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The impact of non-economic damages caps on obstetrics: Incentives versus practice style

机译:非经济损失上限对妇产科的影响:激励与实践方式

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This paper uses 1989-2010 county-level data to reexamine the effect of non-economic damages caps on the field of obstetrics. Previous literature found that caps on damages lead to both changes in the number of physicians and changes in treatment patterns. This paper investigates whether the changes in procedures are attributable to changes in incentives or to selection when new entrants could have a different practice style than incumbents. First, I find that the relationship between non-economic damages caps and the number of physicians and procedures identified in previous literature is not robust to the inclusion of the newer policy changes. Second, over the period when such changes were observed, the impact on procedures is concentrated in areas with the greatest changes in the number of obstetricians/gynecologists per capita, suggesting that most of the effect on procedures is driven by differences in practice style between entrants and incumbents. (C) 2014 Elsevier B.V. All rights reserved.
机译:本文使用1989-2010年县级数据重新检验非经济损失上限对产科领域的影响。先前的文献发现,赔偿上限既导致医师人数的变化,也导致治疗方式的变化。本文研究了程序的变化是由于激励措施的变化还是归因于新进入者可能具有与现任者不同的执业风格。首先,我发现非经济损失上限与先前文献中确定的医生人数和手术程序之间的关系并不牢固,无法纳入较新的政策变更。其次,在观察到这种变化的时期内,对程序的影响集中在人均产科医生/妇科医生人数变化最大的区域,这表明对程序的大多数影响是由参与者之间的实践风格差异驱动的。和现任者。 (C)2014 Elsevier B.V.保留所有权利。

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