Stephen J. Spurr

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This paper considers how the decision to enter advanced practice nursing (e.g., the occupations of nurse practitioner, certified nurse-midwife, nurse anesthetist, and clinical nurse specialist) is affected by State laws on the scope of practice of APNs. We find that enrollments in APN programs are 30 percent higher in States where APNs have a high level of(More)
Using nationally representative data from the United States, this paper analyzed the effect of a state’s medical malpractice environment on referral visits received by specialist physicians. The analytic sample included 12,839 ambulatory visits to specialist care doctors in office-based settings in the United States during 2003–2007. Whether the patient was(More)
Department of Economics, Wayne State University, Detroit MI 48202, USA Department of Sociology, Wayne State University, Detroit, MI 48202, USA Department of Economics, Oakland University, Rochester MI 48309, USA Department of Mathematics and Statistics, Memorial University of Newfoundland, St. John's Newfoundland, Canada The Journal of Mental Health Policy(More)
This paper analyses a case in censored failure time data problems where some observations are potentially censored. The traditional models for failure time data implicitly assume that the censoring status for each observation is deterministic. Therefore, they cannot be applied directly to the potentially censored data. We propose an estimator that uses(More)
We analyzed the factors determining the amount of the recovery on claims based on medical malpractice. Our data set, which previously was not explored, consists of 20,428 claims arising within Michigan that were closed between 1978 and 1990. During this period, major changes were made in the law governing malpractice litigation. We determine the effect of(More)
This article examines the features of a labor market in which there are two professional groups that both cooperate and directly compete with each other: certified registered nurse anesthetists (CRNAs) and anesthesiologists (MDAs). We examine how the relative numbers of these two types of anesthesia providers, and differences in regulation, affect the(More)
This paper analyzes the effect on medical malpractice litigation of the quality of the medical care provided by the defendant. Our data set includes measures of the quality of the defendant’s medical care. We explore the extent to which information about care quality or negligence is incorporated in three evaluations of the plaintiff’s claim, each based on(More)
  • S J Spurr
  • Journal of health politics, policy and law
  • 1993
During the last decade there have been enormous advances in the transplantation of vital human organs--in particular, the kidney, lung, heart, liver, pancreas, and small intestine. Unfortunately, efforts to provide the benefits of these operations to patients have been severely hindered by limitations in the supply of organs--limitations that are a(More)
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