Letters Physician spending and risk of malpractice claims

Physician spending and risk of malpractice claims: defensive medicine may not be as common as we think

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h6768 (Published 14 December 2015) Cite this as: BMJ 2015;351:h6768
  1. Daniel A Waxman, associate professor1,
  2. Hemal K Kanzaria, assistant professor2
  1. 1Department of Emergency Medicine, University of California, Los Angeles, CA 90095, USA
  2. 2Department of Emergency Medicine, University of California, San Francisco, CA 94110, USA
  1. dwaxman{at}rand.org

Jena and colleagues start with the premise that defensive medicine is common.1 It is clear, however, that the physician surveys they cite cannot be taken at face value.2 3 Defensive practice may be just one reason that physicians practice “resource intensive medicine.” …

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