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A Longitudinal Analysis of the Impact of Liability Pressure on the Supply of Obstetrician‐Gynecologists

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  • Y. Tony Yang
  • David M. Studdert
  • S. V. Subramanian
  • Michelle M. Mello

Abstract

Conventional wisdom within the medical community suggests that dramatic increases in professional liability insurance premiums cause physicians to relocate or discontinue their practices in high‐cost states. We employed a mixed‐effects model to investigate the effect of malpractice risk, as measured by insurance premiums and various tort reforms, on the number of obstetrician‐gynecologists (OB/GYNs) in the United States between 1992 and 2002. The longitudinal research design examines state‐year‐level data from all 50 states and the District of Columbia. We found that the supply of OB/GYNs had no statistically significant association with premiums or tort reforms. Our results suggest that most OB/GYNs do not respond to liability risk by relocating out of state or discontinuing their practice, and that tort reforms such as caps on noneconomic damages do not help states attract and retain high‐risk specialists.

Suggested Citation

  • Y. Tony Yang & David M. Studdert & S. V. Subramanian & Michelle M. Mello, 2008. "A Longitudinal Analysis of the Impact of Liability Pressure on the Supply of Obstetrician‐Gynecologists," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 5(1), pages 21-53, March.
    • Handle: RePEc:wly:empleg:v:5:y:2008:i:1:p:21-53
    DOI: 10.1111/j.1740-1461.2007.00117.x
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    Cited by:

    1. McMichael, Benjamin, 2017. "Beyond Physicians: The Effect of Licensing and Liability Laws on the Supply of Nurse Practitioners and Physician Assistants," Working Papers 07538, George Mason University, Mercatus Center.
    2. Elissa P. Gentry & Benjamin J. McMichael, 2020. "Responses to Liability Immunization: Evidence from Medical Devices," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 17(4), pages 789-819, December.
    3. Y. Tony Yang & David M. Studdert & S. V. Subramanian & Michelle M. Mello, 2012. "Does Tort Law Improve the Health of Newborns, or Miscarry? A Longitudinal Analysis of the Effect of Liability Pressure on Birth Outcomes," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 9(2), pages 217-245, June.

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