对制药公司向记忆中心医生开放支付的横截面分析
1Division of Geriatric Medicine, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Journal of the American Geriatrics Society
|December 13, 2024
概括
记忆诊所的大多数医生收到最低的行业支付,尽管神经科医生更有可能收到它们. 阿尔茨海默氏症药物制造商的支付,如lecanemab和donanemab,是显著的.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 医疗保健经济学 医疗保健经济学
背景情况:
- 反粉样类单克隆抗体代表了阿尔茨海默病 (AD) 治疗的重大进展.
- 参与这些治疗的医生和制药公司之间的财务关系在很大程度上仍未得到审查.
研究的目的:
- 在记忆诊所的医生中调查潜在的财务利益冲突 (COI).
- 量化治疗阿尔茨海默病的医生收到的行业支付.
主要方法:
- 对顶级医院内存诊所的医生开放支付 (2020-2023) 数据的横截面分析.
- 确定了医生专业和抽象的一般行业支付,包括来自lecanemab和donanemab制造商的支付.
主要成果:
- 分析了31个记忆诊所的244名医生;神经科医生组成了最大的群体.
- 大多数医生收到低或没有一般行业支付;神经病学家收到支付的可能性最高 (23%收到≥1000美元).
- 来自Biogen,Eisai和Eli Lilly and Company/Lilly USA的支付占了所有一般支付的51%.
结论:
- 大多数记忆诊所医生与行业的财务关系很小.
- 与精神病医生和老年医生相比,神经病学家更频繁地接受行业支付.
- 实质性的支付来源于抗粉样蛋白疗法的主要制造商,这需要进一步调查处方模式.
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