VUI Center for Outcomes Research, Analysis, and Evaluation, Henry Ford Health System, Detroit, MI, USA.
Public Health Sciences, Henry Ford Health System, Detroit, MI, USA.
Investig Clin Urol. 2024 Jul;65(4):411-419. doi: 10.4111/icu.20240021.
The Open Payments Program (OPP), established in 2013 under the Sunshine Act, mandated medical device and pharmaceutical manufacturers to submit records of financial incentives given to physicians for public availability. The study aims to characterize the gap in real general and real research payments between man and woman urologists.
The study sample included all urologists in the United States who received at least one general or research payment in the OPP database from 2015 to 2021. Recipients were identified using the National Provider Identifier and National Downloadable File datasets. Payments were analyzed by geography, year, payment type, and years since graduation. Multivariable analysis on odds of being in above the median in terms of money received was done with gender as a covariate. This analysis was also completed for all academic urologists.
There was a total of 15,980 urologists; 13.6% were woman, and 86.4% were man. Compared to man urologists, woman urologists were less likely to be in the top half of total payments received (odds ratio [OR] 0.62) when adjusted for other variables. When looking at academic urologists, 18.1% were woman and 81.9% were man. However, woman academic urologists were even less likely to be in the top 50% of payments received (OR 0.55).
This study is the first to characterize the difference in industry payments between man and woman urologists. The results should be utilized to educate physicians and industry, in order to achieve equitable engagement and funding for woman urologists.
开放支付计划（OPP）于 2013 年根据阳光法案成立，要求医疗器械和制药制造商提交向医生提供的财务激励记录，供公众查阅。本研究旨在描述男女泌尿科医生之间实际一般和实际研究薪酬差距。
研究样本包括在 OPP 数据库中从 2015 年到 2021 年期间收到至少一笔一般或研究付款的所有美国泌尿科医生。使用国家提供者标识符和国家可下载文件数据集识别收件人。按地理位置、年份、付款类型和毕业年限分析付款。使用性别作为协变量进行多变量分析，分析在收到的钱方面处于中位数以上的可能性。还对所有学术泌尿科医生进行了这项分析。
共有 15980 名泌尿科医生；13.6%是女性，86.4%是男性。与男性泌尿科医生相比，调整其他变量后，女性泌尿科医生收到的总付款中处于前半部分的可能性较小（优势比 [OR] 0.62）。在查看学术泌尿科医生时，18.1%是女性，81.9%是男性。然而，女性学术泌尿科医生收到的款项更不可能在前 50%之列（OR 0.55）。
这项研究是首次描述男女泌尿科医生之间行业薪酬差异的特征。结果应用于教育医生和行业，以实现对女性泌尿科医生的公平参与和资助。
