富人越来越富有:在开放支付中的马修效应
Caitlyn Tomblin1, Rongzhi Wang2, Jessica McMullin2
1UAB Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A; Department of Surgery, Northeast Georgia Medical Center, Gainesville, Georgia.
The Journal of surgical research
|October 15, 2023
概括
排名更高的医学院获得了更多的行业支付,证明了医疗保健中的马修效应. 国家卫生研究院的资金与这些付款没有相关性.
科学领域:
- 卫生政策 卫生政策
- 医学经济学 医学经济学
- 学术医学 学术医学
背景情况:
- 马修效应描述了优势如何积累,影响财富和认可.
- "医生支付阳光法案"要求对医疗保健提供者和附属医院的行业支付进行公开披露.
- 现有的排名,如美国新闻和世界报道 (USNWR) 的医学院和蓝医学研究所 (BRIMR) 的NIH资金存在.
研究的目的:
- 调查行业向医学院附属医院支付的费用与USNWR和BRIMR对这些医院的排名之间的关系.
- 为了确定更高的社会地位和NIH资金是否与增加的行业支持相关.
主要方法:
- 对2021财年开放支付数据库 (OPD) 的横截面分析.
- 收集的医院行业支付数据 (一般和研究) 和NIH资金数据.
- 用统计测试和多变量线性回归来比较排名前50名学校 (USNWR和BRIMR) 的开放支付与未排名的学校.
主要成果:
- 与未排名的学校相比,BRIMR排名前50名的学校的中位数总支付,研究和一般开放支付显著更高.
- 在USNWR排名前50名的学校中,总支付,研究和一般开放支付的中位数也显著上升.
- 独立的USNWR排名预测了更高的总和研究开放支付,但不是一般支付. BRIMR排名没有预测任何类别的开放支付.
结论:
- 医学院附属医院的开放支付与其社会声誉和USNWR排名有关.
- 国家卫生研究院的资金水平与行业支付无关.
- 有证据表明,Matthew效应存在于工业对医学院附属医院的支付中.
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