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居民在培训期间收到的行业支付
Sean O Hogan1, Kenji Yamazaki1, Yuezhou Jing2
1Accreditation Council for Graduate Medical Education, Chicago, Illinois.
JAMA network open
|October 16, 2023
概括
接受行业支付的医疗住院人员受到其专业,机构所有权和项目总监行为的影响. 营利性机构和外科专业的接受率较高,突出了医学教育中的潜在利益冲突.
科学领域:
- 医学教育 医学教育
- 职业身份的形成 职业身份的形成
- 利益冲突 利益冲突
背景情况:
- 医疗教育的利益相关者,包括专业,机构和项目主管 (PD),影响学员的专业身份.
- 潜在的利益冲突来自于行业向居民支付的款项.
研究的目的:
- 确定培训环境因素与居民接受制药和医疗器械公司支付的程度的相关性.
- 研究专业,机构所有权和PD行为与居民接受行业支付之间的关联.
主要方法:
- 在初级保健 (内科,家庭医学,产科/妇科) 和外科 (整体外科,骨科,泌尿器科) 专业的住院医生的横截面,回顾性研究 (2020-2021年).
- 分析使用修改Poisson回归来评估相对风险的开放支付计划 (OPP) 数据.
- 检查的专业,赞助机构所有权 (非营利性,营利性,政府) 和PD付款接受.
主要成果:
- 65,992名居民中的13.4%获得了390万美元的行业支付.
- 与联邦机构相比,营利性机构的居民接受支付的可能性是3.50倍,非营利性机构的可能性是2.00倍.
- 与内部医学相比,在骨科 (3.21x),泌尿病 (2.95x),整体外科 (1.21x) 和妇产科医生 (1.30x) 专业中观察到支付接受的风险增加.
结论:
- 居民对行业支付的接受与其专业,机构隶属以及项目总监与行业的互动有很大关系.
- 调查结果强调了培训环境对居民潜在利益冲突的影响.
- 专业和机构结构在塑造居民对行业融资的参与方面发挥着重要作用.
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