Department of Radiology and Biomedical Imaging, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, CT 06520-8042 (M.K., S.P., H.P.F., A.M.).
Harvard Medical School, Boston, Massachusetts (A.Z.).
Acad Radiol. 2023 Dec;30(12):3056-3063. doi: 10.1016/j.acra.2023.04.020. Epub 2023 May 18.
The frequency, magnitude, and distribution of industry payments to radiologists are not well understood.
The aim of this study was to analyze the distribution of industry payments to physicians working in diagnostic radiology, interventional radiology, and radiation oncology, study the categories of payments and determine their correlation.
The Open Payments Database from the Centers for Medicare & Medicaid Services was accessed and analyzed for the period from January 1, 2016 to December 31, 2020. Payments were grouped into six categories: consulting fees, education, gifts, research, speaker fees, and royalties/ownership. The total amount and types of industry payments going to the top 5% group were determined overall and for each category of payment.
From 2016 to 2020, a total of 513 020 payments, amounting to $370 782 608, were made to 28 739 radiologists suggesting that approximately 70% of the 41 000 radiologists in the US received at least one industry payment during the 5-year period. The median payment value was $27 (IQR: $15-$120) and the median number of payments per physician over the 5-year period was 4 (IQR: 1-13). Gifts were the most frequent payment type made (76.4%), but accounted for only 4.8% of payment value. The median total value of payments earned by members of the top 5% group over the 5-year period was $58 878 (IQR: $29 686-$162 425) ($11 776 per year) compared to $172 (IQR: $49-877) ($34 per year) in the bottom 95% group. Members of the top 5% group received a median of 67 (IQR: 26-147) individual payments (13 payments per year) while members of the bottom 95% group received a median of 3 (IQR: 1-11) (0.6 payments per year).
Between 2016 and 2020, industry payments to radiologists were highly concentrated both in terms of number/frequency and value of payments.
放射科医生接受的行业支付的频率、幅度和分布情况尚不清楚。
本研究旨在分析 2016 年 1 月 1 日至 2020 年 12 月 31 日期间从事诊断放射学、介入放射学和放射肿瘤学的医生的行业支付分布情况，研究支付类别并确定其相关性。
访问了医疗保险和医疗补助服务中心的公开支付数据库，并对其进行了分析。支付款项分为六类：咨询费、教育、礼物、研究、演讲费和版税/所有权。确定了 2016 年至 2020 年期间，向排名前 5%的医生群体支付的总金额和各类款项的支付类型。
2016 年至 2020 年，共向 28739 名放射科医生支付了 513020 笔款项，共计 37078.208 万美元，这表明在 5 年期间，美国约 70%的 41000 名放射科医生至少收到过一笔行业支付。中位数支付价值为 27 美元（IQR：15-120 美元），每位医生在 5 年内的中位数支付次数为 4 次（IQR：1-13 次）。礼物是最常见的支付类型（占 76.4%），但仅占支付价值的 4.8%。在 5 年期间，排名前 5%的医生群体获得的支付总额中位数为 58878 美元（IQR：29686-162425 美元）（每年 11776 美元），而排名后 95%的医生群体的支付总额中位数为 172 美元（IQR：49-877 美元）（每年 34 美元）。排名前 5%的医生群体中位数收到 67 笔（IQR：26-147 笔）个人支付（每年 13 笔），而排名后 95%的医生群体中位数收到 3 笔（IQR：1-11 笔）（每年 0.6 笔）。
2016 年至 2020 年期间，放射科医生的行业支付在数量/频率和支付金额方面都高度集中。
