A national survey of physician-industry relationships
A national survey of physician-industry relationships
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DOI：
10.1056/nejmsa064508
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发表时间：
2007-04-26
影响因子：
158.5
通讯作者：
Blumenthal, David
中科院分区：
文献类型：
--
作者：
Campbell, Eric G.;Gruen, Russell L.;Blumenthal, David
背景：近年来，医生与制药、医疗器械和其他医疗相关行业之间的关系受到了相当大的关注。我们对医生进行了调查，以收集他们与行业的财务关联以及预测这些关联的因素的信息。方法：我们在2003年底和2004年初对全国6个专科（麻醉科、心脏病科、家庭科、普外科、内科和儿科）的3167名医生进行了调查。该概率样本的原始回复率为52%，加权回复率为58%。结果：大多数医生（94%）报告了与制药行业的某种关系，其中大多数关系涉及在工作场所接收食品（83%）或接收药物样品（78%）。超过三分之一的应答者（35%）获得了与专业会议或继续医学教育有关的费用报销，超过四分之一（28%）的应答者获得了咨询、演讲或招募患者参加试验的费用报销。心脏病专家获得报酬的可能性是家庭医生的两倍多。家庭医生比其他专业的医生更频繁地会见行业代表，而单独、两人或集体执业的医生比在医院和诊所执业的医生更频繁地会见行业代表。结论：本次全国调查结果表明，医生与行业之间的关系是普遍的，并强调了这种关系在不同的专业，实践类型和专业活动之间的差异。
BACKGROUND:Relationships between physicians and pharmaceutical, medical device, and other medically related industries have received considerable attention in recent years. We surveyed physicians to collect information about their financial associations with industry and the factors that predict those associations.METHODS:We conducted a national survey of 3167 physicians in six specialties (anesthesiology, cardiology, family practice, general surgery, internal medicine, and pediatrics) in late 2003 and early 2004. The raw response rate for this probability sample was 52%, and the weighted response rate was 58%.RESULTS:Most physicians (94%) reported some type of relationship with the pharmaceutical industry, and most of these relationships involved receiving food in the workplace (83%) or receiving drug samples (78%). More than one third of the respondents (35%) received reimbursement for costs associated with professional meetings or continuing medical education, and more than one quarter (28%) received payments for consulting, giving lectures, or enrolling patients in trials. Cardiologists were more than twice as likely as family practitioners to receive payments. Family practitioners met more frequently with industry representatives than did physicians in other specialties, and physicians in solo, two-person, or group practices met more frequently with industry representatives than did physicians practicing in hospitals and clinics.CONCLUSIONS:The results of this national survey indicate that relationships between physicians and industry are common and underscore the variation among such relationships according to specialty, practice type, and professional activities.