2015年工业部门向医生支付的类型和分配
Kathryn R Tringale1, Deborah Marshall2, Tim K Mackey3
1University of California, San Diego School of Medicine, La Jolla.
JAMA
|May 3, 2017
概括
在2015年, 几乎一半的美国医生收到了24亿美元的行业支付. 医生和男性医生更容易获得更高的薪水,
科学领域:
- 健康经济学
- 医学伦理
- 医生支付研究
背景情况:
- 医疗保健领域的金融利益冲突受到越来越严格的审查.
- 了解行业对医生的付款对于透明度和道德实践至关重要.
研究的目的:
- 分析2015年美国医生行业支付的类型和分布.
- 调查医生专业,性别和工业支付的相关性.
主要方法:
- 一项以人口为基础的回顾性研究,利用2015年开放支付数据.
- 分析包括933,295名美国医生,比较不同专业 (手术,初级保健,专家,干预专家) 和性别的付款收据.
- 根据医疗保险支出和个人经营情况调整后的回归模型.
主要成果:
- 大约48%的医生在2015年获得了24亿美元的行业支付,主要是一般支付.
- 与初级保健医生相比, 外科专业的医生有更高的可能性和更高的平均付款价值.
- 与女性医生相比,所有专业的男性医生获得一般和版权/许可金的几率更高.
结论:
- 在2015年,近一半的美国医生收到实质性的行业支付, 基于专业和性别的显著差异.
- 调查结果强调了医疗保健行业的金融关系和潜在利益冲突的普遍性.
- 需要进一步研究这些支付分配对患者护理和医疗费用的影响.
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