泌尿科医生与工业之间的金融关系:对开放支付数据的分析
Mahir Maruf1, Abhinav Sidana1, William Fleischman2,3
1Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Urology practice
|June 10, 2023
概括
2014年,近75%的美国泌尿科医生接受了行业支付. 这些支付,通常是个别较小的,与医疗保险D部分处方的增加相关,尽管因果关系尚不清楚.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生经济学 卫生经济学
- 医学伦理 医学伦理
背景情况:
- 开放支付计划提高了医生与行业财务关系的透明度.
- 本研究分析了泌尿科医生与美国医疗器械/制药行业之间的非研究金融联系.
研究的目的:
- 检查泌尿科医生与产业之间的财务关系的性质和程度.
- 调查行业支付和医生处方模式之间的相关性.
主要方法:
- 来自CMS的2014年开放支付数据的描述性分析.
- 按泌尿器科药物和器械类别计算支付总额.
- 支付与医疗保险D部分处方数据之间的相关性分析.
主要成果:
- 超过232,000笔总额为3240万美元的支付给了8618名泌尿科医生 (73.6%的美国泌尿科医生).
- 虽然大多数个人支付不到20美元,但82%的泌尿科医生收到超过100美元.
- 行业支付频率与医疗保险D部分处方 (r=0.726,p=0.005) 和索赔 (r=0.755,p=0.003) 有正相关.
结论:
- 2014年,近75%的美国泌尿科医生收到了非研究行业支付,主要是演讲费.
- 对于大多数收款人来说,总支付超过了100美元,尽管大多数个人支付很小.
- 支付和处方之间存在正相关性,但混因素阻止建立因果关系.
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