行业支付给临床医生的实践水平集群
Max J Hyman1, Micah T Prochaska1,2, Parth K Modi3
1The Center for Health and the Social Sciences, Department of Medicine, The University of Chicago, Chicago, Illinois, USA.
医疗行业对临床医生的支付集中在医疗实践中,分布不均. 这种聚类表明,实践在管理金融利益冲突方面发挥着作用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学经济学 医学经济学
- 医生付款分析 医生付款分析
背景情况:
- 制药/医疗器械行业与临床医生之间的财务关系很常见.
- 了解这些支付的分配模式对于评估潜在的利益冲突至关重要.
研究的目的:
- 调查行业对临床医生的支付是否在医疗实践层面聚类.
- 量化实践层面对付款收到,价值和数量进行集群的程度.
主要方法:
- 在2021年向医疗保险B部分收费的临床医生进行横截面研究.
- 利用医疗保险数据将临床医生与实践联系起来,以及对行业支付的开放支付数据.
- 采用混合效应线性回归来分析实践水平的集群.
主要成果:
- 近一半的临床医生在2021年获得了行业支付.
- 在医疗实践层面观察到支付收款 (24.8%),总价值 (36.8%) 和支付数量 (60.5%) 的显著聚类.
- 在分析中控制了临床医生的性别,年龄,城市,州,专业和实践规模.
结论:
- 医疗行业对临床医生的支付在医疗实践中被强烈聚集在一起.
- 医疗实践似乎在行业和临床医生之间的财务关系中发挥着重要作用.
- 需要进一步的研究来探索该实践在促进行业和临床医生的金融利益冲突方面的作用.
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