行业与介入放射医师的关系：谁是高付费医生？

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology Pub Date : 2024-07-24 DOI:10.1067/j.cpradiol.2024.07.020

Chris Lee , Mihir Khunte B.S. , Kyle Tegtmeyer MD , Dheeman Futela MD , Suryansh Bajaj MBBS , Seyedmehdi Payabvash MD , Dheeraj Gandhi MD, FACR , Ajay Malhotra MD, MMM, FACR

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引用次数: 0

摘要

目的：研究介入放射科医师在5年（2017-2021年）期间一般行业收入超过10万美元的特征。方法对Open Payments数据库进行查询，以确定在2017年至2021年的5年期间获得超过10万美元咨询费、演讲费、教育费和/或礼物的介入放射科医生。使用国家提供者标识注册表、Scopus和基于网络的搜索来确定医生的特征，如人口统计学、研究概况、领导职位和社交媒体存在。结果从2017-2021年，125名介入放射科医生在咨询费、演讲费、教育和礼品方面的累计支付超过10万美元。对于这部分医生，累积支付价值中位数（IQR）为214,380美元（141,812 - 383,740美元），总支付价值为4,000万美元。虽然收入最高的医生只占美国所有行业支付的介入放射科医生的3%(125/4272)，但总支付价值占所有介入放射科医生总支付价值的66%（40,039,610.08美元/ 60,859,025美元）。47%（59/125）的人担任教员职务，30%（37/125）的人担任医院领导职务。22%（27/125）是临床实践指南的作者，18%（23/125）在期刊编委会任职，12%（15/125）在专业协会领导职位。Castle Connolly认为26%（32/125）的人是顶级医生。在近5年发表研究的96%（120/125）中，h指数中位数（IQR）为17（7-31）。38%（48/125）的人在Twitter上存在，卡戴珊指数中位数（IQR）为2.03（0.48-6.16）。结论一小部分介入放射科医师从药品和医疗器械公司获得高额报酬。这些医生是各自领域的领导者，在医院、研究、协会和社交媒体上都有影响力。需要进一步的工作来了解这些支付的集中如何影响临床实践和政策的决定。

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Industry relationships with interventional radiologists: Who are the high payment physicians?

Purpose

To identify characteristics of interventional radiologists receiving more than $100,000 in general industry payments over a 5-year period (2017-2021).

Methods

The Open Payments database was queried to identify interventional radiologists who received more than $100,000 in consulting fees, speaker fees, education, and/or gifts over a 5-year period from 2017 to 2021. The national provider identifier registry, Scopus, and a web-based search were used to identify physician characteristics, such as demographics, research profile, leadership positions, and social media presence.

Results

From 2017-2021, 125 interventional radiologists received cumulative payments greater than $100,000 in consulting fees, speaker fees, education, and gifts. For this subset of physicians, the median (IQR) cumulative payment value was $214,380 ($141,812 - $383,740), and the total payment value was $40 million. While the highest-paid subset of physicians represented only 3 % (125/4272) of all US interventional radiologists paid by industry, the total payment value represented 66 % ($40,039,610.08/$60,859,025) of the total payment value among all interventional radiologists. 47 % (59/125) had faculty appointments and 30 % (37/125) had hospital leadership positions. 22 % (27/125) were clinical practice guideline authors, while 18 % (23/125) served on journal editorial boards and 12 % (15/125) had positions in specialty association leadership. Castle Connolly recognized 26 % (32/125) as top doctors. Among the 96 % (120/125) with published research in the past 5 years, the median (IQR) H-index was 17 (7-31). 38 % (48/125) had a presence on Twitter with a median (IQR) Kardashian index of 2.03 (0.48-6.16).

Conclusion

A small subset of interventional radiologists receive large payments from drug and medical device companies. These physicians are leaders in their field with influence in hospitals, research, associations, and social media. Further work is needed to understand how the concentration of these payments affects decisions in clinical practice and policy.

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来源期刊

Current Problems in Diagnostic Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

3.00

自引率

0.00%

发文量

113

审稿时长

46 days

期刊介绍： Current Problems in Diagnostic Radiology covers important and controversial topics in radiology. Each issue presents important viewpoints from leading radiologists. High-quality reproductions of radiographs, CT scans, MR images, and sonograms clearly depict what is being described in each article. Also included are valuable updates relevant to other areas of practice, such as medical-legal issues or archiving systems. With new multi-topic format and image-intensive style, Current Problems in Diagnostic Radiology offers an outstanding, time-saving investigation into current topics most relevant to radiologists.