The short- and long-run effects of medical malpractice lawsuits on medical spending and hospital operations in China

被引：4
|
作者：
Liu, Gordon [1 ]
Yi, Junjian [1 ]
Yuan, Ye [2 ]
Zhao, Shaoyang [3 ]
机构：
[1] Peking Univ, China Ctr Econ Res, Natl Sch Dev, Beijing, Peoples R China
[2] Peking Univ, Inst Global Hlth & Dev, Sch Econ, Beijing, Peoples R China
[3] Sichuan Univ, Sch Econ, Chengudu, Peoples R China
来源：
JOURNAL OF COMPARATIVE ECONOMICS | 2023年 / 51卷 / 04期
基金：
中国国家自然科学基金;
关键词：
Medical malpractice; Defensive medicine; Medical tort law; Healthcare market; ADVERSE DRUG-REACTIONS; HEALTH SYSTEM REFORM; DEFENSIVE MEDICINE; PANEL-DATA; CARE; RESTRICTIONS; CHALLENGES; PHYSICIANS; INSURANCE; DOCTORS;
D O I：
10.1016/j.jce.2023.05.002
中图分类号：
F [经济];
学科分类号：
02 ;
摘要：
China is experiencing a surge in medical malpractice lawsuits. Using administrative hospital panel data, this paper investigates both short-and long-run impacts of medical malpractice lawsuits on patient medical spending and hospital operations. We find that after the occurrence of an additional malpractice lawsuit in a hospital, total medical spending per patient visit increases by 2.8% in the current year and by as much as 8.8% in the long run. This increase is mainly driven by spending on prescription drugs and diagnostic tests. In response, hospitals invest more in medical devices and procure more drugs. We find little evidence of changes in patient outcomes. Our findings show that the surge of medical malpractice lawsuits leads to defensive medicine and fuels the secular growth of medical spending in China.
引用
收藏
页码：1142 / 1161
页数：20
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