Bottom Line:
Author:
Background: The overuse of medical tests and procedures driven by a fear of malpractice lawsuits, commonly known as defensive medicine, has been estimated to cost $46 billion annually in the U.S., although those costs have been measured indirectly.
How the Study Was Conducted:
Results: Of the orders, 28 percent were rated as defensive and the mean cost was $1,695 per patient, of which $226 (13 percent) was defensive. Completely defensive orders represented about 2.9 percent of costs, mostly because of additional hospital days.
Discussion: "In conclusion, although a large portion of hospital orders had some defensive component, our study found that few orders were completely defensive and that physicians' attitudes about defensive medicine did not correlate with cost. Our findings suggest that only a small portion of medical costs might be reduced by tort reform."
( JAMA Intern Med . Published online September 15, 2014. doi:10.1001/jamainternmed.2014.4649. Available pre-embargo to the media at http://media.jamanetwork.com .)
Editor's Note:
Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
Media Advisory:
To contact author Michael B. Rothberg, M.D., M.P.H., call Jenny Popis at 216-444-8853 or email popisj@ccf.org .
JAMA Internal Medicine