Department of Internal Medicine, Envision Physician Services, Plantation, Florida, USA.
Department of Internal Medicine, Baptist Health Program, North Little Rock, Arkansas, USA.
Intern Med J. 2020 Dec;50(12):1547-1550. doi: 10.1111/imj.15116.
We analysed Open Payments programme data (https://openpaymentsdata.cms.gov) on industry-to-physician payments to hospitalists for the years 2014 to 2018. Payments to hospitalists increased by 106.5% from 2014 to 2018 with food and beverage (38.5%) and compensation for services other than consulting (24.3%) being the highest-paid categories. Industry payment to hospitalists was highly skewed with top 10 hospitalists receiving more than 30% of the total payments during the study period. The most common drugs associated with payments were anticoagulant medications (apixaban and rivaroxaban). Industry seems to be spending a significant amount of money to increase awareness of medications among hospitalists. Identification of these trends and potential motives of industry spending is critical to address any potential physician bias.
我们分析了 2014 年至 2018 年期间行业向医院医生支付的 Open Payments 计划数据(https://openpaymentsdata.cms.gov)。2014 年至 2018 年,向医院医生支付的款项增加了 106.5%,其中食品和饮料(38.5%)以及非咨询服务补偿(24.3%)是支付最高的类别。行业向医院医生的支付高度偏向,在研究期间,前 10 位医院医生收到的款项超过总付款的 30%。与付款相关的最常见药物是抗凝药物(阿哌沙班和利伐沙班)。行业似乎在花费大量资金来提高医院医生对药物的认识。识别这些趋势和行业支出的潜在动机对于解决任何潜在的医生偏见至关重要。