ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2016
The importance of negative defensive medicine in the effects of malpractice reform.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How defensive medicine is defined in European medical literature: a systematic review.BMJ open · 2022Pooled it
- Information Shocks, Legal Liability and Physician Decisions.Health economics · 2026Article
- The effects of loving-kindness meditation on doctors' communication anxiety, trust, calling and defensive medicine practice.BioPsychoSocial medicine · 2024Article
- Impact of COVID-19 Pandemic on Utilization of Healthcare Services and Spending Patterns in Dubai, United Arab Emirates: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Defensive Medicine in the Management of Cesarean Delivery: A Survey among Italian Physicians.Healthcare (Basel, Switzerland) · 2021Article
- Defensive medicine in Europe: a 'full circle'?The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- Defensive medicine in Europe: a 'full circle'?The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- How physicians make sense of their experience of being involved in hospital users' complaints and the associated mediation.BMC health services research · 2019Article
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Authors and funding
1 author.
Funding
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Abstract
This article presents a model of physician and insurer behavior in which the practice of defensive medicine, both positive and negative, can arise. Accounting for negative defensive medicine, and insurers' reaction to it, leads to different predictions of the effects of changing malpractice pressure compared to past models. Rising malpractice pressure causes both health care spending and quality to increase up to a threshold, and decrease thereafter. This non-monotonicity implies that malpractice reform is not a "silver bullet" capable of achieving both cost reductions and quality improvements for all consumers. The results can further explain inconsistent findings in the empirical literature and suggest alternative specifications for estimating the effects of malpractice reform.
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