Ten-year analysis of non-research industry payments to anesthesiologists in the United States between 2014 and 2023

IF 5 2区医学 Q1 ANESTHESIOLOGY

Journal of Clinical Anesthesia Pub Date : 2025-01-11 DOI:10.1016/j.jclinane.2025.111742

Anju Murayama

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引用次数: 0

Abstract

Study objective

This study aimed to examine extent, fraction, and trends of general payments to anesthesiologists and non-physician anesthesia providers (NPAPs) in the United States.

Design

This is a cross-sectional analysis of general payments by pharmaceutical and medical device industry to all anesthesiologists (2014–2023) and NPAPs (2021−2023) for non-research purposes using the Open Payments Database, a federal transparency database under the Physician Payments Sunshine Act between 2014 and 2023.

Setting

The United States.

Participants

All active practicing anesthesiologists and NPAPs, including certified registered nurse anesthetists and anesthesiologist assistants, in the United States.

Measurements

Fraction of providers receiving non-research payments; total payment amounts; median payment amounts per provider; relative annual average percentage change from 2014 to 2023.

Main results

A total of $297.8 million general payments were made by industry to 75.4 % of all active anesthesiologists from 2014 to 2023, while $7.2 million was made to 46.8 % of NPAPs from 2021 to 2023. Median annual payments ranged from $59–$120 for anesthesiologists and $37–$38 for NPAPs. The proportion of anesthesiologists receiving payments declined at a relative annual average percentage change (RAAPC) of −2.9 % from 2014 to 2019, followed by a substantial decrease in 2020. Subsequently, the number of payment recipients increased at an RAAPC of 15.4 % (2020−2023) for anesthesiologists and 9.0 % (2021–2023) for NPAPs. Payment distribution was highly concentrated, with the top 1 % of anesthesiologists and NPAPs receiving 78.2 % and 52.5 % of total payments in 2023, respectively. Among anesthesiology subspecialties, pain medicine physicians consistently received the highest median payments ($332–$767) throughout the study period.

Conclusions

This study demonstrated large financial relationships between industry and anesthesia providers, with a disproportionate concentration of payments among a minority of providers.

查看原文本刊更多论文

2014年至2023年美国麻醉医师非研究行业支付的十年分析。

研究目的：本研究旨在调查美国麻醉师和非医师麻醉提供者（npap）的一般支付的程度、比例和趋势。设计：这是制药和医疗器械行业对所有麻醉师（2014-2023年）和npap（2021-2023年）非研究目的的一般支付的横断面分析，使用开放支付数据库，这是2014年至2023年期间根据《医生支付阳光法案》建立的联邦透明数据库。背景：美国。参与者：美国所有在职麻醉师和npap，包括注册麻醉师护士和麻醉师助理。测量：接受非研究费用的提供者的比例；付款总额；每个供应商支付金额的中位数；2014年至2023年的相对年平均百分比变化。主要结果：2014年至2023年，行业向所有活跃麻醉医师支付了2.978亿美元的一般费用，占所有活跃麻醉医师的75.4%；2021年至2023年，行业向npap支付了720万美元，占46.8%。麻醉师的平均年薪为59- 120美元，npap的平均年薪为37- 38美元。从2014年到2019年，麻醉医师获得报酬的比例以- 2.9%的相对年平均百分比变化（RAAPC）下降，随后在2020年大幅下降。随后，接受支付的人数增加，麻醉医师的RAAPC为15.4%（2020-2023年），npap为9.0%（2021-2023年）。薪酬分布高度集中，前1%的麻醉师和npap在2023年获得的薪酬分别占总薪酬的78.2%和52.5%。在麻醉学亚专科中，疼痛医学医生在整个研究期间始终获得最高的中位数报酬（332- 767美元）。结论：本研究表明，行业和麻醉提供者之间存在巨大的财务关系，支付在少数提供者之间不成比例地集中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Anesthesia 医学-麻醉学

CiteScore

7.40

自引率

4.50%

发文量

346

审稿时长

23 days

期刊介绍： The Journal of Clinical Anesthesia (JCA) addresses all aspects of anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, cost issues, and similar concerns anesthesiologists contend with daily. Exceptionally high standards of presentation and accuracy are maintained. The core of the journal is original contributions on subjects relevant to clinical practice, and rigorously peer-reviewed. Highly respected international experts have joined together to form the Editorial Board, sharing their years of experience and clinical expertise. Specialized section editors cover the various subspecialties within the field. To keep your practical clinical skills current, the journal bridges the gap between the laboratory and the clinical practice of anesthesiology and critical care to clarify how new insights can improve daily practice.