Examination of Industry Payments to Radiation Oncologists in 2014 Using the Centers for Medicare and Medicaid Services Open Payments Database
Examination of Industry Payments to Radiation Oncologists in 2014 Using the Centers for Medicare and Medicaid Services Open Payments Database
复制标题
DOI：
10.1016/j.ijrobp.2015.09.004
复制
发表时间：
2016-01-01
影响因子：
7
通讯作者：
Yu, James B.
中科院分区：
文献类型：
--
作者：
Jairam, Vikram;Yu, James B.
目的：使用医疗保险和医疗补助服务中心开放支付数据库来描述向放射肿瘤科医生支付的费用，并将他们的支付情况与内科和外科肿瘤科医生的支付情况进行比较。方法和材料：访问 2015 年 6 月发布的开放支付数据库，其中包含 2014 年向医生支付的所有费用。使用通用支付数据集进行分析。获取并比较了向内科、外科和放射肿瘤科医生支付的费用数据。在放射肿瘤学领域，确定了有关支付类别、赞助和地理分布的数据。按提供者和交易计算包括平均值、中值、范围和总和在内的基本统计数据。结果：在 3 个肿瘤学专业中，放射肿瘤学的受偿医生比例最小（58%），每个提供者的平均付款（1620 美元）和中值（112 美元）最低。肿瘤外科获得报酬的医生比例最高（84%），而肿瘤内科的每位医生的平均报酬（6371 美元）和中位数（448 美元）最高。在放射肿瘤学领域，非咨询服务为医生带来的收入最多（1,042,556 美元），而大多数赞助商是医疗器械公司（52%）。西方的放射肿瘤学家接受的资金是美国人口普查地区中最多的（2,041,603 美元）。结论：2014 年，放射肿瘤学家从行业获得了大量付款，尽管少于内科或外科同行。随着开放支付数据库的不断完善，这些信息是否会被患者用来告知医疗服务提供者的选择，或被立法者用来制定规范医生与行业关系的政策，还有待观察。 (C) 2016 Elsevier Inc. 保留所有权利。
Purpose: To use the Centers for Medicare and Medicaid Services Open Payments database to characterize payments made to radiation oncologists and compare their payment profile with that of medical and surgical oncologists.Methods and Materials: The June 2015 release of the Open Payments database was accessed, containing all payments made to physicians in 2014. The general payments dataset was used for analysis. Data on payments made to medical, surgical, and radiation oncologists was obtained and compared. Within radiation oncology, data regarding payment category, sponsorship, and geographic distribution were identified. Basic statistics including mean, median, range, and sum were calculated by provider and by transaction.Results: Among the 3 oncologic specialties, radiation oncology had the smallest proportion (58%) of compensated physicians and the lowest mean ($1620) and median ($112) payment per provider. Surgical oncology had the highest proportion (84%) of compensated physicians, whereas medical oncology had the highest mean ($6371) and median ($448) payment per physician. Within radiation oncology, non-consulting services accounted for the most money to physicians ($1,042,556), whereas the majority of the sponsors were medical device companies (52%). Radiation oncologists in the West accepted the most money ($2,041,603) of any US Census region.Conclusions: Radiation oncologists in 2014 received a large number of payments from industry, although less than their medical or surgical counterparts. As the Open Payments database continues to be improved, it remains to be seen whether this information will be used by patients to inform choice of providers or by lawmakers to enact policy regulating physician-industry relationships. (C) 2016 Elsevier Inc. All rights reserved.