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Delays in medical malpractice litigation in civil law jurisdictions: some evidence from the Italian Court of Cassation

Published online by Cambridge University Press:  29 January 2013

Veronica Grembi
Affiliation:
Department of Economics, Catholic University of Milan
Nuno Garoupa*
Affiliation:
Professor of Law, University of Illinois College of Law, Champaign, IL, USA
*
*Correspondence to: Professor Nuno Garoupa, University of Illinois College of Law, 504 E Pennsylvania Avenue, Champaign, IL 61820, USA. Email: [email protected]

Abstract

Medical malpractice law and tort reform are contentious issues. In this paper, we focus on Italy as an example of a civil law jurisdiction. Italian medical malpractice law is essentially judge-made law. However, its effectiveness is likely to be curtailed by excessive delays in litigation. Several reforms have been enacted since the late 1980s to correct this situation. By making use of the decisions of the Italian Court of Cassation (which have shaped medical malpractice law) from 1970 to 2009, we show that these reforms had no general statistically significant impact on delays. Recent reduction of delays does not seem to be related to legal reforms but rather explained by other factors.

Type
Articles
Copyright
Copyright © Cambridge University Press 2013 

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References

Alpa, G.Zeno-Zencovich, V. (2007), Italian Private Law, Oxford: Cavendish Publishing.Google Scholar
Baker, T. (2005), The Medical Malpractice Myth, Chicago: University of Chicago Press.Google Scholar
Baicker, K., Chandra, A. (2006), The Effect of Malpractice Liability on the Delivery of Health Care. Forum for Health Economics and Policy: Frontiers in Health Policy Research 8, article 4.Google Scholar
Boari, N. (1997), ‘On the efficiency of penal systems: several lessons from the Italian experience’, International Review of Law and Economics, 17: 115126.Google Scholar
Breda, R. (2004), ‘Regimi di tutela e presupposti applicativi: contratto o Responsabilità Civile?’, in G. Comandè and G. Turchetti (eds), La Responsabilità Sanitaria. Valutazione del Rischio e Assicurazione, Padova: Cedam, 2329.Google Scholar
Burau, V., Wilsford, D.France, G. (2009), ‘Reforming medical governance in Europe. What is it about institutions?’, Health Economics, Policy and Law, 4: 265281.Google Scholar
Cleves, M., Gould, W., Gutierrez, R.Marchenko, Y. (2008), An Introduction to Survival Analysis Using Stata, 2nd edition, College Station: Stata Press.Google Scholar
Comandè, G.Turchetti, G. (eds) (2004), La Responsabilità Sanitaria. Valutazione del Rischio e Assicurazione, Padova: Cedam.Google Scholar
Cooter, R. D.Rubinfeld, D. L. (1989), ‘Economic analysis of legal disputes and their resolution’, Journal of Economic Literature, 27: 10671097.Google Scholar
Danzon, P. M. (2000), ‘Liability for medical malpractice’, in A. J. Culyer and J. P. Newhouse (eds), Handbook of Health Economics, Amsterdam, New York: Elsevier, 13391404.Google Scholar
Danzon, P. M.Lillard, L. A. (1983), ‘Settlement out of court: the disposition of medical malpractice claims’, Journal of Legal Studies, 12: 345377.Google Scholar
Danzon, P. M., Epstein, A. J., Johnson, S. J. (2004), ‘The ‘Crisis’ in Medical Malpractice Insurance’, Brookings-Wharton Papers on Financial Services.Google Scholar
De Matteis, R. (1995), La Responsabilità Medica. Un Sottosistema della Responsabilità Civile, Padova: Cedam.Google Scholar
De Matteis, R. (2005), ‘La Responsabilità Medica a una Svolta?’, Danno e Responsabilità, 10: 3443.Google Scholar
