Characteristics of physicians receiving large payments from pharmaceutical companies and the accuracy of their disclosures in publications: an observational study.

Characteristics of physicians receiving large payments from pharmaceutical companies and the accuracy of their disclosures in publications: an observational study.
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DOI:
10.1186/1472-6939-13-24
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发表时间:
2012-09-26
期刊:
影响因子:
2.7
通讯作者:
Fu R
Fu R
中科院分区:
人文科学2区
文献类型:
--
作者:
Norris SL;Holmer HK;Ogden LA;Burda BU;Fu R

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医生和行业之间的财务关系是广泛的,现在正在发生行业支付医生的公开报告。我们的目标是描述医生从这七家公司的大总额支付收件人,并检查这些支付和作者的并发出版物中的利益冲突(COI)披露之间的差异。调查性新闻组织ProPublica根据2009年至2010年期间七家美国制药公司的公开数据编制了支付给个人的美元数据库。我们检查了该数据库中的373名医生,他们在2009年至2010年的报告期内每人获得了10万美元或更多。在此期间,这些医生共收到52 600 624美元(平均每位医生141 020美元)。主要的专科是内科和精神病学。其中147名医生在2011年第一季度共撰写了134篇出版物,其中77%(103篇)的出版物提供了COI披露。103份出版物中有69%没有披露美元换现金数据库中列出的付款情况。随着越来越多的公开报道行业支付给医生,很明显,大量的钱被支付给咨询和同伴教育等服务。在超过三分之二的提供COI披露的出版物中,医生作者的披露不包括记录在Dollars for Dollars数据库中的行业支付。
Financial relationships between physicians and industry are extensive and public reporting of industry payments to physicians is now occurring. Our objectives were to describe physician recipients of large total payments from these seven companies, and to examine discrepancies between these payments and conflict of interest (COI) disclosures in authors’ concurrent publications. The investigative journalism organization, ProPublica, compiled the Dollars for Docs database of payments to individuals from publically available data from seven US pharmaceutical companies during the period 2009 to 2010. We examined the cohort of 373 physicians in this database who each received USD $100,000 or more in the reporting period 2009 to 2010. These physicians received a total of $52,600,624 during this period (mean payment per physician $141,020). The predominant specialties were internal medicine and psychiatry. 147 of these physicians authored a total of 134 publications in the first quarter of 2011 and 77% (103) of these publications provided a COI disclosure. 69% of the 103 publications did not contain disclosures of the payment listed in the Dollars for Docs database. With increased public reporting of industry payments to physicians, it is apparent that large sums are being paid for services such as consulting and peer education. In over two-thirds of publications where COI disclosures were provided, the disclosures by physician authors did not include industry payments that were documented in the Dollars for Docs database.
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