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Press Release

FOR IMMEDIATE RELEASE ON June 03, 2003

Patients Lose Access to Neurological Care, According to Survey

St. Paul, Minn. -

Liability issues have forced neurologists to make hard choices about their practices, according to the results of a Professional Medical Liability Survey recently completed by the American Medical Association and the American Academy of Neurology. Turning down complex cases, discontinuing certain services or no longer seeing patients: the practice of neurology is changing rapidly, say officials with the American Academy of Neurology, which surveyed the 403 neurologists who participated in the study. “The medical liability survey findings are evidence that legislative reform is necessary for preserving patient access to neurological care,” says Catherine M. Rydell, executive director and CEO of the American Academy of Neurology. The survey showed that among the 199 neurologists who have made at least one change in their practices over the last two years: * More than 51 percent have begun referring complex cases instead of treating them. When asked how important professional liability pressures were in making the decision to refer, 91 percent said they were “somewhat” to “very” important. * More than 33 percent have stopped providing certain services. When asked how important professional liability pressures were in making that decision, 84 percent said they were “somewhat” to “very” important. * More than 11 percent are no longer treating patients. When asked how important professional liability pressures were in their decision to stop providing patient care, 75 percent said they were “somewhat” to “very” important. Reasons cited for changing insurance companies within the last two years were insurance premium increases and insurance companies’ failure or withdrawal from the market. Medical liability insurance premiums are soaring to the highest rates since the mid-1980s. Neurologists’ mean annual premium for professional medical liability insurance coverage in 2002 was $13,800, compared with $10,200 just a year earlier. The results indicate that neurologists and patients alike are facing a medical liability crisis. The current medical liability system could impact the practice of neurology, where some lawsuits result in a small percentage of patients receiving awards while others find it more difficult to access care. The American Academy of Neurology supports the Health Act of 2003, passed by the U.S. House of Representatives in March, according to Rydell, because it prevents further patient loss of access to medical care.

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The American Academy of Neurology is the leading voice in brain health. As the world’s largest association of neurologists and neuroscience professionals with more than 44,000 members, the AAN provides access to the latest news, science and research affecting neurology for patients, caregivers, physicians and professionals alike. The AAN’s mission is to enhance member career fulfillment and promote brain health for all. A neurologist is a doctor who specializes in the diagnosis, care and treatment of brain, spinal cord and nervous system diseases such as Alzheimer's disease, stroke, concussion, epilepsy, Parkinson's disease, multiple sclerosis, headache and migraine.

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*While content of the American Academy of Neurology (AAN) press releases is developed by the AAN along with research authors and Neurology® editors, we are unable to provide medical advice to individuals. Please contact your health care provider for questions specific to your individual health history or care. For more resources, visit the AAN's patient and caregiver website, Brain & Life®.