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Impacts of the medical malpractice slowdown in Los Angeles County: January 1976

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  • James, J.J.

Abstract

The Los Angeles County (California) physician strike of January 1976 resulted in a partial withdrawal of physician services. Among recorded impact were a $17.5 million loss in hospital revenues and an $8.5 million pay loss for hospital employees. Several surveys revealed no evidence of a significant impact on the general public in finding medical care. Analysis of emergency room visits and paramedical ambulance calls showed no significant increases during the strike. County mortality statistics for the strike were not affected. Eighty-eight fatalities among 2,171 patients transferred during the strike were analyzed; a Case Attributable Mortality Probability generated on 21 cases selected for final review by a five-physician multispecialist panel indicated that 29% of the Attributable Mortality could be ascribed to the strike itself and 71% to ongoing 'patient dumping' from private sector to County hospitals. Even if sample attributable mortality rates were generalized to overall county deaths, the resultant figures are below the estimated range of 55 to 153 deaths that did no occur because of the number of elective operations not performed secondary to the strike.

Suggested Citation

  • James, J.J., 1979. "Impacts of the medical malpractice slowdown in Los Angeles County: January 1976," American Journal of Public Health, American Public Health Association, vol. 69(5), pages 437-443.
    • Handle: RePEc:aph:ajpbhl:1979:69:5:437-443_7
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    Cited by:

    1. Jonathan Gruber & Samuel A. Kleiner, 2012. "Do Strikes Kill? Evidence from New York State," American Economic Journal: Economic Policy, American Economic Association, vol. 4(1), pages 127-157, February.
    2. Cunningham, Solveig Argeseanu & Mitchell, Kristina & Venkat Narayan, K.M. & Yusuf, Salim, 2008. "Doctors' strikes and mortality: A review," Social Science & Medicine, Elsevier, vol. 67(11), pages 1784-1788, December.
    3. Stoye, George & Warner, Max, 2023. "The effects of doctor strikes on patient outcomes: Evidence from the English NHS," Journal of Economic Behavior & Organization, Elsevier, vol. 212(C), pages 689-707.
    4. Eduardo Costa, 2022. "The unintended consequences of hospital strikes on patient outcomes evidence from multiple strikes in the Portuguese National Health Service," Health Economics, John Wiley & Sons, Ltd., vol. 31(11), pages 2499-2511, November.

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