title: The impact of non-economic damages caps on obstetrics: incentives versus practice style.
abstract: This paper uses 1989-2010 county-level data to reexamine the effect of non-economic damages caps on the field of obstetrics. Previous literature found that caps on damages lead to both changes in the number of physicians and changes in treatment patterns. This paper investigates whether the changes in procedures are attributable to changes in incentives or to selection when new entrants could have a different practice style than incumbents. First, I find that the relationship between non-economic damages caps and the number of physicians and procedures identified in previous literature is not robust to the inclusion of the newer policy changes. Second, over the period when such changes were observed, the impact on procedures is concentrated in areas with the greatest changes in the number of obstetricians/gynecologists per capita, suggesting that most of the effect on procedures is driven by differences in practice style between entrants and incumbents.
authors: Department of Economics and Legal Studies, Seton Hall University, 400 South Orange Avenue, South Orange, NJ 07079, United States. Electronic address: anca.grecu@shu.edu.
authors: Anca
authors: A
authors: Cotet-Grecu
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008318:Malpractice / Q000191:economics* / Q000331:legislation & jurisprudence*; D008875:Middle Aged; D017059:Models, Econometric; D009042:Motivation; D009774:Obstetrics / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult
keywords: C-sections; Infant outcomes; Non-economic damages caps; Ob-gyn