Evidence map›Paper›PMID 17997388›Full record

ArticleAmerican journal of obstetrics and gynecology2008

The effects of medical liability on obstetric care supply in Michigan.

Xiao Xu, Kristine A Siefert, Peter D Jacobson, Jody R Lori, Scott B Ransom

Abstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Malpractice burden, rural location, and discontinuation of obstetric care: a study of obstetric providers in Michigan.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2009
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xiao XuDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI 48109, USA. xiaox@med.umich.edu
Kristine A Siefert
Peter D Jacobson
Jody R Lori
Scott B Ransom

Funding

HEALTH DISPARITIES: LEADERS, PROVIDERS&PATIENTS P20RR020682 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JOHNSON, TIMOTHY RB · 2004 to 2006
$1.7M
NCRR NIH HHS 1 P20 RR020682-01NCRR NIH HHS P20 RR020682
6 · The paper itself

Abstract

objectiveThe objective of the study was to examine Michigan obstetric providers' provision of obstetric care and the impact of malpractice concerns on their practice decisions. STUDY

designData were obtained from 899 Michigan obstetrician-gynecologists, family physicians, and nurse-midwives via a statewide survey. Statistical tests were conducted to examine differences in obstetric care provision and the influence of various factors across specialties.

resultsAmong providers currently practicing obstetrics, 18.3%, 18.7%, and 11.9% of obstetrician-gynecologists, family physicians, and nurse-midwives, respectively, planned to discontinue delivering babies in the next 5 years, and 35.5%, 24.5%, and 12.6%, respectively, planned to reduce their provision of high-risk obstetric care. "Risk of malpractice litigation" was 1 of the most cited factors affecting providers' decision to include obstetrics in their practice.

conclusionLitigation risk appears to be an important factor influencing Michigan obstetric providers' decisions about provision of care. Its implications for obstetric care supply and patients' access to care warrants further research.

Indexed as

Attitude of Health PersonnelDecision MakingDelivery, ObstetricFamily PracticeFemaleHealth Services AccessibilityHumansInsurance, LiabilityLiability, LegalMaleMalpracticeMaternal Health ServicesMichiganMiddle AgedNurse MidwivesObstetrics

Identifiers

PMID17997388
PMCPMC2259238

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.