Physicians payment in the United States between 2014 and 2018: An analysis of the CMS Open Payments database.

The Open Payments database reports payments made to physicians by industry. Given the potential for financial conflicts of interest relating to patient outcomes, further scrutiny of these data is valuable. Therefore, the objective of this study was to analyze physician-industry relationships by spec...

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Autores principales:	Raphael E Cuomo, Mingxiang Cai, Neal Shah, Tim K Mackey
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/eb4d038e6c844c848363bc31577ff682
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spelling	oai:doaj.org-article:eb4d038e6c844c848363bc31577ff6822021-12-02T20:11:08ZPhysicians payment in the United States between 2014 and 2018: An analysis of the CMS Open Payments database.1932-620310.1371/journal.pone.0252656https://doaj.org/article/eb4d038e6c844c848363bc31577ff6822021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252656https://doaj.org/toc/1932-6203The Open Payments database reports payments made to physicians by industry. Given the potential for financial conflicts of interest relating to patient outcomes, further scrutiny of these data is valuable. Therefore, the objective of this study was to analyze physician-industry relationships by specialty type, payment type, geospatial trend, and longitudinal trend between 2014-2018. We conducted an observational, retrospective data analysis of payments from the Open Payments database for licensed United States physicians listed in the National Plan & Provider Enumeration System (NPPES). Datasets from 2013-2018 were joined using the Python programming language. Aggregation and sub-setting by characteristics of interest was done in R to calculate means and frequencies of reported general physician payments from industry across different specialties, locations, timeframes, and payment types. Normalization was applied for numbers of physicians or payments. Geospatial statistical hot spot analysis was conducted in ArcGIS. 51.73 million payment records were analyzed. In total, 50,047,930 payments were issued to 771,113 allopathic or osteopathic physicians, representing $8,702,631,264 transferred from industry to physicians over the five-year period between 2014 and 2018. The mean payment amount was $179, with a standard deviation of $12,685. Variability in physicians' financial relationships with industry were apparent across specialties, regions, time, and payment type. A limited match rate between records in the NPPES and Open Payments databases may have resulted in selection bias of trends related to physician characteristics. Further research is necessary, particularly in the context of changing industry payment trends and public perceptions of the appropriateness of these relationships.Raphael E CuomoMingxiang CaiNeal ShahTim K MackeyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252656 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Raphael E Cuomo Mingxiang Cai Neal Shah Tim K Mackey Physicians payment in the United States between 2014 and 2018: An analysis of the CMS Open Payments database.
description	The Open Payments database reports payments made to physicians by industry. Given the potential for financial conflicts of interest relating to patient outcomes, further scrutiny of these data is valuable. Therefore, the objective of this study was to analyze physician-industry relationships by specialty type, payment type, geospatial trend, and longitudinal trend between 2014-2018. We conducted an observational, retrospective data analysis of payments from the Open Payments database for licensed United States physicians listed in the National Plan & Provider Enumeration System (NPPES). Datasets from 2013-2018 were joined using the Python programming language. Aggregation and sub-setting by characteristics of interest was done in R to calculate means and frequencies of reported general physician payments from industry across different specialties, locations, timeframes, and payment types. Normalization was applied for numbers of physicians or payments. Geospatial statistical hot spot analysis was conducted in ArcGIS. 51.73 million payment records were analyzed. In total, 50,047,930 payments were issued to 771,113 allopathic or osteopathic physicians, representing $8,702,631,264 transferred from industry to physicians over the five-year period between 2014 and 2018. The mean payment amount was $179, with a standard deviation of $12,685. Variability in physicians' financial relationships with industry were apparent across specialties, regions, time, and payment type. A limited match rate between records in the NPPES and Open Payments databases may have resulted in selection bias of trends related to physician characteristics. Further research is necessary, particularly in the context of changing industry payment trends and public perceptions of the appropriateness of these relationships.
format	article
author	Raphael E Cuomo Mingxiang Cai Neal Shah Tim K Mackey
author_facet	Raphael E Cuomo Mingxiang Cai Neal Shah Tim K Mackey
author_sort	Raphael E Cuomo
title	Physicians payment in the United States between 2014 and 2018: An analysis of the CMS Open Payments database.
title_short	Physicians payment in the United States between 2014 and 2018: An analysis of the CMS Open Payments database.
title_full	Physicians payment in the United States between 2014 and 2018: An analysis of the CMS Open Payments database.
title_fullStr	Physicians payment in the United States between 2014 and 2018: An analysis of the CMS Open Payments database.
title_full_unstemmed	Physicians payment in the United States between 2014 and 2018: An analysis of the CMS Open Payments database.
title_sort	physicians payment in the united states between 2014 and 2018: an analysis of the cms open payments database.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/eb4d038e6c844c848363bc31577ff682
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Physicians payment in the United States between 2014 and 2018: An analysis of the CMS Open Payments database.

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