Pharmacology of Sedative Drugs Used in Out of Operating Room Anesthesia

Artime, Carlos A.

doi:10.1007/978-3-319-39150-2_1

Cited by 2 publications

(1 citation statement)

References 32 publications

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“…2 Since their inception, medical device firms have formed close relationships with the physicians who use their devices. 3 Device firm sales representatives have specialized knowledge about products, and are often physically present in the operating room for procedures, providing training on new technology and technical assistance on an ongoing basis (Bedard et al, 2014;Farmer, 2018;O'Connor et al, 2016). Firms and physicians also have interactions involving consulting, technology development, and product testing, and many important technologies have physician inventors (Chatterji et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Lobbying Physicians: Payments from Industry and Hospital Procurement of Medical Devices

Bergman¹,

Grennan²,

Swanson³

2021

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We draw upon newly merged administrative data sets to study the relationship between payments from medical technology firms to physicians and medical device procurement by hospitals. These payments (and the interactions that accompany them) may facilitate the transfer of valuable information to and from physicians. However, they may also influence physicians' preferences, and in turn hospital device procurement, in favor of paying firms. Payments are pervasive: 87 percent of device sales in our sample occurred at a hospital where a relevant physician received a payment from a device firm. Payments are also highly correlated with spending within a firmhospital pair: event studies suggest that a large positive increase in payments to a given hospital from a given firm ($438 per physician on average, or 112 percent of the mean) is associated with 27 percent higher expenditures on the paying firm's devices post-event. Finally, we explore how payments mediate the relationship between expertise and device procurement patterns. Hospitals affiliated with the top Academic Medical Centers (AMCs), which plausibly represent an expert benchmark, purchase a different mix of devices than other hospitals, and payments to hospitals outside the top AMCs are correlated with larger deviations from the procurement patterns of top AMC hospitals.

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