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APPENDIX D State and National Liability Surveys Summarized State Studies Alabama Medical Association of the State of Alabama. 1985. Survey on the availability of obstetrical care in Alabama. Montgomery. American Academy of Family Physicians, Ala bama Chapter. 1986. Survey shows few family physicians still deliver babies. News release, February 28. Montgomery. Alabama Academy of Family Physicians, 1986. A survey of family physicians providing obstetri cal care: A preliminary report. Montgomery. Arizona Gordon, R. J., G. McMullen, B. D. Weiss, and A. W. Nichols. 1987. The effect of malpractice liability on the delivery of rural obstetrical care. J. Rural Health 3:7-13. California California Medical Association. 1987. Profes sional liability issues in obstetrical practice. Socioecon. Rep. 25, nos. 6 and 7. District of Medical Society ofthe District of Columbia.1985. Columbia Untitled narrative and malpractice question na~re. Georgia Georgia Obstetrical and Gynecological Society. 1985, 1987. Manpower surveys. Atlanta. Georgia Obstetrical and Gynecological Society. 212

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APPENDIX D 213 Studies (continued) 1987 Georgia losing obstetricians News release, January 28 Atlanta Georgia Obstetrical and Gynecological Society 1987 GOGS 1987 Survey Results Atlanta Idaho Roberge, R T 1987 Chairman, Idaho Section, American College of Obstetricians and Gyne cologists Personal communications Illinois Illinois Department of Public Health 1987 Changes in availability of obstetrical services in Illinois Chicago Iowa Iowa Medical Society and Iowa Academy of Fam ily Physicians 1987 Iowa family physician survey findings West Des Moines Kansas Kansas Medical Society 1985 Professional lia bility survey Kans Med 43 Kentucky Bonham,G S 1987 SurveyofKentuckyobstetri cal practice University of Louisville, Urban Studies Center Maryland Obstetrical and Gynecological Society of Mary land 1987 Ob/Gyn Society of Maryland sur vey Baltimore Massachusetts Marcus, A H 1987 American College of Obste tricians and Gynecologists, District 1 Hano ver Personal communications OBs flee Massachusetts, citing insurance rates 1988 Washington Post January 5 Michigan Block, M 1985 Professional liability insurance and obstetrical practice Study commissioned by the Michigan State Medical Society and the American College of Obstetricians and Gyne cologists, Michigan Section Lansing Minnesota Minnesota obstetrics and gynecology practice survey summary Minneapolis Mississippi Wiygul, F M, W R Gillis, and H T Milhorn 1987 Obstetrical manpower in Mississippi: Who will deliver the babies? ~ Miss State Med Assoc 28 5-7 Crow, H E 1988 Southwest Medical Associates, Reno Personal communication (not summa rized) American College of Obstetricians and Gynecolo gists, District lI 1985 New York City Nevada New York

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214 APPENDIX D Studies (continue]) North Carolina Ohio Oregon Texas Virginia Washington West Virginia North Carolina Obstetricians and Gynecologists Liaison Committee Survey and North Carolina Academy of Family Physicians. 1986. Malprac- tice: Reforms to protect access to quality care and legal rights. Prepared by Consultation and Research, Inc. Durham Smucker, D. R. 1988. Obstetrics in family prac- tice in the state of Ohio. J. Fam. Pract. 26:165-168. Oregon Medical Association. 1987. The Impact of Malpractice Issues on Patient Care: Declining Availability of Obstetrical Services in Oregon. Portland. Texas Medical Association. 1985. Texas Liability Crisis: Patient Care Impacts. Survey conducted by Opinion Analysts, Inc. Texas Medical Association. 1986. Professional Li- ability Insurance Survey. Prepared by Opinion Analysts, Inc. Austin. Virginia Obstetrical and Gynecological Society. 1985. Report of the Medical Malpractice Sub- committee. Harrisonburg. Virginia Obstetrical and Gynecological Society. 1986. Medical Malpractice Facts in 1986. Re- port presented to the Virginia General Assem- bly. Harrisonburg. University of Washington, School of Public Health and Community Medicine. 1986. The Effects of Changes in the Medical Liability Market on Washington Obstetricians. Final Report to the Washington State Medical Asso- ciation. Seattle. Rosenblatt, R. A., and C. L. Wright. 1987. Rising malpractice premiums and obstetric practice patterns: The impact on family physicians in Washington State. Western J. Med. 146:246-248. West Virginia State Medical Association. 1985. Physican survey.

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APPENDIX D 215 National Studies American Academy of Family Physicians. 1986. The Family Physi- cian and Obstetrics: A Professional Liability Study. Kansas City, Mo. American Academy of Family Physicians. 1987. The Family Physi- cian and Obstetrics: A Professional Liability Study. Kansas City, Mo. American College of Obstetricians and Gynecologists. 1983. Profes- sional Liability Insurance and Its Effects: Report of a Survey of ACOG's Members. Washington, D.C. American College of Obstetricians and Gynecologists. 1985. Profes- sional Liability Insurance and Its Effects: Report of a Survey of ACOG's Membership. Washington, D.C. American College of Obstetricians and Gynecologists. .1988. Profes- sional Liability and Its Effects: Report of a 1987 Survey of ACOG's Membership. Washington, D.C. American College of Obstetricians and Gynecologists.1988. Hospital Survey on Obstetric Claim Frequency by Patient Payor Category. Washington, D.C. American Medical Association. 1987. Physician Characteristics and Distribution in the U.S. Chicago. Macro Systems, Inc.1986. Medical Malpractice Liability Coverage in the 1980s: Threat to Patient Access to Health Care? Final Report. Washington, D.C.