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Malpractice, CONCLUSIONS, International Comparisons - Coggle Diagram

- - - - Actual
        
        6% of NY hospital patients harmed due to negligence filed complaint
        
        73% of those recieved money
        
        38% of claims of these patients; 72% receive $0
        
        MDs malpractice premiums are not experience rated; hospital premiums are
      - Perfect
        1 all neglected patients sue
        2 all win
        3 no patients not harmed or harmed but not due to negligence would sue/win
        4 MDs/Hospitals who are sued more often pay higher malpractice insurance premiums
  - - - 1% of all physicians account for 32% of paid claims
      - 71% of claims do not result in paymentt
      - 97% of money from settlements
      - 3% of total payout larger
      - What are general trends with payouts?
        
        mean claim payment: $275k
        
        greater than median: $112,000
- - - - UoM saw claims fall by 36%; costs fell 50%
      - differences in payments with large injuries but same with small injuries
- - - - Fed gov gives province funds, province set budget for each hospital
      - hospital funding a political decision made in advance
        
        hospitals ration services
      - Provinces set MD fees and use feee for service
        
        MD income controlled; if MD practice revenue exceeds threshold they are paid 25% of original fee
  - - - allows NHS to negotiate low prescription drug prices, limit MD income, limit hospital spending
      - negotiation power drives downn prices, MD fees, and hospital budgets
      - small quantity. of expensive services due to cost effectiveness threshold requirement
      - low admin costs
        
        US health insurance makes admin costs high (around $83,000 annual cost per physician to interact with health insurers compared to Canada $22k)
      - Disadvantages
        
        low budget limits amount of medical care received
        
        queuing takes forever
        
        weaker incentive for innovation and efficiency- no competition
        
        How is the UK promoting competition and higher quality?
        
        Pay for performance: large bonus payments for high quality care
        
        Decentralization: primary care phys. more authority over how NHS money is spent
        
        Competition: promote competition by allowing non NHS facilities to receive funding