Differences in Clinical Activity and Medicare Payments for Female vs Male Ophthalmologists
Differences in Clinical Activity and Medicare Payments for Female vs Male Ophthalmologists
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DOI：
10.1001/jamaophthalmol.2016.5399
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发表时间：
2017-03-01
影响因子：
8.1
通讯作者：
Thorne, Jennifer E.
中科院分区：
文献类型：
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作者：
Reddy, Ashvini K.;Bounds, Gregory W.;Thorne, Jennifer E.
重要的是，从事眼科工作的妇女人数正在增加。目的研究医疗保险和医疗补助服务中心（CMS）向眼科医生报销的费用是否因性别而异，以及差异如何与临床活动的差异相关。设计，设置和参与者回顾性回顾2012年1月1日至12月31日支付给眼科医生的CMS数据库。2013.分析日期为2016年2月1日至5月30日。在排除J和Q代码后，对个体眼科医生的总支付和收费次数进行了分析。平均值进行了比较，使用一个单一的t检验，和中位数进行了比较，由非参数Wilcoxon秩和检验。主要结局和措施Primary outcome measures是平均值和中位数CMS支付男性和女性眼科医生在门诊，非设施为基础的设置。次要结果指标包括男性和女性提交的指控数量以及男性和女性最常提交的指控类型。（3078名女性[19.1%]和13033名男性[80.9%]），2013年有16179名眼科医生（3206名女性[19.8%]和12973名男性[80.2%]）。2012年，女性眼科医生的平均收入为0.58美元（95%CI，0.54- 0.62美元; P
IMPORTANCE The number of women in ophthalmology is rising. Little is known about their clinical activity and collections.OBJECTIVE To examine whether charges, as reflected in reimbursements from the Centers for Medicare & Medicaid Services (CMS) to ophthalmologists, differ by sex and how disparity relates to differences in clinical activity.DESIGN, SETTING, AND PARTICIPANTS Retrospective review of the CMS database for payments to ophthalmologists from January 1, 2012, through December 31, 2013. The dates of the analysis were February 1 through May 30, 2016. After exclusion of J and Q codes, the total payments to and the number of charges by individual ophthalmologists were analyzed. The mean values were compared using a single t test, and the medians were compared by the nonparametric Wilcoxon rank sum test.MAIN OUTCOMES AND MEASURES Primary outcome measureswere the mean and median CMS payments to male and female ophthalmologists in outpatient, non-facility-based settings. Secondary outcome measures included the number of charges submitted by men and women and the types of charges most commonly submitted by men and women.RESULTS This study included 16 111 ophthalmologists (3078 women [19.1%] and 13 033 men [80.9%]) in 2012 and 16 179 ophthalmologists (3206 women [19.8%] and 12 973 men [80.2%]) in 2013. In 2012, the average female ophthalmologist collected $ 0.58 (95% CI, $ 0.54-$ 0.62; P