A National Survey of Physician–Industry Relationships

Campbell, Eric G.; Gruen, Russell L.; Mountford, James; Miller, Lawrence G.; Cleary, Paul D.; Blumenthal, David

doi:10.1056/nejmsa064508

Cited by 481 publications

(338 citation statements)

References 13 publications

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“…It also was shown that top orthopaedic implant manufacturers have shifted physician payments to more published surgeons and those with academic affiliations [23]. Physicians involved in training medical students or developing clinical practice guidelines have been shown to be more likely to report receiving payments from industry [9]. This is consistent with previously described methods of targeting highly-regarded ''thought leaders'' in various fields as spokespersons for industry [35].…”

Section: Discussionsupporting

confidence: 81%

“…As a result, industry payments to orthopaedic surgeons, mostly from medical drug or device manufacturers and group-purchasing organizations (GPOs) for consulting services, reimbursement for travel, or ownership royalties, are not irregular [23,33]. A nationwide survey of physicians of all specialties reported 94% of physicians received some form of payment from drug or device manufacturers during the previous year [9].…”

Section: Introductionmentioning

confidence: 99%

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Orthopaedic Surgeons Receive the Most Industry Payments to Physicians but Large Disparities are Seen in Sunshine Act Data

Samuel

Webb

Lukasiewicz

et al. 2015

Clin Orthop Relat Res

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Background Industry payments made to physicians by drug and device manufacturers or group purchasing organizations are now reported to the Centers for Medicare and Medicaid Services (CMS) as a part of the Physician Payments Sunshine Act. Initial reports from the program show that orthopaedic surgeons lead all physician specialties in total and average industry payments. However, before further discussion of these payments and their implications can take place, it remains to be seen whether these figures are a true reflection of the field of orthopaedic surgery in general, rather than the result of a few outlier physicians in the field. In addition, the nature and sources of these funds should be determined to better inform the national dialogue surrounding these payments.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Orthopaedic Surgeons Receive the Most Industry Payments to Physicians but Large Disparities are Seen in Sunshine Act Data

Samuel

Webb

Lukasiewicz

et al. 2015

Clin Orthop Relat Res

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“…Despite our inability to describe the NMA membership roster non-responders, our response rates (53.1% from the AMA Masterfile, at worst 46.6% overall) are consistent with other recent national surveys of physicians on potentially sensitive topics (43%-53%). [36][37][38][39][40][41] Non-majority physicians in the US, regardless of specialty, geographic region, gender, years in practice, or age, continue to report high rates of workplace discrimination, comparable to rates reported over a decade ago. These findings suggest that efforts to address workplace discrimination have not been entirely successful, and new initiatives will be needed to achieve the goal of professional equity in medicine.…”

Section: Discussionmentioning

confidence: 99%

Race/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians

et al. 2009

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BACKGROUND: Promoting racial/ethnic diversity within the physician workforce is a national priority. However, the extent of racial/ethnic discrimination reported by physicians from diverse backgrounds in today's health-care workplace is unknown. OBJECTIVE:To determine the prevalence of physician experiences of perceived racial/ethnic discrimination at work and to explore physician views about race and discussions regarding race/ethnicity in the workplace. PARTICIPANTS: Practicing physicians (total n=529) from diverse racial/ethnic backgrounds in the United States. MEASUREMENTS AND MAIN RESULTS:We examined physicians' experience of racial/ethnic discrimination over their career course, their experience of discrimination in their current work setting, and their views about race/ethnicity and discrimination at work. The proportion of physicians who reported that they had experienced racial/ethnic discrimination "sometimes, often, or very often" during their medical career was substantial among non-majority physicians (71% of black physicians, 45% of Asian physicians, 63% of "other" race physicians, and 27% of Hispanic/Latino(a) physicians, compared with 7% of white physicians, all p< 0.05). Similarly, the proportion of non-majority physicians who reported that they experienced discrimination in their current work setting was substantial (59% of black, 39% of Asian, 35% of "other" race, 24% of Hispanic/Latino(a) physicians, and 21% of white physicians). Physician views about the role of race/ethnicity at work varied significantly by respondent race/ ethnicity.CONCLUSIONS: Many non-majority physicians report experiencing racial/ethnic discrimination in the workplace. Opportunities exist for health-care organizations and diverse physicians to work together to improve the climate of perceived discrimination where they work.KEY WORDS: discrimination; race and ethnicity; workforce; health-care workers.

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“…1 As many as 94% of US physicians maintain some financial relationships with the industry. 2,3 Driven by public interest in the disclosure of the extent of these financial relationships, the Sunshine Act is an important step in both quantifying these ties and shedding light on potential conflicts of interest and influence of the industry's payments on practice patterns. 4 Payments made to practitioners and medical staff by industry or group purchasing organizations are all reported and filed in the Act's database, which are publicly posted every year.…”

mentioning

confidence: 99%

Evaluation of Industrial Compensation to Cardiologists in 2015

Khan

Siddiqi

Fatima

et al. 2017

The American Journal of Cardiology

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The categorization and characterization of pharmaceutical and device manufacturers or group purchasing organization payments to clinicians is an important step toward assessing conflicts of interest and the potential impact of these payments on practice patterns. Payments have not previously been compared among the subspecialties of cardiology. This is a retrospective analysis of the Open Payments database, including all installments and payments made to doctors in the calendar year 2015 by pharmaceutical and device manufacturers or group purchasing organization. Total payments to individual physicians were then aggregated based on specialty, geographic region, and payment type. The Gini Index was further employed to calculate within each specialty to measure income disparity. In 2015, a total of $166,089,335 was paid in 943,744 payments (average $175.00 per payment) to cardiologists, including 23,372 general cardiologists, 7,530 interventional cardiologists, and 2,293 cardiac electro-physiologists. Payments were mal-distributed across the 3 subspecialties of cardiology (p <0.01), with general cardiology receiving the largest number (73.5%) and total payments (62.6%) and cardiac electrophysiologists receiving significantly higher median payments ($1,662 vs $361 for all cardiologists; p <0.01). The Medtronic Company was the largest single payer for all 3 subspecialties. In conclusion, pharmaceutical and device manufacturers or group purchasing organizations continue to make substantial payments to cardiac practitioners with a significant variation in payments made to different cardiology subspecialists. The largest number and total payments are to general cardiologists, whereas the highest median payments are made to cardiac electrophysiologists. The impact of these payments on practice patterns remains to be examined.

show abstract

A National Survey of Physician–Industry Relationships

Abstract: The results of this national survey indicate that relationships between physicians and industry are common and underscore the variation among such relationships according to specialty, practice type, and professional activities.

Cited by 481 publications

References 13 publications

Orthopaedic Surgeons Receive the Most Industry Payments to Physicians but Large Disparities are Seen in Sunshine Act Data

Orthopaedic Surgeons Receive the Most Industry Payments to Physicians but Large Disparities are Seen in Sunshine Act Data

Race/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians

Evaluation of Industrial Compensation to Cardiologists in 2015

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