Predicting for Disciplinary Action by the Texas State Board of Medical Examiners, 1989-1998

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dc.contributor.advisorJohn C. Licciardone
dc.contributor.committeeMemberGilbert Ramirez
dc.contributor.committeeMemberMuriel Marshall
dc.creatorCardarelli, Roberto
dc.date.accessioned2019-08-22T20:47:01Z
dc.date.available2019-08-22T20:47:01Z
dc.date.issued2001-01-01
dc.date.submitted2014-05-02T09:00:05-07:00
dc.description.abstractContext The rate of physician disciplinary action in the United States has been increasing over the lack decade. While studies have analyzed various facets of malpractice and types of physician offenses, few have attempted to investigate factors that may place physicians at risk for disciplinary action. Objective To determine predictors for physician disciplinary action. Design Case-control study using publicly available data matching 174 disciplined physicians with non-disciplined physicians on age and years in practice. Subjects Disciplined physicians reported by the Texas State Board of Medical Examiners from January 1989 to December 1998. Main Outcome Measures Characteristics of disciplined physicians and multivariate predictors of disciplinary action. Results Of the 1382 physicians disciplined during the study period, 174 cases were eligible for inclusion. Sixty six percent of the study period, 174 cases were eligible for inclusion. Sixty six percent of the study population was 40 years or less of age, while 69.5% were men. Whites composed 65.4% of the study population and internal medicine was the predominate specialty. In the multivariate analysis female physicians were less likely to receive disciplinary action (odds ratio [OR]=0.27, 95% confidence interval [CI]=0.17-0.44. Additionally, internists (OR=0.35, 95% CI=0.22-0.56), surgeons (OR=0.30, 95% CI=0.17-0.54), and pediatricians (OR=0.28, 95% CI=0.13-0.61) were less likely to be disciplined compared to family medicine physicians, while general practitioners (OR=2.48, 95% CI=1.24-4.95) were most likely to be disciplined. Conclusions Although only a small fraction practicing physicians is disciplined each year, an economic and public health issue persists. This study identified several predictors for disciplinary action, however, further studies are needed to better understand those at risk so effective interventions can be developed.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/20.500.12503/28769
dc.language.isoen
dc.provenance.legacyDownloads0
dc.subjectHealth and Medical Administration
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectMedical Specialties
dc.subjectMedicine and Health Sciences
dc.subjectPublic Health
dc.subjectdisciplined physicians
dc.subjectdisciplinary action
dc.subjectstate medical board
dc.subjectmalpractice
dc.subjectUnited States
dc.subjectmalpractice
dc.subjectinterventions
dc.titlePredicting for Disciplinary Action by the Texas State Board of Medical Examiners, 1989-1998
dc.typeProfessional Report
dc.type.materialtext
thesis.degree.departmentSchool of Public Health
thesis.degree.grantorUniversity of North Texas Health Science Center at Fort Worth
thesis.degree.nameMaster of Public Health

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