Table 1.
Characteristics | Internal medicine | Internal medicine subspecialty | Family Medicine | Pediatrics | General surgery | Surgical subspecialty | Obstetrics and gynecology |
---|---|---|---|---|---|---|---|
No of physicians | 8654 | 2745 | 2519 | 3649 | 3319 | 1812 | 1939 |
No of physician years | 53 984 | 18 138 | 13 163 | 22 820 | 21 404 | 11 874 | 13 342 |
No of hospital admissions | 7 682 304 | 1 505 529 | 1 412 864 | 2 740 541 | 1 863 745 | 998 797 | 2 148 611 |
No of hospital admissions per physician year | 142 | 83 | 107 | 120 | 87 | 84 | 161 |
No of malpractice claims | 1 442 | 501 | 246 | 359 | 869 | 385 | 540 |
No of malpractice claims per 100 physician years | 2.7 | 2.8 | 1.9 | 1.6 | 4.1 | 3.2 | 4.0 |
Mean adjusted annual charges per hospital admission ($):* | |||||||
Physicians with a malpractice claim | 25 775 | 30 972 | 18 653 | 11 034 | 31 474 | 33 561 | 10 601 |
Physicians without a malpractice claim | 28 636 | 34 621 | 22 566 | 12 689 | 36 701 | 40 804 | 12 656 |
P value for difference† | <0.001 | <0.001 | 0.02 | <0.001 | <0.001 | <0.001 | <0.001 |
$1.00 (£0.65; €0.88).
*Adjusted for patient age, sex, race, comorbid conditions, diagnosis related group, county fixed effects, and year. Charges for physicians with a malpractice claim reflect the mean hospital charges per physician in the year previous to an incident among physicians with a malpractice claim (that is, cases). Charges for physicians without a malpractice claim reflect the mean hospital charges per physician in all years among physicians with a malpractice claim (that is, controls). The purpose of this case-control comparison was to examine whether hospital charges in the year previous to an incident that led to malpractice (among physicians who faced a malpractice claim) differed from average annual hospital charges for physicians who were not sued.
†Difference in means between cases and controls.