医生工业支付与ICD植入器件选择之间的关联
Amarnath R Annapureddy1,2, Shady Henien3, Yongfei Wang1,2
1Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut.
接受医疗器械公司支付的医生更有可能植入这些公司的设备. 这项研究强调了选择心脏转换器-除器 (ICD) 和心脏再同步治疗-除器 (CRT-D) 的潜在利益冲突.
科学领域:
- 心脏病学
- 医疗设备行业
- 医疗经济学
背景情况:
- 工业对医生的支付可能会影响医疗器械的选择.
- 了解这种关联对于患者护理和医疗保健政策至关重要.
研究的目的:
- 检查设备制造商向医生支付的费用与心脏转换器-除器 (ICD) 或心脏再同步治疗-除器 (CRT-D) 设备的选择之间的关联.
主要方法:
- 跨界研究将国家心血管数据注册表数据与开放支付计划数据 (2016-2018) 联系起来.
- 首次接受ICD/CRT-D植入物的患者根据制造商向植入医生支付的最大费用进行分类.
- 对每个制造商的预期流行率进行了比较.
主要成果:
- 在进行ICD/CRT-D植入的医生中,有94%的医生得到了制造商的支付.
- 患者更有可能从制造商那里获得设备,
- 在所有制造商中,比例使用率超过预期的14.5%至30.6%.
结论:
- 大部分ICD/CRT-D植入的医生接受行业支付.
- 设备的选择似乎与医生和制造商之间的财务关系有关,这表明潜在的利益冲突.
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