不被要求的患者投诉和行业支付给美国医生
Yong Hyun Park1,2, Henry John Domenico3, Zhuo Tony Su1
1James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
JAMA network open
|August 5, 2025
概括
有更多患者投诉的医生更有可能接受行业支付. 这凸显了利益冲突管理的必要性,以保持医生的专业性和患者的信任.
科学领域:
- 医疗专业精神和医疗道德
- 医生与行业的关系
- 患者倡导和安全.
背景情况:
- 医生的专业精神包括患者福利和利益冲突管理.
- 患者投诉和行业支付之间的关系尚未得到充分理解.
- 了解这种相互作用对于保持信任和道德实践至关重要.
研究的目的:
- 调查未经要求的患者投诉 (PARS指数) 与接受行业支付之间的联系.
- 为了确定更高的支付金额是否与患者投诉增加有关.
主要方法:
- 对近72,000名美国医生 (2015-2020年) 的回顾性横截面研究.
- 链接患者倡导报告系统 (PARS) 数据与开放支付计划数据.
- 分析了使用顺序回归的PARS指数得分的一般行业支付 (任何数额和每年>5000美元).
主要成果:
- 43.1%的医生收到了未经要求的患者投诉 (较高的PARS指数得分).
- 较高的PARS指数得分与接受更高的行业支付有显著的关联.
- 帕斯指数分数≥51的医生接受重大行业支付的几率是1.69倍.
结论:
- 患者投诉率较高的医生更有可能接受行业支付.
- 这种关联表明潜在的利益冲突可能会影响患者的福利.
- 强调医疗实践中强有力的利益冲突管理至关重要.
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