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PubMed1980

What you need to know about D & O liability insurance.

In response to trustees' concerns about a liability insurance crisis and about their own personal liability, many hospitals are purchasing directors and officers (D & O) liability insurance for their board members. This article describes the coverage that D & O policies should provide, lists the kinds of claims that are made against hospital trustees and officers, and suggests the need for preventive measures to reduce liability exposure.

Governing Board↗
PubMed1980

Salus populi suprema lex est: comments on governmental regulation of medical professional liability insurance.

In 1975 nationwide turmoil arose regarding medical professional liability insurance, posing a resolute challenge directly to the liability insurance mechanisms traditionally utilized to underwrite the professional risks of medical practitioners. Further they signaled the real possibility of substantive revisions of the tort-fault foundation of legal actions seeking civil relief for medical malpractice.

Government↗
PubMed1987

An analysis of the liability insurance crisis.

The problem of the growing liability insurance crisis is examined from historical, economic, policy, and legislative perspectives. Specifics of arguments presented by physicians, nurses, lawyers, and insurers are provided to illustrate the conflict inherent in the situation. Reports of policy actions accomplished by these groups are presented with a discussion of related bills proposed in past years. Specific nurse populations directly affected by the insurance crisis are presented and actions to be taken by nurses and legislators to deal with the problem are suggested.

Delivery of Health Care↗
PubMed1997

Charges for obstetric liability insurance and discontinuation of obstetric practice in New York.

BACKGROUND: The study objective was to determine whether New York physicians facing higher charges for obstetric liability insurance coverage are more likely to discontinue obstetric practice than physicians experiencing lower levels of increases in liability insurance charges. METHODS: We performed a physician-level analysis of factors predicting discontinuation of hospital-based obstetric practice by 1989 for physicians active in obstetrics in 1980. We examined both physicians who became completely clinically inactive in New York between 1980 and 1989, and physicians who remained clinically active but restricted their hospital practice to areas other than obstetrics. Multiple logistic regression models were used to analyze predictors of discontinuation of obstetrics, including regional malpractice insurance charges, physician characteristics, and practice characteristics. RESULTS: Although increases in malpractice insurance charges differed considerably among regions within New York State, there was no association between level of increase of charges for liability insurance and discontinuation of obstetric practice. A greater number of years since medical licensure was associated both with complete discontinuation of hospital practice in New York and selective discontinuation of obstetrical practice. Compared with obstetrician-gynecologists, family physicians were less likely to become completely clinically inactive. Among physicians who remained clinically active in hospital care, however, family physicians were less likely than obstetrician-gynecologists to continue to include obstetrics in their practice. CONCLUSIONS: There is no relationship between the level of increase in liability insurance premiums and the likelihood of discontinuing obstetric practice in New York. Discontinuation of obstetric practice appears to mainly reflect trends in the physician's life cycle of practice activity and in the scope of family and general practice.

Costs and Cost Analysis↗
PubMed1991

[Private accident insurance in Switzerland with reference to liability insurance as a part of social security].

On the Swiss market there exist various different accident insurance schemes and systems. Private accident insurance which is offered by the private insurers, date back to the middle of the 19th century. Since 1912 accident insurance is compulsory for all employees working in particularly dangerous industries, since 1984 it covers all employees in the country. In Switzerland there exists no general compulsory accident insurance. To perform as insurance carriers are qualified: private insurance companies, the Swiss Accident Insurance Company, and a number of the social health (sickness) insurers. Depending on the insurance system there are different approaches to renumerate the health costs. In the various social insurance systems the patient is rather free to chose his doctor and hospital (among those who have a contract with the insurer); in private insurance he is completely free. Yet the billing systems and the applicable rates and tarifs differ considerably. There are trends to simplify these systems and bring them more into mutual accordance. Due to the important rise of the health costs in Switzerland, there exists the danger that possible simplifications will bring about more public influence yet less private initiative and less incentives to really control costs without lessening the patients' possibilities.

Humans↗