Lee Kevin C, Chuang Sung-Kiang, Jazayeri Hossein E, Koch Alia, Eisig Sidney B
Resident, Section of Hospital Dentistry, Division of Oral and Maxillofacial Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, Columbia University College of Dental Medicine, New York, NY.
Clinical Professor, Department of Oral and Maxillofacial Surgery, University of Pennsylvania, Philadelphia, PA; Private Practice, Brockton Oral and Maxillofacial Surgery, Brockton, MA; Department of Oral and Maxillofacial Surgery, Good Samaritan Medical Center, Brockton, MA.
J Oral Maxillofac Surg. 2019 Apr;77(4):676-684. doi: 10.1016/j.joms.2018.11.022. Epub 2018 Nov 30.
The purpose of this study was to characterize the sources, amounts, and nature of general industry payments to oral and maxillofacial surgeons (OMSs).
The Open Payments database was searched from August 2013 to December 2017 for all general payments made to OMSs. For each payment, data were recorded regarding the date, value, paying organization, and nature of the payment. Analyses of variance were performed to compare payment amount per surgeon, number of payments per surgeon, and amount per payment across payment years.
Overall, there were 112,448 payments totaling $28,644,063.20. Although, on average each year, 69% of OMSs received at least 1 payment, the top 10% of earners accounted for 89% ($25,607,781) of all payments. Each OMS received a median total of $93.75 (interquartile range, $33 to $263) and an average of $1,109.68 (SD, $14,297; range, $2-$2,250,345) per year. The mean payment value was $254.73 (SD, $2,727; range, $0.01-$548,126) compared with a median of $28.90 (interquartile range, $15-$82). Most payments were in the form of food and beverage (72%); however, the most dollars were spent on consulting fees ($5,594,087; 20%). From 2014 to 2016, significant decreases occurred in the payment amounts (P < .01) and number of payments (P < .01) per surgeon, as well as the value of each payment (P < .01).
Although OMSs receive a substantial amount of industry payments, the overall figure is driven by a small percentage of top earners. Most individual payments were of nominal value, and their effect on clinical practice remains to be seen.
本研究旨在描述普通行业向口腔颌面外科医生（OMS）支付款项的来源、金额及性质。
检索2013年8月至2017年12月的公开支付数据库，获取向OMS支付的所有普通款项。对于每笔款项，记录日期、金额、支付机构及款项性质等数据。进行方差分析以比较不同支付年份每位外科医生的支付金额、支付笔数及每笔款项金额。
总体而言，共有112,448笔款项，总计28,644,063.20美元。虽然平均每年有69%的OMS至少收到1笔款项，但收入最高的10%的医生占所有款项的89%（25,607,781美元）。每位OMS每年收到的款项中位数为93.75美元（四分位间距为33美元至263美元），平均为1,109.68美元（标准差为14,297美元；范围为2美元至2,250,345美元）。每笔款项的平均价值为254.73美元（标准差为2,727美元；范围为0.01美元至548,126美元），而中位数为28.90美元（四分位间距为15美元至82美元）。大多数款项为食品和饮料形式（72%）；然而，支出金额最高的是咨询费（5,594,087美元；20%）。从2014年到2016年，每位外科医生的支付金额（P <.01）、支付笔数（P <.01）以及每笔款项的价值（P <.01）均显著下降。
虽然OMS收到大量行业款项，但总体数字由一小部分高收入者驱动。大多数单笔款项价值不大，其对临床实践的影响尚待观察。
