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Electronic letters published:
![[Read Comment]](/icons/misc/sectionDOWN.gif){kind=icon}
Re: Productivity and Malpractce
Productivity and Malpractce
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Stephen J. Spann, Houston, U.S.A. Professor and Chairman, Department of Family and Community Medicine, Baylor College of Medicine, Kent Moore
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We are not aware of any research data that correlates increasing patient volume with increasing malpractice risk in the Family Medicine setting. The New Model of practice which was proposed by the Future of Family Medicine project would actually decrease the number of patients seen by the family physician per unit time, while increasing the number of patients cared for by the multidisciplinary primary care team. The New Model also emphasizes quality of care and patient safety, and puts into place processes that will assure that these are achieved. The microeconomic analysis of the financial impact of the New Model under the current reimbursement system posits a 5% decrease in malpractice premiums, anticipating that New Model practice characteristics will decrease malpractice risk(see Table 1b in the paper). Of course, this assumption will need to be tested "in vivo" in the proposed national demonstration project Competing interests: None declared |
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Christine R. Barstad, Seeley Lake, MT USA Tamarack Mgmt/Western Montana Clinic
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Average productivity is now 7900 RVUs per year per MGMA, in order to maintain income. Has the demand to increase productivity put us at increased legal risk as might be evidenced by more frequent malpractice claims? Are the high producers the physicians who are sued most frequently? Competing interests: None declared |
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