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Wiley InterScience

Journal of Empirical Legal Studies

Journal of Empirical Legal Studies

Volume 5 Issue 1, Pages 21 - 53

Published Online: 4 Feb 2008

© 2009 Cornell Law School and Wiley Subscription Services, Inc



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A Longitudinal Analysis of the Impact of Liability Pressure on the Supply of Obstetrician-Gynecologists
Y. Tony Yang 1 , David M. Studdert 2 , S. V. Subramanian 3 , and Michelle M. Mello 3*
  1 George Mason University
  2 University of Melbourne, Australia
  3 Harvard School of Public Health
Correspondence to   *Y. Tony Yang, George Mason University, MS: IJ3, 4400 University Dr., Fairfax, VA 22030; email: ytyang@gmu.edu. Yang is Assistant Professor of Health Policy and Law at George Mason University; Studdert is Professor and Federation Fellow, Faculty of Law and Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Australia; Subramanian is Assistant Professor of Society, Human Development, and Health at the Harvard School of Public Health; Mello is C. Boyden Gray Associate Professor of Health Policy and Law at the Harvard School of Public Health.
Copyright Journal compilation ©2008, Cornell Law School and Blackwell Publishing, Inc.

ABSTRACT

Conventional wisdom within the medical community suggests that dramatic increases in professional liability insurance premiums cause physicians to relocate or discontinue their practices in high-cost states. We employed a mixed-effects model to investigate the effect of malpractice risk, as measured by insurance premiums and various tort reforms, on the number of obstetrician-gynecologists (OB/GYNs) in the United States between 1992 and 2002. The longitudinal research design examines state-year-level data from all 50 states and the District of Columbia. We found that the supply of OB/GYNs had no statistically significant association with premiums or tort reforms. Our results suggest that most OB/GYNs do not respond to liability risk by relocating out of state or discontinuing their practice, and that tort reforms such as caps on noneconomic damages do not help states attract and retain high-risk specialists.


DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1740-1461.2007.00117.x About DOI

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