Brigham and Women's Hospital, Department of Surgical Oncology, Boston, MA, United States.
Banner University Medical Center Phoenix, Department of Surgery, Phoenix, AZ, United States.
Am J Surg. 2018 Oct;216(4):723-729. doi: 10.1016/j.amjsurg.2018.07.031. Epub 2018 Jul 24.
Physician-industry relationships have been complex in modern medicine. Since large proportions of research, education and consulting are industry-backed, this is an important area to consider when examining gender inequality in medicine.
The Open Payments Program (OPP) database from August 2013 to December 2016 was analyzed. In order to identify physicians' genders, the OPP was matched with the National Provider Index dataset. Descriptive statistics of payments to female compared to male surgeons were obtained and stratified by payment type, subspecialty, geographic location and year.
3,925,707 transactions to 136,845 physicians were analyzed. Of them, 31,297 physicians were surgeons with an average payment per provider of $131,252 to male surgeons compared to $62,101 to female surgeons. Significantly fewer women received consultant, royalty/licensure, ownership and speaker payments. However, women received a higher average amount per surgeon compared to their male counterparts within research payments. Overall payments to women trended upwards over time.
Gender inequality still exists in medicine, and in industry-physician payments. Industry should increasingly consider engaging women in consultancies, speaking engagements, and research.
在现代医学中，医生与产业界的关系一直很复杂。由于大部分研究、教育和咨询工作都得到了产业的支持，因此在考察医学领域的性别不平等问题时，这是一个需要重点关注的领域。
分析了 2013 年 8 月至 2016 年 12 月期间的公开支付计划（OPP）数据库。为了确定医生的性别，将 OPP 与国家提供者索引数据集进行匹配。根据支付类型、亚专科、地理位置和年份，对女性外科医生与男性外科医生的支付情况进行了描述性统计，并进行了分层分析。
共分析了 136845 名医生的 3925707 笔交易。其中，31297 名外科医生的平均每位医生的支付金额为 131252 美元，男性外科医生为 131252 美元，女性外科医生为 62101 美元。女性医生获得顾问、特许权/许可、所有权和演讲费的比例明显较低。然而，在研究支付方面，女性医生的平均每位医生支付金额高于男性医生。总体而言，女性医生的支付金额呈上升趋势。
医学领域和产业与医生的支付关系中仍然存在性别不平等现象。产业界应越来越多地考虑让女性参与咨询、演讲和研究工作。
