The Effect of Malpractice Liability on the Delivery of Rural Obstetrical Care

Rena J. Gordon, Gail McMullen, Barry D. Weiss, Andrew W. Nichols

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

A telephone survey of all non‐governmental obstetricians, family physicians, general practitioners, and osteopathic physicians in rural Arizona was undertaken to determine the effect of medical liability issues on the availability of rural obstetrical services. One hundred ninety‐one (88.8%) responded, and after exclusion of those who had never provided obstetrical care, 126 physicians remained for evaluation. These included 32 obstetricians, 55 family physicians, 25 general practitioners, and 14 osteopaths. During the past three years, 26 (20.6%) had discontinued providing obstetrical services, citing liability issues as the reason. An additional 12 physicians (9–5%) planned to discontinue obstetrics upon expiration of their 1986 malpractice insurance policy. By the end of 1986, the number of obstetrical providers in rural Arizona will have decreased by 30.1 percent. Women in many rural areas already have pregnancy outcomes that are inferior to their urban counterparts. A further decrease in the availability of obstetrical providers may have additional adverse effects on pregnancy outcomes.

Original languageEnglish (US)
Pages (from-to)7-13
Number of pages7
JournalThe Journal of Rural Health
Volume3
Issue number1
DOIs
StatePublished - Jan 1987

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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