Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
BACK ISSUE articles are $15 each.
International credit cards NOT accepted.

JCOM Paid Subscribers
user name:
Forgot password?

JCOM Abstract

J Clin Outcomes Manage 
2006 Dec;13(12):694-698
What is an acceptable annual increase in malpractice premiums? The physician perspective.
Windish DM, Kravet SJ, Reed DA, Levine RB, Wolfe L, Wright SM

Abstract Objective: To determine what annual increase in malpractice premiums would be acceptable to academic physicians at a large institution. Methods: All 270 full-time physician faculty in the department of medicine at Johns Hopkins Univer-sity School of Medicine in 2004 were invited to par-ticipate in this study. A contingent valuation approach was used to assess willingness to accept a specified increase in annual premiums. The median acceptable malpractice rate increase was calculated using logistic regression and assessed the influence of faculty characteristics using multivariable regression. Results: 197 (73%) faculty responded. Thirty percent were female and two thirds were clinician-investigators. The median acceptable annual increase in malpractice premiums was 6.4%. Clinician-educators were more likely than clinician-investigators to accept any of the proposed annual increase in premiums (odds ratio [OR], 3.23 [95% confidence interval {CI}, 1.188.87]). Compared with their younger counterparts, older male faculty were more willing to accept any of the assigned rates (OR, 30.3 [95% CI, 2.53361.22]). Older female faculty were 90% less likely to accept any suggested rate increase compared with older male faculty (OR, 0.10 [95% CI, 0.020.59]). Conclusion: Academic physicians believe that small annual increases in malpractice rates are acceptable. Knowing what physicians judge to be acceptable is relevant for understanding the frustration associated with recent rate increases and may be pertinent to efforts aimed at moving toward a resolution of the malpractice crisis.

Original Research

Search the Turner White index to find abstracts of articles published in JCOM.

New issues are posted one month following publication of the printed journal.

View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2018, Turner White Communications
Updated 1/20/14 • jdw