Morehouse School of Medicine, Atlanta, GA.
Pritzker School of Medicine, University of Chicago, Chicago, IL.
Urology. 2023 Oct;180:121-129. doi: 10.1016/j.urology.2023.06.032. Epub 2023 Jul 29.
To compare industry payments from drug and medical device companies to urologists and urologic advanced practice providers (APPs) in 2021.
We used the 2020 Medicare Data on Provider Practice and Specialty file to identify single-specialty urology practices, defined as those where the majority of physicians were urologists. We then used the Open Payments Program Year 2021 data to summarize the value and number of industry payments to urologists and APPs, including nurse practitioners and physician assistants, in these practices. We calculated the total value and number of payments and median total value and number of payments per provider for urologists and urologic APPs.
We identified 4418 urologists and 1099 APPs working in single-specialty urology practices in 2021 (Table 1). Of these, 3646 (87%) urologists received at least one industry payment, totaling $14,755,003 from 116,039 payments, and 954 urologic APPs (87%) received at least one industry payment, including 463 nurse practitioners (85%), totaling $401,283 from 13,035 payments, and 491 physician assistants (89%), totaling $543,429 from 14,626 payments. We observed significantly greater median total value and number of payments per provider for urologists ($620 and 24 payments) compared to urologic APPs ($473 and 21 payments; P < .001 and P = .017, respectively).
A similar percentage of urologists and urologic APPs received industry payments in 2021. While urologists received a higher total number and total value of payments in 2021, urologic APPs were a common target of industry marketing payments.
比较 2021 年制药和医疗器械公司向泌尿科医生和泌尿科高级实践提供者（APP）支付的行业款项。
我们使用 2020 年 Medicare 关于医生执业和专业的文件，确定了单一专业泌尿科医生执业，定义为大多数医生为泌尿科医生的执业。然后，我们使用公开支付计划 2021 年的数据，总结这些执业中泌尿科医生和 APP（包括护士从业者和医师助理）的行业支付的价值和数量。我们计算了泌尿科医生和泌尿科 APP 的总支付价值和数量以及每位医生的平均总支付价值和数量。
我们确定了 2021 年在单一专业泌尿科医生执业中工作的 4418 名泌尿科医生和 1099 名 APP（表 1）。其中，3646 名（87%）泌尿科医生收到了至少一笔行业支付，共收到来自 116039 笔支付的 14755003 美元，954 名泌尿科 APP（87%）收到了至少一笔行业支付，包括 463 名护士从业者（85%），共收到来自 13035 笔支付的 401283 美元，以及 491 名医师助理（89%），共收到来自 14626 笔支付的 543429 美元。我们观察到泌尿科医生的中位总支付价值和每位医生的支付数量明显更高（分别为 620 美元和 24 笔支付），而泌尿科 APP（分别为 473 美元和 21 笔支付）（P<.001 和 P=.017）。
2021 年，相似比例的泌尿科医生和泌尿科 APP 收到了行业支付。虽然泌尿科医生在 2021 年收到了更高的总支付数量和总支付价值，但泌尿科 APP 是行业营销支付的常见目标。
