The State of Defensive Medicine Infographic

Defensive medicine is notoriously hard to quantify, with estimates of the cost to the U.S. healthcare system ranging anywhere between $46 billion and $850 billion. Yet, it is a pervasive part of the medical system. To complement the Healthcare Matters interview series, The State of Defensive Medicine, featuring Richard E. Anderson, MD, FACP, Chairman and CEO of The Doctors Company, we have created an infographic, which offers some interesting insight into defensive medicine and how it permeates the healthcare system.

Dr. Anderson’s definition of defensive medicine as “…a test, procedure or therapy that is ordered by the physician primarily to protect himself or herself from liability rather than because of its diagnostic or therapeutic utility,” provides a starting point for understanding defensive medicine, but it is not enough to define the concept. To see the effect that defensive medicine has on the healthcare system, we must look at what physicians themselves say about the practice of defensive medicine, whether or not they do it, and, if so, why.

In surveys, the vast majority of all physicians (73 percent) say they practice defensive medicine. Even higher rates are found among specialists, at 93 percent. Perhaps most disturbing is that, in one study, 45 percent of medical students and residents said that they were taught to practice defensive medicine in medical school or residency programs.

In today’s ever-changing healthcare system, physicians have many reasons to be worried about patient care, and whether a bad outcome could lead to a lawsuit. In a survey of general practitioners, the top reason for practicing defensive medicine was malpractice concerns, which was cited by 76% of respondents. Other responses were to meet clinical outcomes (52 percent) and because the physicians felt that they had too little time to spend with patients (40 percent).

Defensive medicine has a great impact on all physicians, but it has an especially high impact on specialists, such as surgeons and OBGYNs. These specialists are involved in high-risk procedures, and may be more likely to face lawsuits. In one survey of neurosurgeons, for example, more than 69 percent said that they viewed every patient as a potential lawsuit. This has many potential consequences, like ordering additional tests (67 percent), imaging studies (72 percent), medications (40 percent) and referrals (66 percent), which is wasteful and time-consuming. In this climate, many neurosurgeons (45 percent) have decided to stop doing high-risk procedures entirely.

Defensive medicine is a difficult problem to solve, and the first step is understanding the scope and depth of the problem. To learn more about defensive medicine and its impact on the healthcare system, watch our new Healthcare Matters series, The State of Defensive Medicine.

Defensive Medicine Infographic_FINAL

Leave a Reply

Your email address will not be published. Required fields are marked*

You may also like

Legislative panel approves medical malpractice bill
Read more
Urgent-care centers: Illinois numbers grow as time-pressed families seek low-cost option to ERs
Read more
Global Center for Medical Innovation launches
Read more

Recent Posts

Connecticut Supreme Court Narrows Scope of Physicians’ Immunity from Civil Liability During COVID

Rate of ‘Serious Discipline’ of Physicians by State Medical Boards Drops from Previous Benchmark

New York Lawmakers Again Vote to Update Wrongful Death Statute in Way Doctors Say Would Increase Damages, Harm Safety Net Care

Popular Posts

PIAA 2017: Current Trends & Future Concerns

Arizona Court Decisions Affirm Two Medical Professional Liability Reform Laws

2022 Medical Malpractice Insurance Rates: What the data tells us

Start Your Custom Quote Process™

Request a free quote