Public Awareness of and Contact With Physicians Who Receive Industry Payments: A National Survey
Public Awareness of and Contact With Physicians Who Receive Industry Payments: A National Survey
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DOI：
10.1007/s11606-017-4012-3
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发表时间：
2017-07-01
影响因子：
5.7
通讯作者：
Carpenter, Daniel
中科院分区：
文献类型：
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作者：
Pham-Kanter, Genevieve;Mello, Michelle M.;Carpenter, Daniel
《医生支付阳光法案》是《平价医疗法案》的一部分，要求制药和医疗器械公司报告他们向医生支付的款项，并通过其开放支付计划公开这些信息。为了建立美国患者人群对接受行业付款的医生的暴露估计，将这些基于人群的估计与基于医生的行业接触估计进行比较，并调查美国人对行业支付的认知度。2014年9月底和10月初进行的横断面调查，将受访者的医生数据与Open Payments数据相关联。共有3542名成年人来自一个大型的、具有全国代表性的家庭小组。受访者与Open Payments报告的医生的联系方式收到了行业支付;受访者意识到医生从行业获得报酬，并且报酬信息是公开的;受访者对自己的医生是否收到行业付款的了解。在1987名可以与特定医生匹配的受访者中，65%的医生在过去12个月内接受过行业付款。这一基于人群的行业接触暴露估计值远高于同期基于医生的估计值，这表明41%的医生接受了行业支付。在六个最常访问的专业中，患者与接受过行业付款的医生的接触率为60%至85%;这些专业中与行业接触的医生比例要低得多（35%至56%）。只有12%的受访者知道支付信息是公开的，只有5%的人知道他们自己的医生是否收到了付款。患者与接受行业付款的医生的联系比基于医生的行业联系措施所建议的更为普遍。很少有美国人知道他们自己的医生是否收到了行业付款，或者知道付款信息是公开的。
The Physician Payments Sunshine Act, part of the Affordable Care Act, requires pharmaceutical and medical device firms to report payments they make to physicians and, through its Open Payments program, makes this information publicly available.To establish estimates of the exposure of the American patient population to physicians who accept industry payments, to compare these population-based estimates to physician-based estimates of industry contact, and to investigate Americans' awareness of industry payments.Cross-sectional survey conducted in late September and early October 2014, with data linkage of respondents' physicians to Open Payments data.A total of 3542 adults drawn from a large, nationally representative household panel.Respondents' contact with physicians reported in Open Payments to have received industry payments; respondents' awareness that physicians receive payments from industry and that payment information is publicly available; respondents' knowledge of whether their own physician received industry payments.Among the 1987 respondents who could be matched to a specific physician, 65% saw a physician who had received an industry payment during the previous 12 months. This population-based estimate of exposure to industry contact is much higher than physician-based estimates from the same period, which indicate that 41% of physicians received an industry payment. Across the six most frequently visited specialties, patient contact with physicians who had received an industry payment ranged from 60 to 85%; the percentage of physicians with industry contact in these specialties was much lower (35-56%). Only 12% of survey respondents knew that payment information was publicly available, and only 5% knew whether their own doctor had received payments.Patients' contact with physicians who receive industry payments is more prevalent than physician-based measures of industry contact would suggest. Very few Americans know whether their own doctor has received industry payments or are aware that payment information is publicly available.