A Measure of Malpractice: Medical Injury, Malpractice Litigation and Patient Compensation by Joseph P. Newhouse, Paul C. Weiler, William G. Johnson, Howard H. Hiatt, Lucian L. Leape, Troyen A. Brennan (Hardback, 1993)
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- DescriptionA Measure of Malpractice tells the story and presents the results of the Harvard Medical Practice Study, the largest and most comprehensive investigation ever undertaken of the performance of the medical malpractice system. The Harvard study was commissioned by the government of New York in 1968, in the midst of a malpractice crisis that had driven insurance premiums for surgeons and obstetricians in New York City to nearly $200,000 a year. The Harvard-based team of doctors, lawyers, ecomists, and statisticians set out to investigate what was actually happening to patients in hospitals and to doctors in courtrooms, launching a far more informed debate about the future of medical liability in the 1990s. Careful analysis of the medical records of a representative sample of 30,000 patients hospitalized in 1984 showed that approximately 1 in 25 patients suffered a disabling medical injury, one-quarter of these as a result of the negligence of a doctor or other provider. After assembling all the malpractice claims filed in New York State since 1975, the authors found that just one in eight patients who had been victims of negligence actually filed a malpractice claim, and more than two-thirds of these claims were filed by the wrong patients. The study team then interviewed injured patients in the sample to discover the actual financial loss they had experienced: the key finding was that for roughly the same dollar amount w being spent on a tort system that compensates only a handful of victims, it would be possible to fund comprehensive disability insurance for all patients significantly disabled by a medical accident. The authors, who came to the project from very different perspectives about the present malpractice system, are w in agreement about the value of a new model of medical liability. Rather than merely tinker with the current system - which fixes primary legal responsibility on individual doctors who can be proved medically negligent - legislatures should encourage health care organizations to take responsibility for the financial losses experienced by all patients injured in their care.
- Author BiographyPaul Weiler is the Henry J. Friendly Professor of Law at Harvard University. Joseph P. Newhouse is the John D. MacArthur Professor of Health Policy and Management, Harvard University.
- Author(s)Howard H. Hiatt,Joseph P. Newhouse,Lucian L. Leape,Paul C. Weiler,Troyen A. Brennan,William G. Johnson
- PublisherHarvard University Press
- Date of Publication01/04/1993
- SubjectMedicine: General
- Place of PublicationCambridge, Mass
- Country of PublicationUnited States
- ImprintHarvard University Press
- Content Note5 line illustrations, 19 tables
- Weight399 g
- Width152 mm
- Height229 mm
- Spine17 mm
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