Industry Payments to Academic Physicians: a Comparison of Reporting to Two Government Agencies

Anderson, Timothy S.; Good, Chester B.; Gellad, Walid F.

doi:10.1007/s11606-018-4527-2

Cited by 5 publications

(2 citation statements)

References 3 publications

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“…First, our study relied on Open Payments data for identification of receipt of payments which may may underreport physicians' receipt of payments. 31 Second, we constructed our physician networks based on Medicare data; therefore, the networks of physicians may vary when including non-Medicare patients. However, this data is unique in its completeness of capturing all Medicare interactions, whereas prior work has had to construct networks based on much smaller geographic samples.…”

Section: Discussionmentioning

confidence: 99%

The Role of Physician Professional Networks in Physicians’ Receipt of Pharmaceutical and Medical Device Industries’ Payments

et al. 2021

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BACKGROUND: Financial relationships between physicians and the pharmaceutical and medical device industries are common, but the factors associated with physicians receiving payments are unknown. OBJECTIVE: The objective of this study is to evaluate the influence of physicians' professional networks' characteristics on the receipt of payments among physicians. DESIGN: Network analysis of cross-sectional data PARTICIPANTS: US physicians who shared Medicare patients with other physicians in 2015 (N=357,813). EXPOSURE (INTERVENTION):Proportion of a physician's professional network that received industry payments and other network characteristics including number of physician connections, how central the physician is within the network, and the tightness of the referral network in which a physician is located. MAIN OUTCOME MEASURES: Relative risk of receiving industry payments. We used modified Poisson regression to control for confounding by gender, time since graduation, practice size, and practice setting (teaching hospital vs. not). We included dummy variables for specialty and hospital referral region level. KEY RESULTS: The proportion of a physician's peers in their professional network that received payments was strongly associated with receipt of pharmaceutical or device industry payments by the physician (top vs bottom quartile aRR=1.28, 95%CI=1.25-1.31). Physician's centrality within a network had a small positive effect on receiving payment (top vs bottom quartile aRR=1.02, 95%CI=1.01-1.04). Network density also had a small negative association with receipt of payment (top vs bottom quartile aRR=0.97, 95%CI=0.96-0.98). CONCLUSIONS: Network characteristics, particularly the receipt of payments among physicians one shares patients with, are associated with whether a physician receives payments. This finding has implications for institutional regulation of industry payments to physicians and demonstrates how institutional policy may impact not only the physicians within the institution but also physicians outside of the institution.

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Section: Discussionmentioning

confidence: 99%

The Role of Physician Professional Networks in Physicians’ Receipt of Pharmaceutical and Medical Device Industries’ Payments

et al. 2021

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“…These findings add to prior studies of industry marketing of opioid products, which have focused exclusively on payments made to individual physicians. 2,3 As a result of Open Payments database limitations which include reliance on company self-report 6 and a high frequency of companies not reporting which product payments were linked to, our analyses may underestimate payments related to opioids made to teaching hospitals. As Open Payments provides limited information on reasons for payments beyond broadly defined categories, some payments may be related to improving education on safe prescribing or risk evaluation programs.…”

Section: Discussionmentioning

confidence: 99%