measure-function related groups and resource utilization groups-version III systems across post acute settings.

    abstract:OBJECTIVES:The present study evaluated alternative patient classification systems for skilled nursing facility and rehabilitation facility patients. METHODS:Medicare patients were selected from a random sample of 27 rehabilitation facilities and 65 skilled nursing facilities participating in a national longitudinal st...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199805000-00009

    authors: Eilertsen TB,Kramer AM,Schlenker RE,Hrincevich CA

    更新日期:1998-05-01 00:00:00

  • Constructing Episodes of Inpatient Care: How to Define Hospital Transfer in Hospital Administrative Health Data?

    abstract:BACKGROUND:Hospital administrative health data create separate records for each hospital stay of patients. Treating a hospital transfer as a readmission could lead to biased results in health service research. METHODS:This is a cross-sectional study. We used the hospital discharge abstract database in 2013 from Albert...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000624

    authors: Peng M,Li B,Southern DA,Eastwood CA,Quan H

    更新日期:2017-01-01 00:00:00

  • Patterns of expenditures among high utilizers of medical care services. The experience of Medicare beneficiaries from 1974 to 1977.

    abstract::The authors of this study examine temporal patterns of medical expenditures by Medicare beneficiaries. A random sample of 204,917 individuals who were alive and in the program from 1974 to 1977 was investigated. Individuals hospitalized in 1974 were found to have twice the rate of hospitalization in 1975, 1976, or 197...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198402000-00005

    authors: Anderson G,Knickman JR

    更新日期:1984-02-01 00:00:00

  • Monitoring depression care: in search of an accurate quality indicator.

    abstract:BACKGROUND:Linking process and outcomes is critical to accurately estimating healthcare quality and quantifying its benefits. OBJECTIVES:The objective of this study was to explore the relationship of guideline-based depression process measures with subsequent overall and psychiatric hospitalizations. RESEARCH DESIGN:...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000127999.89246.a6

    authors: Charbonneau A,Rosen AK,Owen RR,Spiro A 3rd,Ash AS,Miller DR,Kazis L,Kader B,Cunningham F,Berlowitz DR

    更新日期:2004-06-01 00:00:00

  • Consumerism in health care. Prevalence and predictors.

    abstract::Current efforts to contain health care costs include a variety of strategies aimed at the users of health services. These approaches attempt to encourage users to be more cost-conscious and to shop for lower-cost services and more efficient health care plans. The primary method for achieving this is by increasing the ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198711000-00001

    authors: Hibbard JH,Weeks EC

    更新日期:1987-11-01 00:00:00

  • Profiting and providing less care: comprehensive services at for-profit, nonprofit, and public opioid treatment programs in the United States.

    abstract:BACKGROUND:Opioid use disorders are frequently associated with medical and psychiatric comorbidities (eg, HIV infection and depression), as well as social problems (eg, lack of health insurance). Comprehensive services addressing these conditions improve outcomes. OBJECTIVE:To compare the proportion of for-profit, non...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000121

    authors: Bachhuber MA,Southern WN,Cunningham CO

    更新日期:2014-05-01 00:00:00

  • Impact of predialysis therapeutic practices on patient outcomes during the first year of dialysis: the Pharmacoepidemiologic AVENIR study.

    abstract:BACKGROUND:Studies evaluating patient outcomes in dialysis as a function of quality of predialysis therapeutic care are lacking. OBJECTIVE:To evaluate the association of quality of predialysis therapeutic practices with survival and hospitalization during the first year of dialysis. RESEARCH DESIGN:The AVantagE de la...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3181d56926

    authors: Thilly N,Boini S,Loos-Ayav C,Kessler M,Briançon S,Frimat L

    更新日期:2012-01-01 00:00:00

  • Patient adherence and medical treatment outcomes: a meta-analysis.

    abstract:BACKGROUND:Adherence is a factor in the outcome of medical treatment, but the strength and moderators of the adherence-outcome association have not been systematically assessed. OBJECTIVES:A quantitative review using meta-analysis of three decades of empirical research correlating adherence with objective measures of ...

    journal_title:Medical care

    pub_type: 杂志文章,meta分析

    doi:10.1097/00005650-200209000-00009

    authors: DiMatteo MR,Giordani PJ,Lepper HS,Croghan TW

    更新日期:2002-09-01 00:00:00

  • Net health plan savings from reference pricing for angiotensin-converting enzyme inhibitors in elderly British Columbia residents.

    abstract:BACKGROUND:Reference drug pricing (RP) is a cost-sharing strategy commonly used to control drug expenditures. Under RP, a benefit plan fully reimburses medications that are equally or less expensive than the reference price, and requires patients to pay the extra cost of therapeutically equivalent but higher priced dru...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000129497.10930.a2

    authors: Schneeweiss S,Dormuth C,Grootendorst P,Soumerai SB,Maclure M

    更新日期:2004-07-01 00:00:00

  • Regression analysis in health services research: the use of dummy variables.

    abstract::Dummy variables frequently are used in regression analysis but often in an incorrect fashion. A brief review of examples in the medical care literature showed that the interpretation of dummy variable regression coefficients and their significance was often incorrect or unclear. This article shows how dummy variables ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198209000-00008

    authors: Polissar L,Diehr P

    更新日期:1982-09-01 00:00:00

  • Methodological challenges and innovations in patient outcomes research.

    abstract::Between 1989 and 1992, the Agency for Health Care Policy and Research (AHCPR) awarded funding to 14 special projects known as Patient Outcomes Research Teams (PORTs). These large, complex projects form the centerpiece of the first generation of research under the Medical Treatment Effectiveness Program. In carrying ou...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:

    authors: Maklan CW,Greene R,Cummings MA

    更新日期:1994-07-01 00:00:00