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Exploring the Industry-Dermatologist Financial Relationship: Insight From the Open Payment Data
Hao Feng1, Paula Wu2, Marie Leger3
1The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York.
JAMA Dermatology
|October 6, 2016
Summary
Dermatologists received over $34 million from industry, with top earners receiving the vast majority. Speaker, consulting, and research fees constituted the largest payment categories, primarily from pharmaceutical companies.
Area of Science:
- Dermatology
- Medical Economics
- Pharmaceutical Industry
Background:
- Clinicians have significant ties with industry.
- Characteristics of industry payments to dermatologists are not well understood.
Purpose of the Study:
- To analyze the nature and extent of industry payments received by dermatologists.
Main Methods:
- Retrospective review of the Centers for Medicare and Medicaid Services (CMS) Sunshine Act Open Payment database.
- Analysis of general and research payments made to dermatologists by companies with government-reimbursed products.
Main Results:
- 8,333 dermatologists received over 208,000 payments totaling more than $34 million.
- Top 10% of dermatologists received 90% of total payments; top 1% received 44%.
- Speaker fees, consulting fees, and research payments comprised nearly 70% of the total payment amount, with pharmaceutical manufacturers being the primary source.
Conclusions:
- Dermatologists receive substantial payments from the pharmaceutical industry, varying widely in nature and amount.
- The impact of these industry payments on patient care, practice patterns, and patient perception remains unclear.
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