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1975 Duke L.J. 1197 (1975)
The Relationship between Medical Malpractice and Quality of Care

handle is hein.journals/duklr1975 and id is 1223 raw text is: THE RELATIONSHIP BETWEEN MEDICAL
MALPRACTICE AND QUALITY OF CAREt
ROBERT H. BRooK,* RUDOLF L. BRUTOCO,** AND
KATHLEEN N. WILLIAMS* * *
INTRODUCTION
Medical malpractice claims are increasing at a rate of about ten
percent per year.' Seven chairmen of neurosurgery departments in
leading New York hospitals have a combined total of twenty-five mal-
practice suits filed against them, seeking an aggregate total of $6.3
million.' In 1960, total malpractice premiums in the United States
were $60 million; by 1975, the total will be about $1 billion.3 Many
insurance companies have stopped providing professional liability cov-
erage and some physicians have been temporarily unable to obtain
malpractice insurance at any price.
California, although perhaps at the frontier of the medical
malpractice issue, is not atypical. The number of claims per 100
physician policy years there has increased from about twelve in
1968-69 to about twenty-five in 1975.4 In 1974-75, six jury awards
in California were for over-a million dollars each; in the state's entire
history, there have been only sixteen awards of over a million dollars
each.5 Rates for malpractice insurance increased by 400 percent
* M.D., Sc. D.; Assistant Professor of Medicine, UCLA; Senior Staff Health Serv-
ices Researcher, The Rand Corporation, Santa Monica, Calif.
** Schools of Medicine and Public Health, UCLA; Consultant, The Rand Corpo-
ration, Santa Monica, Calif.
•**  M.A.; Graduate Fellow, The Rand Corporation, Santa Monica, Calif.
t The research reported in this Article was performed pursuant to a grant from
the U.S. Department of Health, Education and Welfare, Washington, D.C. The opin-
ions and conclusions expressed herein are solely those of the authors, and should not
be construed as representing the opinions or policy of any agency of the United States
Government.
1. Liability Versus Protection, MED. ECON., Oct. 29, 1973, at 93.
2. Evidence Suggests Causes of Professional Liability Problem, 2 CoMMENTARY,
No. 5, at 2 (Med. Liability Comm'n, July 1975).
3. Now Doctors Charge Insurers With Malpractice, BusINESs WEEK, Aug. 4, 1975,
at 40; cf. Steves, Medical Malpractice In Perspective, 28 CPCU ANNALS 209, 215
(1975).
4. State by State Survey Finds Professional Liability Woes in Many Regions, Am.
MED. NEws, Feb. 24, 1975, at 9.
5. Id.

1197

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