Disclosure of Industry Payments to Physicians: An Epidemiologic Analysis of Early Data From the Open Payments Program
Disclosure of Industry Payments to Physicians: An Epidemiologic Analysis of Early Data From the Open Payments Program
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DOI：
10.1016/j.mayocp.2015.10.016
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发表时间：
2016-01-01
影响因子：
8.9
通讯作者：
Hattangadi-Gluth, Jona A.
中科院分区：
文献类型：
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作者：
Marshall, Deborah C.;Jackson, Madeleine E.;Hattangadi-Gluth, Jona A.
医疗保险和医疗补助服务中心的开放式付款计划实施了《平价医疗法案》6002节，该条款要求医疗产品制造商报告向医生或教学医院支付的款项，以及医生在制造商中持有的所有权或投资权益。为了确定这些按专业划分的行业支付的特征和分布，我们分析了Open Payments公开披露的2013年8月1日至2013年12月31日之间的医生支付。我们使用皮尔逊CHI(2)检验和Kruskal-Wallis检验比较了不同专科类型(内科、外科和其他)之间以及每种类型内不同专科之间的支付。收到付款的医生数量与2012年每个专科的活跃医生总数进行了比较。我们还分析了医生的所有权利益。对抗疗法和骨科医生收到了243万笔付款，总额为4.75亿美元。一般付款占总金额(4.3亿美元)的90%(每位医生的中位数，100美元；四分位数范围[IQR]，31-273美元；平均+/-SD，+/-23,766美元)，其余10%(4,500万美元)作为研究付款(中位数，2,365美元；IQR，592-8,550美元；平均+/-SD，12,880+/-66,743美元)。最有可能收到一般付款的医生是心血管专家(78%)和神经外科医生(77%)；最不可能收到付款的是病理学家(9%)。报告实体的所有权权益报告包括3.1亿美元的投资金额和2093名医生持有的4.47亿美元的权益价值。总而言之，在Open Payments报告的前半年，不同专业向医生支付的行业报酬的分布和特点差异很大。(C)2016年梅奥医学教育和研究基金会
The Centers for Medicare and Medicaid Services' Open Payments program implements Section 6002 of the Affordable Care Act requiring medical product manufacturers to report payments made to physicians or teaching hospitals as well as ownership or investment interests held by physicians in the manufacturer. To determine the characteristics and distribution of these industry payments by specialty, we analyzed physician payments made between August 1, 2013, and December 31, 2013, that were publicly disclosed by Open Payments. We compared payments between specialty types (medical, surgical, and other) and across specialties within each type using the Pearson chi(2) test and the Kruskal-Wallis test. The number of physicians receiving payments was compared with the total number of active physicians in each specialty in 2012. We also analyzed physician ownership interests. Allopathic and osteopathic physicians received 2.43 million payments totaling $475 million. General payments represented 90% of payments by total value ($430 million) (per-physician median, $100; interquartile range [IQR], $31-$273; mean +/- SD, $1407 +/- $23,766), with the remaining 10% ($45 million) as research payments (median, $2365; IQR, $592-$8550; mean +/- SD, $12,880 +/- $66,743). Physicians most likely to receive general payments were cardiovascular specialists (78%) and neurosurgeons (77%); those least likely were pathologists (9%). Reports of ownership interest in reporting entities included $310 million in dollar amount invested and $447 million in value of interest held by 2093 physicians. In conclusion, the distribution and characteristics of industry payments to physicians varied widely by specialty during the first half-year of Open Payments reporting. (C) 2016 Mayo Foundation for Medical Education and Research