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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w23446 |
来源ID | Working Paper 23446 |
The Effect of Malpractice Law on Physician Supply: Evidence from Negligence-Standard Reforms | |
Michael D. Frakes; Matthew B. Frank; Seth A. Seabury | |
发表日期 | 2017-05-29 |
出版年 | 2017 |
语种 | 英语 |
摘要 | We explore whether the composition of the physician work force is impacted by the clinical standards imposed on physicians under medical liability rules. We theorize that physicians of particular backgrounds will be attracted to regions when the malpractice laws of those regions favor the type of medicine characteristic of those backgrounds. To test this prediction, we rely on a quasi-experiment made possible by states shifting from local to national customs as the basis for setting standards at court, a distinction that captures meaningful differences in the clinical expectations of the law in light of the well documented phenomenon of regional variations in medical practices. Using data from the Area Health Resource File from 1977 to 2005, we find that the rate of surgeons among practicing physicians increases by 2-2.4 log points following the adoption of national-standard laws in initially low surgery-rate regions—i.e., following a change in the law that effectively expects physicians to increase practice intensities. We find that this response is nearly three times greater in rural counties. We also find that this supply effect is unidirectional, with no evidence to suggest that surgeons retreat when initially high-surgery-rate regions change their laws so as to expect less intensive practice styles. |
主题 | Health, Education, and Welfare ; Health ; Other ; Law and Economics |
URL | https://www.nber.org/papers/w23446 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/581119 |
推荐引用方式 GB/T 7714 | Michael D. Frakes,Matthew B. Frank,Seth A. Seabury. The Effect of Malpractice Law on Physician Supply: Evidence from Negligence-Standard Reforms. 2017. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w23446.pdf(893KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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