Study: Malpractice worries help drive health costs

上一篇 / 下一篇  2010-05-07 14:00:19 / 天气: 晴朗 / 心情: 高兴

Study: Malpractice worries help drive health costsStudy: Malpractice worries help drive health costsA substantial number of heart doctors — about one in four — say they order medical tests that might not be needed out of fear of getting sued,Energy saving bulbs,#x according to a new study.

High pressure sodium bulbNearly 600 doctors were surveyed for the study to determine how aggressively they treat their patients and whether non-medical issues have influenced their decisions to order invasive heart tests.

Most said they weren't swayed by such things as financial gain or a patient's expectations. But about 24 percent of the doctors said they had recommended the test in the previous year because they were worried about malpractice lawsuits. About 27 percent said they did it because they thought their colleagues would do the test.

Doctors who treated their patients aggressively were more likely to be influenced by malpractice worries or peer pressure than those who weren't as aggressive, the study determined.

The research was done to see whether doctors' attitudes and practices might be contributing to the wide differences in health care use and spending across the country.

#x "We have known for a long time that where you live has an influence on what kind of health care you get and how much health care you get," said Lee Lucas,High pressure sodium bulblead author of the study and associate director of the Center for Outcomes Research and Evaluation at Maine Medical Center in Portland.

Some of the reasons are known: differences in disease rates, patient preferences and the availability of medical services or hospital beds. And more care isn't necessarily better care, Lucas noted.

For the study, the doctors were asked to recommend tests and treatment for three hypothetical heart patients. Their answers were used to score them on how aggressively they tend to treat patients.

Using Medicare records, the researchers found that doctors with higher scores were more likely to be in the areas with higher spending overall or higher rates for a heart test, although the differences were small.

The doctors were also asked whether other issues had led them to recommend the heart test — called a cardiac catheterization — during which a thin tube is threaded to the heart to check how well it is working and to look for disease.#x

The researchers suggest that targeting malpractice concerns could help reduce the regional differences.High pressure sodium bulb

"We need a way for docs to be less afraid of not ordering a test," said Lucas.
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