SynthesisHealth services research2019
The impact of tort reform on defensive medicine, quality of care, and physician supply: A systematic review.
Synthesis in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled it
- Patient characteristics of, and remedial interventions for, complaints and medico-legal claims against doctors: a rapid review of the literature.Systematic reviews · 2024Pooled it
- How defensive medicine is defined in European medical literature: a systematic review.BMJ open · 2022Pooled it
- The impact of tort reform on defensive medicine, quality of care, and physician supply: A systematic review.Health services research · 2019Pooled it
- Patient Shielding in Computed Tomography: Analysis of Influencing Factors and a Conceptual Framework for Decision-Making.Healthcare (Basel, Switzerland) · 2026Review
- Defensive medicine practices and attitudes toward malpractice among physicians in Jordan: a cross-sectional study.BMC health services research · 2026Article
- The Repeal of Noneconomic Damage Caps and Medical Malpractice Insurance Premiums.Health economics · 2025Article
- Prevalence of defensive medicine behaviors, associated risk factors and its mitigation strategies among physicians in Gaza Strip, palestine: a mixed method study.BMC medical ethics · 2025Article
- Evaluating the impact of 2011 tort reform limiting noneconomic damages in North Carolina and Tennessee on testing, imaging, and procedure utilization.Health services research · 2025Article
- Does hydrogen peroxide help mitigate the incidence ofNorth American Spine Society journal · 2024Article
- Policy Options for Reducing Defensive Medicine Behaviors: A Multi-Method Study.Medical journal of the Islamic Republic of Iran · 2024Article
- Medico-legal management of healthcare-associated infections: a cost-effectiveness analysis in an Italian tertiary hospital.Frontiers in medicine · 2024Article
- Defensive medicine practices as a result of malpractice claims and workplace physical violence: a cross-sectional study from Egypt.Scientific reports · 2023Article
- Association of physician malpractice claims rates with admissions for low-risk chest pain.American journal of medicine open · 2023Article
- The occurrence, types, reasons, and mitigation strategies of defensive medicine among physicians: a scoping review.BMC health services research · 2022Article
- Association between state-level malpractice environment and clinician electronic health record (EHR) time.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- What are the health consequences associated with differences in medical malpractice liability laws? An instrumental variable analysis of surgery effects on health outcomes for proximal humeral facture across states with different liability rules.BMC health services research · 2022Article
- A qualitative interview study of Australian physicians on defensive practice and low value care: "it's easier to talk about our fear of lawyers than to talk about our fear of looking bad in front of each other".BMC medical ethics · 2022Article
- Views of healthcare consumer representatives on defensive practice: 'We are your biggest advocate and supporter… not the enemy'.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Death Related to a Congenital Vascular Anomaly of Pulmonary Hamartoma Type: Malpractice or Tragic Fatality?Medicina (Kaunas, Lithuania) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo 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
designWe performed a systematic review in accordance with the PRISMA guidelines. DATA COLLECTION/EXTRACTION
methodsTitle 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
findingsThirty-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.
conclusionsWe 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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Registered trials
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.