Long-term Improvement in Pulmonary Function After Living Donor Lobar Lung Transplantation
- 作者：Masaomi Yamane ; Hiroshi Date ; Megumi Okazaki ; Shinichi Toyooka ; Motoi Aoe ; Yoshifumi Sano
- 关键词：Medical malpractice ; Insurance ; Litigation
- 刊名：The Journal of Heart and Lung Transplantation
- 出版年：2007
- 期刊代码：161_10532498
- 类别：med
- 出版时间：July 2007
- 卷：26
- 期：7
- 页码：687-692
- 文件大小：120 K
摘要
We test for effects of tort liability on the use of certain diagnostic procedures, where the health care providers’ expected cost of litigation is proxied by the risk-sharing arrangements agreed with their insurers. 2SLS and GMM estimators are adopted to test for possible endogeneity of these risk-sharing arrangements. Our findings are consistent with the exercise of liability-induced discretion by hospitals, especially regarding use of costly diagnostic imaging procedures. Hospitals facing higher expected costs per claim as a consequence of higher deductibles used these tests more frequently, after controlling for activity levels and casemix. These results are consistent with hospitals reacting to the incentives provided by a clinical negligence compensation system.