Studdert, David
Institution: Harvard School of Public Health
Grant Title: Improving Dispute Resolution in Health Care
Grant Number: K02 HS011285
Duration: 4 years (2000-2004)
Total Award: $391,400
Project Description: The purpose of this project was to improve understanding of how disputes arise in health care settings, how they are resolved, and who brings them. The research involved
three issues:
- An analysis of coverage decisionmaking by managed care organizations, begun in October 1999.
- An analysis external review of coverage decisions by California's Department of Managed Health Care.
- The Malpractice Insurers' Medical Error Prevention Study (MIMEPS), an investigation of ways in which malpractice claims data can shed light on the causes of medical injury.
Career Goals: Dr. Studdert is trained as a lawyer and has a doctorate in health policy with a concentration in epidemiology and economics. He has worked as an attorney in Australia and as a health policy analyst/researcher in the US. His research interests include patient safety, quality of care, and dispute resolution. Dr. Studdert used the Award to facilitate a transition into full-time research in health policy. He undertook some additional formal study in fields relevant to health law. He also developed skills in grant-writing; analysis of large datasets, and study design.
Progress to Date: This project has been completed.
Future Plans: Ongoing manuscript preparation and publication on the MIMEPS project.
Highlights and Specific Accomplishments:
- Professional Associations:
- Barrister and Solicitor of the Supreme Court of Victoria (Australia).
- Public Health Association of Australia.
- National Health Lawyers Association.
- AcademyHealth.
- Professional Positions:
- Consultant, RAND.
- Assistant Professor of Law and Public Health, Harvard School of Public Health.
- Awards: Alice S. Hersh New Investigator Award from AcademyHealth (2004).
K-Generated Publications:
- Studdert DM, Brennan TA. Toward a workable model of "no-fault" compensation for medical injury in the United States. American Journal of Law & Medicine 2001;27:225-52.
- Gresenz CR, Studdert DM, Campbell N, Hensler DR. Patients in conflict with managed care: A profile of appeals in two HMOs. Health Affairs 2002;21(4):189-96.
- Studdert DM, Brennan TA. No-fault compensation for medical injuries: the prospect for error prevention. JAMA 2001;286:217-23.
- Fitzjohn J, Studdert DM. A compensation perspective on error prevention: Is the ACC medical misadventure scheme compensating the right sort of injury? New Zealand Medical Journal 2001;114:432-4.
- Studdert DM. Charges of HIV discrimination in the workplace: The Americans With Disabilities Act in action. American Journal of Epidemiology 2002;156:219-29.
- Studdert DM, Gresenz CR. Consumer protection in managed care: enrollee appeals of pre-service coverage denials at two HMOs. JAMA 2003;289:864-70.
- Lamb RM, Studdert DM, Bohmer RMJ, et al. Hospital disclosure practices: results of a national survey. Health Affairs 2003(2):73-83.
- Stevenson DG, Studdert DM. The rise of nursing home litigation: findings from a national survey of attorneys. Health Affairs 2003(2):219-29.
- Ransom, SB, Studdert DM, Dombrowski MP, et al. Reduced medical-legal risk by optimal obstetrical clinical pathway implementation: a case-control study. Obstetrics and Gynecology 2003;101:751-55.
- Gawande AA, Zinner MJ, Studdert DM, Brennan TA. Analysis of errors reported by surgeons at three teaching hospitals. Surgery 2003;133:614-21.
- Gawande AA, Studdert DM, Orav EJ, et al. A case-control study of the retention of instruments and sponges after surgery. New England Journal of Medicine 2003;348:229-35.
- Studdert DM, Mello MM, Burns JP, et al. Conflict in the care of patients with prolonged stay in the ICU: types, sources, and predictors. Intensive Care Medicine 2003;29:1489-97.
- Studdert DM, Burns JP, Mello MM, et al. Nature of conflict in the care of pediatric intensive care patients with prolonged stay. Pediatrics 2003;112:553-8.
- Kapur K, Grezenz CR, Studdert DM. Managing care: utilization review in action at two capitated medical groups. Health Affairs 2003 (Jan-June);W3-275-82.
- Mello MM, Rimm EB, Studdert DM. The McLawsuit: the fast food industry and legal accountability for obesity. Health Affairs 2003;22:207-16.
- Grezenz CR, Studdert DM. Disputes between over coverage of emergency department services: a study of two HMOs. Annals of Emergency Medicine 2004;43:155-62.
- Bloche MG, Studdert DM. A quiet revolution: law as an agent of health systems change. Health Affairs 2004;23(2):29-42.
- Studdert DM, Yang YT, Mello MM. Are damages caps regressive? A study of jury verdicts. Health Affairs 2004;23:54-67.
- Mello MM, Studdert DM, DesRoches CM, et al. Caring for patients in a malpractice crisis: physician satisfaction, the physician-patient relationship, and quality of care. Health Affairs 2004;23:42-53.
- Studdert DM, Stevenson DG. Nursing home litigation and tort reform: a case for "exceptionalism." Gerontologist 2004;44:588-95.
- Gresenz CR, Studdert DM. External review of coverage denials in managed care. Journal of Empirical Legal Studies (in press).
- Studdert DM. On selling "no-fault" In: Sharpe VA (ed.) Accountability Patient Safety and Policy Reform. Georgetown University Press, 2004.
AHRQ Research Portfolio: Socio-economics of Health Care; Quality and Patient Safety; Training.
AHRQ Goals: Efficiency
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