Dubay, L., Kaestner, R.Waidmann, T. (1999), ‘The impact of malpractice fears on cesarean section rates’, Journal of Health Economics, 18: 491522.Google Scholar
Dubay, L., Kaestner, R.Waidmann, T. (2001), ‘Medical malpractice liability and its effects on prenatal care utilization and infant health’, Journal of Health Economics, 20: 591611.Google Scholar
Faber, H. S.White, M. J. (1991), ‘Medical malpractice: an empirical examination of the litigation process’, RAND Journal of Economics, 22: 199217.Google Scholar
Farber, H.White, M. (1994), ‘A comparison of formal and informal dispute resolution in medical malpractice’, Journal of Legal Studies, 23: 777806.Google Scholar
Fenn, P.Rickman, N. (1999), ‘Delay and settlement in litigation’, Economic Journal, 109: 476491.Google Scholar
Fenn, P., Gray, A.Rickman, N. (2007), ‘Liability, insurance and medical practice’, Journal of Health Economics, 26: 10571070.Google Scholar
Filkestein, M. O., Levin, B., McKeague, I. W.Tsai, W. Y. (2006), ‘A note on the censoring problem in empirical case-outcome studies’, Journal of Empirical Legal Studies, 3: 375395.Google Scholar
Fiori, A., Bottone, E.D'Alessandro, E. (2000), Quarant'anni di Giurisprudenza della Cassazione nella Responsabilità Medica, Milano: Giuffrè.Google Scholar
Fon, V.Parisi, F. (2006), ‘Judicial precedents in civil law systems: a dynamic analysis’, International Review of Law and Economics, 26: 519535.Google Scholar
Fournier, G. M.Zuehlke, T. W. (1989), ‘Litigation and settlement: an empirical approach’, Review of Economics and Statistics, 71: 189195.Google Scholar
Fournier, G. M.Zuehlke, T. (1996), ‘The timing of out-of-court settlement’, RAND Journal of Economics, 27: 310321.Google Scholar
Giardina, F. (1993), Responsabilità Contrattuale ed Extracontrattuale. Significato Attuale di Una Distinzione Tradizionale, Milano: Giuffrè.Google Scholar
Grembi, V. (2005), ‘Una Riflessione tra Economia e Diritto sulla Malpractice Medica: i Casi di Stati Uniti e Italia’, Mercato Concorrenza e Regole, 7: 453479.Google Scholar
Grande, E. (2000), ‘Italian criminal justice: borrowing and resistance’, American Journal of Comparative Law, 48: 227259.Google Scholar
Helland, E.Showalter, M. H. (2009), ‘The impact of liability on the physician labor market’, Journal of Law and Economics, 52: 635663.Google Scholar
Hosmer, D. W.Lemeshow, S. (1999), Applied Survival Analysis: Regression Modeling of Time to Event Data, New York: Wiley and Sons.Google Scholar
Hughes, J. W.Savoca, E. (1997), ‘Measuring the effect of legal reforms on the longevity of medical malpractice claims’, International Review of Law and Economics, 17: 261273.Google Scholar
Hughes, J. W.Savoca, E. (1999), ‘Accounting for censoring in duration data: an application to estimating the effect of legal reforms on the duration of medical malpractice disputes’, Journal of Applied Statistics, 26: 219228.Google Scholar
Hyman, D. A.Silver, C. (2006), ‘Medical malpractice litigation and tort reform: it's the incentives, stupid’, Vanderbilt Law Review, 59: 10851136.Google Scholar
Izzo, U. (2005), ‘Il Tramonto di un «Sottosistema» della r.c.: la Responsabilità Medica nel Quadro della Recente Evoluzione Giurisprudenziale’, Danno e Responsabilità, 10: 130152.Google Scholar
Jenkins, S. P. (1995), ‘Easy estimation methods for discrete-time duration models’, Oxford Bulletin of Economics and Statistics, 57: 757782.Google Scholar
Jones, A. M. (2007), Applied Econometrics for Health Economists – A Practical Guide, 2nd edition, Oxford-Seattle: Radcliff.Google Scholar
