Department of Anesthesiology, University of Minnesota, Minneapolis, Minnesota, USA.
Department of Anesthesiology, University of Arizona, Tucson, Arizona, USA.
Pain Med. 2021 Jun 4;22(6):1376-1386. doi: 10.1093/pm/pnaa450.
To analyze industry payments to pain medicine physicians in the United States.
Retrospective cohort study using publicly available databases.
The study includes U.S. pain medicine physicians (PMPs) with reports in the Open Payments program from 2013 to 2018.
The Centers for Medicare and Medicaid Services Open Payments program was analyzed for general, investment, and ownership payments to PMPs reported from 2013 to 2018. The nature, type, and geographic variation of payments were analyzed.
The main findings of the study are as follows: 1) Payments made to PMPs constituted a small proportion of the payments made to all physicians in the United States, and the number of transactions and the total dollar amount seem to have decreased from 2016 to 2018. 2) The median number of payments among physicians with reported payments was around 4 (interquartile range: 18), and the majority of them were under $20. 3) The majority of payments were for in-kind items and services (85%) and were made for food and beverages (91%), travel and lodging (5.5%). 4) Some of the ownership and investment interest payments exceeded $500,000. 5) The top five drugs associated with physician payments included medications with opioids. 6) A very small minority of payments were made for entertainment or gifts. 7) A third of PMPs with reports had payments reported under more than one taxonomy.
Overall payments made to PMPs seem to be decreasing since 2016. The majority of the payments are made for the food, beverage, and travel categories. Public and physician awareness of the Open Payments system reports is essential to promote transparency and to minimize adverse effects of financial relationships on patient care.
分析美国疼痛医学医师的行业薪酬。
使用公开数据库进行回顾性队列研究。
本研究纳入了 2013 年至 2018 年在公开支付计划中报告的美国疼痛医学医师（PMP）。
分析了医疗保险和医疗补助服务中心公开支付计划中向 PMP 支付的一般、投资和所有权款项，分析了款项的性质、类型和地域差异。
本研究的主要发现如下：1）向 PMP 支付的款项在向美国所有医生支付的款项中占比很小，且从 2016 年到 2018 年，交易数量和总金额似乎有所减少。2）有报告支付的医生中，中位数支付数约为 4（四分位间距：18），其中大多数低于 20 美元。3）大部分款项是实物和服务（85%），主要是食品和饮料（91%）、旅行和住宿（5.5%）。4）一些所有权和投资利息支付超过 500,000 美元。5）与医师支付相关的前五种药物包括含阿片类药物的药物。6）极少数的款项用于娱乐或礼物。7）有报告的 PMP 中，有三分之一的人有多个分类下的报告支付。
自 2016 年以来，向 PMP 支付的款项似乎总体呈下降趋势。大部分款项用于食品、饮料和旅行类别。公众和医生对公开支付系统报告的认识对于提高透明度和最大限度地减少财务关系对患者护理的不利影响至关重要。
