Tohoku University School of Medicine, Sendai, Japan.
Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Clin Pediatr (Phila). 2024 Oct;63(9):1308-1317. doi: 10.1177/00099228231218850. Epub 2023 Dec 15.
Financial relationships between physicians and the health care industry sometimes lead to conflicts of interest and need to be properly managed. Using the Open Payments Database between 2013 and 2021, this cross-sectional analysis examined the industry payments made to physicians whose primary specialty was pediatrics. Descriptive analyses were performed for the payment data overall and other pediatrician demographics. Of 99 764 eligible pediatricians, 59 984 (60.1%) received a total of $297 million (12.8%) in general and $2 billion in research payments over the 9 years. Median 9-year per-physician payments were $288 (interquartile range [IQR]: $88-$958) in general and $65 343 (IQR: $16 763-$255 208) in research payments. Male pediatricians were 1.06 (95% CI: 1.05-1.09, < .001) and 1.56 (95% CI: 1.49-1.65, < .001) times more likely to receive general and associated research payments than female pediatricians, respectively. The number of pediatricians receiving general payments annually decreased by 1.5% (95% CI: -1.7% to -1.4%, < .001).
医生与医疗保健行业之间的财务关系有时会导致利益冲突，需要妥善管理。本横断面分析使用了 2013 年至 2021 年的开放支付数据库，研究了主要专业为儿科的医生所获得的行业支付情况。对支付数据的总体情况和其他儿科医生的人口统计学特征进行了描述性分析。在 99764 名符合条件的儿科医生中，59984 名（60.1%）在 9 年中总共收到了 2.97 亿美元（12.8%）的一般支付和 20 亿美元的研究支付。9 年期间每位医生的中位数支付额为 288 美元（四分位距[IQR]：88-958 美元）的一般支付和 65343 美元（IQR：16763-255208 美元）的研究支付。男性儿科医生分别是女性儿科医生的 1.06 倍（95%CI：1.05-1.09，<0.001）和 1.56 倍（95%CI：1.49-1.65，<0.001），更有可能获得一般支付和相关研究支付。每年接受一般支付的儿科医生数量减少了 1.5%（95%CI：-1.7%至-1.4%，<0.001）。
