An examination of the impact of current medical malpractice issues on the quality of obstetrical healthcare services in Michigan
by Dill, Linda Jo, Ph.D., CAPELLA UNIVERSITY, 2008, 176 pages; 3311410


The Institute of Medicine (IOM) defines quality in healthcare as "the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge" (Institute of Medicine, 2001, p. 232). The quality of obstetrical healthcare services across America may be in jeopardy as a result of the escalating problems associated with the current malpractice situation in the U.S. The goal of this study was to determine what impact these malpractice-related problems have on the quality of obstetrical healthcare services in the state of Michigan. These factors and others were explored by obtaining information from obstetrician/gynecologists who practice in Michigan on such malpractice-related topics as the cost of their professional liability (malpractice) insurance premiums, the risk of being named in a medical malpractice lawsuit, and their engagement in various defensive medicine practices. The research design was a simple descriptive, non-experimental, non-random, quantitative 8-question survey that was sent to 1000 ACOG Fellow and Jr. Fellow obstetrician/gynecologists in the state of Michigan and was administered online between November 2007 and January 2008. This study revealed that (a) the medical malpractice situation in the state of Michigan has not yet reached "crisis" level, although the potential exists, (b) the cost for professional liability insurance in Michigan is excessively high, and (c) Michigan's obstetrician/gynecologists are engaging in defensive medicine practices to varying degrees.

AdviserLonnie Wederski
SourceDAI/B 69-06, Sep 2008
Source TypeDissertation
SubjectsObstetrics and gynecology; Law
Publication Number3311410
Adobe PDF Access the complete dissertation:

» Find an electronic copy at your library.
  Use the link below to access a full citation record of this graduate work:
  If your library subscribes to the ProQuest Dissertations & Theses (PQDT) database, you may be entitled to a free electronic version of this graduate work. If not, you will have the option to purchase one, and access a 24 page preview for free (if available).

About ProQuest Dissertations & Theses
With over 2.3 million records, the ProQuest Dissertations & Theses (PQDT) database is the most comprehensive collection of dissertations and theses in the world. It is the database of record for graduate research.

The database includes citations of graduate works ranging from the first U.S. dissertation, accepted in 1861, to those accepted as recently as last semester. Of the 2.3 million graduate works included in the database, ProQuest offers more than 1.9 million in full text formats. Of those, over 860,000 are available in PDF format. More than 60,000 dissertations and theses are added to the database each year.

If you have questions, please feel free to visit the ProQuest Web site - - or call ProQuest Hotline Customer Support at 1-800-521-3042.