News | Business | December 23, 2016

Study Finds State Tort Reforms Linked to Decreases in Radiography Utilization

New research in JACR examines systematic impact of liability pressure on overall imaging

radiography, medical imaging influenced by malpractice liability, influence of tort reform on medical imaging orders

December 23, 2016 — According to new research from the Harvey L. Neiman Health Policy Institute, state tort reform has been associated with a decrease in physician ordering of radiographs. The study, published online in the Journal of the American College of Radiology (JACR), examines the extent to which radiography use is influenced by malpractice liability pressure among office-based physicians.

"While physicians cite malpractice liability as an important factor driving their decisions to order imaging tests, little research has been done to examine the systematic impact of liability pressure on overall imaging," said lead author Suhui Li, Ph.D., a health researcher at Mathematica Policy Research in Princeton, N.J.. "Radiography is the most widely used imaging procedure and therefore provides a lens into understanding how tort reforms affect imaging utilization."

Li and her colleagues examined the association between state tort reforms and radiography orders in ambulatory settings using a nationally representative dataset of patient visits to physician offices between 1999 and 2010. They found that the probability that a primary care physician (PCP) ordered radiography decreased when states enacted caps on noneconomic damages, periodic payment reforms, and the total number of tort reforms.

"We discovered that when states enact indirect tort reforms, reforms that make it harder to sue physicians have a stronger effect on radiography orders than reforms that directly reduce physicians' liability payoff for both PCPs and specialists," said Danny R. Hughes, Ph.D., Neiman Institute senior director for health policy research and senior research fellow. "We also found that the probability of a radiography order was lower in states with a greater number of tort reform laws."

In addition, the researchers found that PCPs and specialists respond differently to tort reforms, perhaps reflecting the underlying differences between the two physician groups in their patient mix, their office type and even their metropolitan versus non-metropolitan setting. They also discovered that physicians tend to reduce radiography orders following the enactment of tort laws and increase orders following a reversal of a tort reform.

"Our analysis suggests that reforms that make it harder to sue physicians have a stronger impact than reforms which directly reduce physicians' malpractice claim payments," noted Hughes.

For more information: www.neimanhpi.org 

Related Content

Prenatal MRI of a Zika fetus showing enlarged cerebral fluid space, dilation of the cerebral ventricles, thinning of brain tissue, poorly developed cerebellum and the absence of brain cortical gyri. (Image coutesy of RSNA)

Feature | Women's Health | January 23, 2017 | Dave Fornell
The rapid spread of Zika virus in the Western Hemisphere in the past year has caused great alarm in the United States
Neiman Health Policy Institute report, non-research industry payments, radiologists, characteristics
News | Business | January 20, 2017
January 20, 2017 – A new study by the Harvey L.
RSNA 2016, annual meeting highlights
News | Imaging | January 20, 2017
The Radiological Society of North America’s 102nd Scientific Assembly and Annual Meeting (RSNA 2016), held Nov. 27-Dec...
Neiman Institute, Radiologist Patient Facing Dataset, RPFD, MIPS
News | Business | January 19, 2017
A new free resource allows radiologists to determine whether they would have been designated as patient-facing by the...
Technology | Radiation Dose Management | January 19, 2017
January 19, 2017 — Zetta Medical Technologies announced the release of Zia, an iterative reconstruction solution that
Sponsored Content | Videos | Digital Radiography (DR) | January 18, 2017
Digital radiology is on the move like never before with the Carestream DRX-Revolution Mobile X-ray System.
Carestream, U.S. patents, 2016, medical imaging, healthcare IT
News | Imaging | January 17, 2017
January 17, 2017 — Carestream Health was awarded 43 new patents from the U.S.
ECRI Institute, mergers and acquisitions service
News | Business | January 17, 2017
ECRI Institute announced a new mergers and acquisitions service that empowers new hospital alliances to control their...
Radiologic Associates of Fredericksburg (RAF)
News | Business | January 17, 2017
For the third straight year, Radiologic Associates of Fredericksburg (RAF) has been recognized by Radiology Business...
Overlay Init