Evidence map›Paper›PMID 31632594›Full record

ArticleAmerican economic journal. Economic policy2019

Defensive Medicine: Evidence from Military Immunity.

Michael Frakes, Jonathan Gruber

Abstract read
In one paragraph

Article in American economic journal. Economic policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  10. Public and Private Options in Practice: The Military Health System.American economic journal. Economic policy · 2023
    Article
  11. Association between state-level malpractice environment and clinician electronic health record (EHR) time.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  12. Article
  13. The inappropriateness of brain MRI prescriptions: a study from Iran.Cost effectiveness and resource allocation : C/E · 2021
    Article
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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

2 authors.

Michael FrakesDuke University and National Bureau of Economic Research, 210 Science Drive, PO Box 90362, Durham, NC 27708, michael.frakes@law.duke.edu.
Jonathan GruberMassachusetts Institute of Technology and National Bureau of Economic Research, 50 Memorial Drive, Building E52-434, Cambridge, MA 02139 gruberj@mit.edu.

Funding

The Impact of Exempting Medical Providers from Malpractice ProtectionR01AG049898 · NIA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI FRAKES, MICHAEL D., GRUBER, JONATHAN · 2015 to 2024
$2.6M
NIA NIH HHS R01 AG049898
6 · The paper itself

Abstract

We estimate the extent of defensive medicine by physicians, embracing the no-liability counterfactual made possible by the structure of liability rules in the Military Heath System. Active-duty patients seeking treatment from military facilities cannot sue for harms resulting from negligent care, while protections are provided to dependents treated at military facilities and to all patients-active-duty or not-that receive care from civilian facilities. Drawing on this variation and exploiting exogenous shocks to care location choices stemming from base-hospital closures, we find suggestive evidence that liability immunity reduces inpatient spending by 5% with no measurable negative effect on patient outcomes.

Identifiers

PMID31632594
PMCPMC6800742

What OpenQuestion holds

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Registered trials

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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.