Kessler, D. (1996), ‘Institutional causes of delay in the settlement of legal disputes’, Journal of Law, Economics, and Organisation, 12: 432460.Google Scholar
Kessler, D.McClellan, M. (1996), ‘Do doctors practice defensive medicine?’, Quarterly Journal of Economics, 111: 353390.Google Scholar
Kessler, D.McClellan, M. (2002a), ‘Malpractice law and health care reform: optimal liability policy in an era of managed care’, Journal of Public Economics, 84: 175197.Google Scholar
Kessler, D.McClellan, M. (2002b), ‘How liability laws affect medical productivity’, Journal of Health Economics, 21: 931955.Google Scholar
Klick, J.Stratmann, T. (2007), ‘Medical malpractice reform and physicians in high-risk specialties’, Journal of Legal Studies, 36: S121S142.Google Scholar
Leape, L. L.Berwick, D. M. (2005), ‘Five years after to err is human: What have we learned?’, Journal of American Medical Association,, 293: 23842390.Google Scholar
Mandrioli, C. (2004), Diritto Processuale Civile Vol. II. Il Processo di Cognizione. 15th edition, Torino: Giappichelli.Google Scholar
Marchesi, D. (2003), Litiganti, Avvocati e Magistrati. Diritto e Economia del Processo Civile, Il Bologna: Mulino.Google Scholar
Matsa, D. A. (2007), ‘Does malpractice liability keep the doctor away? Evidence from tort reform damage caps’, Journal of Legal Studies, 36: S143S182.Google Scholar
Mello, M. M., Studdert, D. M.Brennan, T. A. (2003), ‘The new medical malpractice crisis’, New England Journal of Medicine, 348: 22812284.Google Scholar
Ministero della Giustizia (2000), La Durata dei Procedimenti Civili in Italia. Quinta Conferenza Nazionale di Statistica .Google Scholar
Ministero della Giustizia (2001), L'evoluzione delle Rilevazioni Statistiche in Materia Penale e i Rapporti con l'informarizzazione degli Uffici Giudiziari.Google Scholar
Narandranathan, W.Stewart, M. (1993), ‘Modelling the probability of leaving unemployment: competing risk models with flexible base-line hazards’, Applied Statistics, 42: 6383.Google Scholar
Pellegrini, S. (2005), Il Processo Civile e la Civile Giustizia, Padova: Cedam.Google Scholar
Proto Pisani, A (2002), Lezioni di Diritto Processuale Civile, 4th edition, Napoli: Jovene editore.Google Scholar
Quinn, R. (1998), ‘Medical malpractice insurance: the reputation effect and defense medicine’, Journal of Risk and Insurance, 65: 467484.Google Scholar
Rottenberg, S. (ed.) (1977), The Economics of Medical Malpractice, Washington, DC: American Enterprise Institute for Public Policy Research.Google Scholar
Sage, W. M. (2003), ‘Understanding the first malpractice crisis of the 21th century’, in A. Gosfield (ed.), Health Law Handbook, WestGroup, Thomson West, 3162.Google Scholar
Shavell, S. (1995), ‘The appeals process as a means of error correction’, Journal of Legal Studies, 24: 379426.Google Scholar
Shavell, S. (2004), Foundations of Economic Analysis of Law, Cambridge: Harvard University Press.Google Scholar
Siracusano, D., Galati, A., Tranchina, G., Zappala, E. (2004), Manuale di Procedura Penale, Milano: Giuffrè.Google Scholar
Taruffo, M. (ed.) (2000), Le Riforme della Giustizia Civile, 2nd edition, Torino: Utet.Google Scholar
Towse, A.Danzon, P. M. (1999), ‘Medical negligence and the NHS: an economic analysis’, Health Economics, 8: 93101.Google Scholar
Varano, V. (1997), ‘Civil procedure reform in Italy’, American Journal of Comparative Law, 45: 657674.Google Scholar
Watkin, T. G. (1997), The Italian Legal Tradition, Aldershot: Dartmouth Publishing Company Limited.Google Scholar
Woolridge, J. M. (2002), Econometric Analysis of Cross Section and Panel Data, Cambridge: MIT Press.Google Scholar