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The Burden of COVID-19 on Surgeons' Financial Relationship with the Industry

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/GOX.0000000000004825

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The COVID-19 pandemic has had a significant impact on the healthcare system, particularly in terms of industry physician payments. This study compared payment data before and after the pandemic for various surgical specialties. The findings showed a decrease in industry payments for physicians and surgeons, with almost all surgical subspecialties experiencing a decrease. However, charitable contributions and compensation for non-consulting services increased during this period.
The healthcare system has been greatly affected by the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to compare pre-COVID-19 and post-COVID-19 payments between industry and medical providers for all surgeons and subspecialized surgeons. Payment information was obtained from the Open Payments Program database for the 2019 and 2020 reported periods for three physician groups: all physicians, all surgeons, and each surgical subspecialty. Comparison and analysis of payment amount and type between these years was performed for each cohort. Physicians experienced a 36% decrease in industry payments with surgeons experiencing a 30.4% decrease. All surgical subspecialties, including plastic surgery (-30.5%; P < 0.01), experienced a significant decrease in industry payments except for transplant surgery, trauma surgery, and neurological surgery. Charitable contributions and compensation for services other than consulting were the only payment types that increased from 2019 to 2020. The COVID-19 pandemic has significantly impacted industry physician payments across all medical and surgical fields with payment decreases across almost all surgical subspecialties.

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