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Richard P. Bergen

Arch Otolaryngol. 1975;101(3):182-184.

Abstract
Malpractice insurance costs are based on loss experience and defenses of expenses. Physicians in the high-risk category are in that position because, as a group, they have a high frequency of claims, a high average cost, or both.

True, "defensive medicine" is the best way to minimize the risks. This does not mean ordering unnecessary tests or refusal of essential treatment. Rather, it is the habit of exercising extra care and foresight to avoid medical hazards and to apply prompt remedial measures when they occur. It means being aware of the patient's personality and needs. It means taking time to talk to the patient about proposed procedures and their risks. This kind of "defensive medicine" offers the best hope for reducing the frequency and cost of claims that result in the present critical malpractice problems.

Author Affiliations
From the Office of the General Counsel, American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (Mr. Bergen).

Footnotes
Accepted for publication Aug 21, 1974.

Read before the Tenth Annual Meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Inc., Palm Beach, Fla, April 1974.

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