Perez Tomy Y, Chen Michelle C, Chung Paul H, Shenot Patrick J
Department of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.
Department of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.
Urology. 2019 Jan;123:53-58. doi: 10.1016/j.urology.2018.09.022. Epub 2018 Nov 2.
To examine trends in the financial relationship between biomedical companies and leaders in urologic education during the first 3 full calendar years since implementation of the Sunshine Act.
All accredited American Urological Association (AUA) residency programs were identified using the AUA website. Urology program directors and department chairs of the affiliated institutions were identified using residency program or urology department websites. Urology journal editors who practice in the United States were identified using the SCImago Journal & Country Rank website. All identified individuals were categorized by urologic subspecialty and AUA region based on information stated on their corresponding websites. Payment data for each individual from 2014 to 2016 was accessed using the Centers for Medicare and Medicaid Services Open Payments website, and statistical analyses were performed to elucidate trends based on leadership position, urologic specialty, AUA region, payment type, and overall payments over time.
Out of the 239 urologists identified, 85%, 78%, and 91% received some sort of payment in 2014, 2015, and 2016, respectively. Department chairs accepted payments more readily than program directors and journal editors in all years. Average total payments for all urologists increased yearly, with mean general payments trending down and mean research payments trending up.
The Sunshine Act was passed in part to promote transparency of the physician-industry relationship. Though the proportion of urologic leaders accepting payments between 2014 and 2016 did not change significantly, increased public scrutiny could have contributed to the decrease in yearly general payments and the increase in yearly research payments.
研究自《阳光法案》实施后的头三个完整日历年度里，生物医学公司与泌尿外科教育领域领导者之间财务关系的趋势。
通过美国泌尿外科学会（AUA）网站确定所有经认可的AUA住院医师培训项目。利用住院医师培训项目或泌尿外科部门网站确定附属机构的泌尿外科项目主任和科室主任。通过Scopus期刊与国家排名网站确定在美国执业的泌尿外科期刊编辑。根据相应网站上提供的信息，将所有确定的个人按泌尿外科亚专业和AUA地区进行分类。使用医疗保险和医疗补助服务中心公开支付网站获取每位个人2014年至2016年的支付数据，并进行统计分析以阐明基于领导职位、泌尿外科专业、AUA地区、支付类型以及随时间推移的总体支付情况的趋势。
在确定的239名泌尿外科医生中，2014年、2015年和2016年分别有85%、78%和91%的人接受了某种形式的支付。在所有年份中，科室主任比项目主任和期刊编辑更愿意接受支付。所有泌尿外科医生的平均总支付逐年增加，一般支付均值呈下降趋势，研究支付均值呈上升趋势。
《阳光法案》的通过部分是为了促进医患行业关系的透明度。尽管2014年至2016年期间接受支付的泌尿外科领导者比例没有显著变化，但公众监督的增加可能导致了年度一般支付的减少和年度研究支付的增加。
