Harvey H Benjamin, Alkasab Tarik K, Pandharipande Pari V, Halpern Elkan F, Prabhakar Anand M, Oklu Rahmi, Rosenthal Daniel I, Hirsch Joshua A, Gazelle G Scott, Brink James A
Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
J Am Coll Radiol. 2015 Nov;12(11):1142-50. doi: 10.1016/j.jacr.2015.04.017. Epub 2015 Aug 1.
To evaluate non-research-related, physician-industry financial relationships in the United States, in 2013, as reported pursuant to the Physician Payments Sunshine Act (a provision of the Affordable Care Act).
In September 2014, CMS released the first five months (August 2013 to December 2013) of data disclosing physician-industry financial relationships. The frequency and value of non-research-related transfers in radiology were calculated and compared with those for 19 other specialties. Subanalyses of the frequency and value of such transfers in radiology were performed, based on state of licensure, radiologic subspecialty, nature of payment, manufacturer identity, and drug or device involved.
A total of 7.4% (2,654 of 35,768) of radiologists from the United States had reportable non-research-related financial relationship(s) with industry during the 5-month period, the second-lowest level among the medical specialties evaluated. The average value of non-research-related transfers of value to radiologists, excluding royalties and licenses, was low ($438.71; SD: $2,912.15; median: $43.85), with <4% of radiologists receiving >$10 per month. Of all categories, that of food and beverage had the most transfers of value (86.0%; 5,655 of 6,577); royalties and licensure were associated with the greatest average value ($27,072.34; SD: $67,524.92). Although high-value relationships were rare, 57.8% (26 of 45) of radiologists who received a value >$1,000 per month held leadership positions in imaging enterprises.
Less than 4% of radiologists have non-research-related financial relationships with industry that are valued at >$10 per month, suggesting that meaningful, deleterious effects of such relationships on radiology practice, if present, are infrequent.
根据《医生薪酬阳光法案》（《平价医疗法案》的一项条款）的要求，评估2013年美国医生与行业之间非研究相关的财务关系。
2014年9月，美国医疗保险和医疗补助服务中心（CMS）公布了披露医生与行业财务关系的前五个月（2013年8月至2013年12月）的数据。计算了放射学中非研究相关转移支付的频率和价值，并与其他19个专业进行了比较。基于执业许可州、放射学亚专业、支付性质、制造商身份以及所涉及的药品或设备，对放射学中此类转移支付的频率和价值进行了亚组分析。
在这5个月期间，美国共有7.4%（35768名中的2654名）放射科医生与行业存在可报告的非研究相关财务关系，在评估的医学专业中处于第二低水平。排除版税和许可费后，向放射科医生进行的非研究相关价值转移的平均值较低（438.71美元；标准差：2912.15美元；中位数：43.85美元），每月收入超过10美元的放射科医生不到4%。在所有类别中，食品和饮料类的价值转移最多（86.0%；6577项中的5655项）；版税和许可费的平均价值最高（27072.34美元；标准差：67524.92美元）。虽然高价值关系很少见，但每月收入超过1000美元的放射科医生中有57.8%（45名中的26名）在影像企业担任领导职务。
不到4%的放射科医生与行业存在每月价值超过10美元的非研究相关财务关系，这表明此类关系对放射学实践若有重大有害影响，也是很少见的。
