2015年に医療従事者に支払われた報酬の種類と分布

Kathryn R Tringale¹, Deborah Marshall², Tim K Mackey³

¹University of California, San Diego School of Medicine, La Jolla.

JAMA

|May 3, 2017

まとめ

2015年にはアメリカの医師の半数近くが業界から24億ドルの支払いを受けています外科医と男性医師は医療における金銭的利益の衝突を強調してより高い報酬を受け取る傾向がありました

科学分野:

健康経済
医学の倫理
医療費に関する研究

背景:

医療における金銭的利益相反は厳しく検討されています
医療業界が医師に支払っている金額を理解することは透明性と倫理的な実践に不可欠です

研究の目的:

2015年に米国の医師に支給された医療費の種類と分布を分析する.
専門医の性別と医療費の支払いの関連を調査する

主な方法:

2015年オープン・ペイメントのデータを利用した,人口をベースにした研究です.
分析には93万3,295人の米国の医師が含まれており,専門職 (外科,初等医療,専門医,介入医) と性別を比較した.
地理的なメディケア支出と単独経営に調整した回帰モデルです.

主要な成果:

医療従事者の約48%は 2015年に24億ドルの支払いを受けています
外科の専門医は医療従事者に比べて高い確率で高い平均報酬を得ています
すべての専門分野における男性医師は,女性医師と比較して,一般およびロイヤリティ/ライセンスの支払いを受ける確率が高かった.

結論:

2015年には医療従事者の半数近くが専門分野と性別によって高い報酬を得ています
医療における金融関係と潜在的な利害相反の有無を強調している.
患者のケアと医療費に対するこれらの支払い分配の影響を調べるため,さらなる研究が必要である.

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