Medical malpractice liability and its effect on prenatal care utilization and infant health.
In this paper we conduct the first national evaluation of the effect of malpractice liability pressure, as measured by malpractice premiums, on prenatal care utilization and infant health. Our results indicate that a decrease in malpractice premiums that would result from a feasible policy reform would lead to a decrease in the incidence of late prenatal care by between 3.0 and 5.9% for black women and between 2.2 and 4.7% for white women. Although, we found evidence that malpractice liability pressure was associated with greater prenatal care delay and fewer prenatal care visits, we did not find evidence that such pressure negatively affected infant health.
Dubay
L
L
Urban Institute, Washington, DC 20037, USA
Kaestne
R
R
Waidmann
T
T
D001741:Black or African American / Q000706:statistics & numerical data; D001291:Attitude of Health Personnel; D005260:Female; D006302:Health Services Research / Q000379:methods; D006801:Humans; D007223:Infant; D007229:Infant Welfare; D007351:Insurance, Liability / Q000191:economics* / Q000706:statistics & numerical data; D016365:Liability, Legal / Q000191:economics; D008318:Malpractice / Q000191:economics / Q000331:legislation & jurisprudence*; D017059:Models, Econometric; D009774:Obstetrics / Q000191:economics* / Q000331:legislation & jurisprudence; D011203:Poverty; D010818:Practice Patterns, Physicians' / Q000191:economics*; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D012923:Social Class; D014481:United States; D044465:White People / Q000706:statistics & numerical data; D000078329:Workforce