title: Carpal tunnel syndrome. Effects of litigation on utilization of health care and physician workload.
abstract: We performed a study consisting of two parts to investigate the impact of litigation on patient recovery and physician workload. We received 556 replies from a questionnaire sent to hand surgeons and discovered that 98.20% of them felt that litigation increased the subjective complaints of patients. Most of these physicians (89.75%) also felt that litigation led to a worse result from treatment. Second, we undertook a retrospective chart review of 447 patients to see if there was a correlation between litigation, patient utilization of health care and physician workload. We found that workers' compensation patients with pending litigation went to the doctor's office more. They also had more letters, phone calls, and forms associated with their care, had more nerve conduction studies performed, and took longer to be discharged from care than patients with non-work-related carpal tunnel syndrome as well as workers' compensation patients who did not have pending litigation. These results indicated that litigation does affect patient utilization of health care and increases the workload on the physician.
authors.affiliation: University of Louisville School of Medicine, USA.
authors.forename: M L
authors.initials: ML
authors.lastname: Kasdan
authors.forename: M I
authors.initials: MI
authors.lastname: Vender
authors.forename: K
authors.initials: K
authors.lastname: Lewis
authors.forename: S P
authors.initials: SP
authors.lastname: Stallings
authors.forename: J M
authors.initials: JM
authors.lastname: Melhorn
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006300:Health Services Misuse / Q000331:legislation & jurisprudence; D006801:Humans; D007629:Kentucky; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000175:diagnosis / Q000601:surgery*; D011320:Primary Health Care / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D014942:Workers' Compensation / Q000331:legislation & jurisprudence*; D016526:Workload / Q000706:statistics & numerical data*