1 Yale University School of Medicine, New Haven, Connecticut, USA.
2 Department of Surgery (Otolaryngology), Yale University School of Medicine, New Haven, Connecticut, USA.
Otolaryngol Head Neck Surg. 2018 Jun;158(6):1028-1034. doi: 10.1177/0194599818758661. Epub 2018 Feb 13.
Objective To characterize, describe, and compare nonresearch industry payments made to otolaryngologists in 2014 and 2015. Additionally, to describe industry payment variation within otolaryngology and among other surgical specialties. Study Design Retrospective cross-sectional database analysis. Setting Open Payments Database. Subjects and Methods Nonresearch payments made to US otolaryngologists were characterized and compared by payment amount, nature of payment, sponsor, and census region between 2014 and 2015. Payments in otolaryngology were compared with those in other surgical specialties. Results From 2014 to 2015, there was an increase in the number of compensated otolaryngologists (7903 vs 7946) and in the mean payment per compensated otolaryngologist ($1096 vs $1242), as well as a decrease in the median payment per compensated otolaryngologist ($169 vs $165, P = .274). Approximately 90% of total payments made in both years were attributed to food and beverage. Northeast census region otolaryngologists received the highest median payment in 2014 and 2015. Compared with other surgical specialists, otolaryngologists received the lowest mean payment in 2014 and 2015 and the second-lowest and lowest median payment in 2014 and 2015, respectively. Conclusion The increase in the mean payment and number of compensated otolaryngologists can be explained by normal annual variation, stronger industry-otolaryngologist relationships, or improved reporting; additional years of data and improved public awareness of the Sunshine Act will facilitate determining long-term trends. The large change in disparity between the mean and median from 2014 to 2015 suggests greater payment variation. Otolaryngologists continue to demonstrate limited industry ties when compared with other surgical specialists.
描述和比较 2014 年和 2015 年向耳鼻喉科医生支付的非研究性行业款项，分析其特征。此外，还描述了耳鼻喉科和其他外科专业领域内的行业支付差异。
回顾性横截面数据库分析。
开放支付数据库。
按支付金额、支付性质、赞助商和普查区域对美国耳鼻喉科医生的非研究性支付进行特征描述和比较，并将耳鼻喉科的支付与其他外科专业的支付进行比较。
从 2014 年到 2015 年，补偿耳鼻喉科医生的人数（7903 人比 7946 人）和每位补偿耳鼻喉科医生的平均支付额（1096 美元比 1242 美元）均有所增加，而每位补偿耳鼻喉科医生的中位数支付额（169 美元比 165 美元，P =.274）则有所下降。这两年中，约 90%的总支付款项都归因于食品和饮料。2014 年和 2015 年，东北地区的耳鼻喉科医生获得的中位数支付最高。与其他外科专业相比，耳鼻喉科医生在 2014 年和 2015 年的平均支付额最低，中位数支付额在 2014 年和 2015 年分别位列第二和最低。
平均支付额和补偿耳鼻喉科医生人数的增加，可以用正常的年度变化、更紧密的行业与耳鼻喉科医生的关系或改进的报告来解释；需要更多年份的数据和提高公众对阳光法案的认识，以方便确定长期趋势。2014 年至 2015 年期间，平均值和中位数之间的巨大差异表明支付差异更大。与其他外科专业相比，耳鼻喉科医生的行业关联仍然有限。
