Urology Payments from Industry in the Sunshine Act.
Urology Payments from Industry in the Sunshine Act.
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DOI：
10.1016/j.urpr.2015.12.002
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发表时间：
2016-09
期刊：
影响因子：
0.8
通讯作者：
Davies BJ
中科院分区：
文献类型：
--
作者：
Bandari J;Turner RM 2nd;Jacobs BL;Davies BJ
作为阳光法案的一部分，医疗保险和医疗补助服务中心（CMS）数据库中报告了药品和器械制造商或团体采购组织对从业人员的付款。确定这些报酬的特征是确定利益冲突和报酬对实践模式的影响（如果有的话）的必要步骤。泌尿科医生从未详细分析过付款情况。我们回顾了2015年6月30日发布的2014年全年CMS开放支付数据库。提取泌尿外科从业人员，并分析数据库的总付款数量、付款总美元价值、平均值、中位数、医生数量、制造商数量和药物/生物制剂数量。根据提供者专业、支付形式、支付性质、从业者所有权和争议状态对数据进行了进一步分类。付款总额为32 450 382美元。从业人员的报酬分配不均，中位数为15美元。大多数付款是以食品和饮料的形式支付的。女性盆腔医学从业者在提供者专业中获得的报酬最高。与中位数最大的类别差异是股票，期权和其他所有者权益（24，050美元）。所有权状况和有争议的付款与高于中位数的付款价值（分别为400美元和61美元）有关。泌尿外科从业者的行业报酬存在很大差异。这是否会影响实践模式还有待观察，尽管确定支付的分类差异是这个过程中重要的第一步。
Payments to practitioners from drug and device manufacturers or group purchasing organizations are reported in the Centers for Medicare and Medicaid Services (CMS) databases as a part of the Sunshine Act. Characterizing these payments is a necessary step to identifying conflicts of interest and the influence of payments on practice patterns, if any. Payments have never been analyzed in detail amongst Urologists. We reviewed the most recent CMS Open Payments database for the full year 2014, released on June 30, 2015. Urology practitioners were extracted and the database was analyzed for number of total payments, total dollar value of payments, mean, median, number of physicians, number of manufacturers, and number of drugs/biologicals. Data were further categorized according to provider specialty, form of payment, nature of payment, practitioner ownership, and dispute status. Payments totaled $32,450,382. Practitioner payments were unevenly distributed, with a median payment of $15. The majority of payments were in the form of food and beverage. Female pelvic medicine practitioners received the highest payments out of the provider specialties. The largest categorical difference from the median was in the form of stock, options, and other ownership interests ($24,050). Ownership status and disputed payments were associated with payment values above median values ($400 and $61, respectively). There are major disparities in industry payments to urology practitioners. Whether or not this influences practice patterns remains to be seen, though identifying categorical differences in payments is an important first step in the process.