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J Hosp Med. 2018 Jan 1;13(1):26-29. doi: 10.12788/jhm.2800. Epub 2017 Aug 23.

Perception of Resources Spent on Defensive Medicine and History of Being Sued Among Hospitalists: Results from a National Survey.

Author information

1
Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.
2
Institute for Health Policy and Innovation & Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA. saint@med.umich.edu.
3
The Patient Safety Enhancement Program, University of Michigan and VA Ann Arbor Health System, Ann Arbor, Michigan, USA.
4
Institute for Health Policy and Innovation & Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
5
Department of Medicine, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Abstract

The United States spends substantially more per capita for healthcare than any other nation. Defensive medicine is 1 source of such spending, but its extent is unclear. Using a national survey of approximately 1500 US hospitalists, we report the estimates the US hospitalists provided of the percent of resources spent on defensive medicine and correlates of their estimates. We also ascertained how many reported being sued. Sixty-eight percent of eligible recipients responded. Overall, respondents estimated that 37.5% of healthcare costs are due to defensive medicine. Just over 25% of our respondents, including 55% of those in practice for 20 years or more, reported being sued for medical malpractice. Veterans Affairs (VA) hospital affiliation, more years practicing as a physician, being male, and being a non-Hispanic white individual were all independently associated with decreased estimates of resources spent for defensive medicine.

PMID:
29068439
DOI:
10.12788/jhm.2800

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