CHARACTERISTICS OF POTENTIAL PLAINTIFFS IN MALPRACTICE LITIGATION

Objective: To characterize patients calling plaintiff attorneys' offic es and claiming to have suffered injury caused by medical negligence. Design: Telephone interviews with an inception cohort of callers to la w firms with malpractice complaints before the callers talk to attorne ys. Setting: Six law offices in five states. Participants: 502 of 730 callers over 10 randomly selected days in 1991. Measurements: Demograp hics of potential plaintiffs, types of health care providers named by callers, factors prompting calls, economic and noneconomic motivations for claims, and disposition of claims. Results: An average of 12 call s per office per day were received by law firms concerning malpractice complaints. Many factors affected patients' decisions to call: poor r elationships with providers before an injury (53%); television adverti sing by law firms (73%); explicit recommendations by health care provi ders to seek legal counsel (27%); impressions of not being kept inform ed or appropriately referred by providers; and financial concerns (for example, 36% with earned income and outstanding medical bills had bil ls equaling or exceeding 50% of their annual income, 33% were unemploy ed, and 31% lacked health insurance). One in 30 calls led to the filin g of a lawsuit. Conclusions: Calls to plaintiff law firms by patients are common, are motivated by diverse factors, represent dissatisfactio n with modern health care, and infrequently lead to lawsuits.