防御性医疗要花多少钱?

R J Rubin, D N Mendelson
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引用次数: 0

摘要

第103届国会提出的许多重要的医疗改革法案都包括全面改革医疗事故制度的建议。推动此类立法的因素之一是防御性医疗的做法,或对患者没有好处的护理,只是为了避免医疗事故索赔。估计防御性医疗的成本是困难的,因为医生面临许多相互冲突和重叠的动机。尽管我们的估计描述了广泛的潜在节省,但在五年内,整个系统从积极的医疗事故改革中节省的资金可能接近410亿美元。
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How much does defensive medicine cost?

Many key health reform bills in the 103rd Congress include proposals to overhaul the medical malpractice system. One of the factors motivating such legislation is the practice of defensive medicine, or care that does not benefit the patient and is provided solely to avoid malpractice claims. Estimating the costs of defensive medicine is difficult because of the many conflicting and overlapping motivations facing physicians. Although our estimates delineate a wide range of potential savings, systemwide savings from aggressive malpractice reform could approach $41 billion over five years.

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