Industry payments to Australian medical oncologists and clinical haematologists: a cross-sectional analysis of publicly available disclosures.


Journal

Internal medicine journal
ISSN: 1445-5994
Titre abrégé: Intern Med J
Pays: Australia
ID NLM: 101092952

Informations de publication

Date de publication:
Nov 2021
Historique:
revised: 12 07 2020
received: 23 04 2020
accepted: 23 07 2020
pubmed: 4 8 2020
medline: 15 12 2021
entrez: 4 8 2020
Statut: ppublish

Résumé

Payments to medical oncologists and clinical haematologists can negatively affect prescribing practice, but the extent of payments to these specialists is unknown in Australia. To analyse the extent of payments from the pharmaceutical industry to Australian cancer physicians as reported during the first collated period of the Disclosure Australia website. We performed a retrospective, cross-sectional analysis of payments made from November 2018 to April 2019, using a file downloaded from the Disclosure Australia website. We checked the names of listed medical practitioners against Medical Board of Australia records to assign specialties. The number of medical oncologists, clinical haematologists, other specialist physicians and non-specialist physician medical practitioners was calculated, along with the payments to each of these groups. A total of A$7 332 407 was paid to 2775 medical practitioners. Of these, 236 were medical oncologists, 189 were haematologists and 1145 were other specialist physicians. This represents 31.7% of Australian medical oncologists and 30.9% of Australian haematologists, compared with 11.7% of all other specialist physicians and 1.1% of all other non-specialist physician medical practitioners. Medical oncologists received significantly higher payments (median A$2131.26) than other specialist physicians (median A$1376.00, 2-tailed P = 0.004) and other medical practitioners (median A$709.00, 2-tailed P < 0.001), while haematologists received significantly higher payments (median A$1519.95) than other medical practitioners (2-tailed P < 0.001), but similar payments to other specialist physicians (2-tailed P = 0.08). Australian cancer physicians receive payments at a higher proportional frequency and in greater dollar amounts than other specialist physicians and other medical practitioners in general.

Sections du résumé

BACKGROUND BACKGROUND
Payments to medical oncologists and clinical haematologists can negatively affect prescribing practice, but the extent of payments to these specialists is unknown in Australia.
AIMS OBJECTIVE
To analyse the extent of payments from the pharmaceutical industry to Australian cancer physicians as reported during the first collated period of the Disclosure Australia website.
METHODS METHODS
We performed a retrospective, cross-sectional analysis of payments made from November 2018 to April 2019, using a file downloaded from the Disclosure Australia website. We checked the names of listed medical practitioners against Medical Board of Australia records to assign specialties. The number of medical oncologists, clinical haematologists, other specialist physicians and non-specialist physician medical practitioners was calculated, along with the payments to each of these groups.
RESULTS RESULTS
A total of A$7 332 407 was paid to 2775 medical practitioners. Of these, 236 were medical oncologists, 189 were haematologists and 1145 were other specialist physicians. This represents 31.7% of Australian medical oncologists and 30.9% of Australian haematologists, compared with 11.7% of all other specialist physicians and 1.1% of all other non-specialist physician medical practitioners. Medical oncologists received significantly higher payments (median A$2131.26) than other specialist physicians (median A$1376.00, 2-tailed P = 0.004) and other medical practitioners (median A$709.00, 2-tailed P < 0.001), while haematologists received significantly higher payments (median A$1519.95) than other medical practitioners (2-tailed P < 0.001), but similar payments to other specialist physicians (2-tailed P = 0.08).
CONCLUSIONS CONCLUSIONS
Australian cancer physicians receive payments at a higher proportional frequency and in greater dollar amounts than other specialist physicians and other medical practitioners in general.

Identifiants

pubmed: 32744396
doi: 10.1111/imj.15005
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1816-1824

Subventions

Organisme : University of Sydney

Informations de copyright

© 2020 Royal Australasian College of Physicians.

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Auteurs

Adrian M J Pokorny (AMJ)

Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Department of Medical Oncology, Royal Darwin Hospital, Darwin, Northern Territory, Australia.

Lisa A Bero (LA)

Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Raymond Moynihan (R)

Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.

Barbara J Mintzes (BJ)

Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

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