Table 2 Trend of personal payments from pharmaceutical companies to the hematology specialists board-certified by the Japanese Society of Hematology between 2016 and 2019.
Variables | 2016 | 2017 | 2018 | 2019 | Relative yearly change ratio (95% CI) | P value | Four years combined total |
|---|---|---|---|---|---|---|---|
All pharmaceutical companies | Â | Â | Â | Â | Â | Â | Â |
Total payments, $ (¥) | 7,700,346 (839,337,686) | 8,266,798 (901,080,935) | 10,045,073 (1,094,912,919) | 10,279,218 (1,120,434,752) | ‒ | ‒ | 35,949,597 (3,955,766,292) |
Average payments (SD), $ | 4259 (9291) | 4918 (10,677) | 5306 (11,403) | 5574 (11,688) | 1.112 (1.091‒1.134) | <0.001 | 13,411 (34,856) |
Median payments (IQR), $ | 1241 (511‒3442) | 1343 (525‒4087) | 1504 (525‒4628) | 1629 (613‒4839) | 2471 (851‒9677) | ||
Payment range, $ | 46‒106,834 | 46‒167,828 | 46‒148,942 | 52‒140,947 | ‒ | ‒ | 46‒528,038 |
Physicians with specific payments, n (%) | Â | Â | Â | Â | Â | Â | Â |
Any payments | 1808 (43.2) | 1681 (40.2) | 1893 (45.3) | 1844 (44.1) | 1.018 (1.006‒1.030) | 0.003 | 2706 (64.7) |
Payments >$500 | 1444 (34.5) | 1373 (32.8) | 1577 (37.7) | 1570 (37.5) | 1.040 (1.027‒1.054) | <0.001 | 2374 (56.8) |
Payments >$1000 | 1024 (24.5) | 998 (23.9) | 1178 (28.2) | 1159 (27.7) | 1.055 (1.039‒1.071) | <0.001 | 1945 (46.5) |
Payments >$5000 | 331 (7.9) | 360 (8.6) | 454 (10.9) | 446 (10.7) | 1.117 (1.088‒1.146) | <0.001 | 975 (23.3) |
Payments >$10,000 | 187 (4.5) | 208 (5.0) | 239 (5.7) | 253 (6.0) | 1.109 (1.071‒1.149) | <0.001 | 660 (15.8) |
Payments >$50,000 | 15 (0.36) | 20 (0.5) | 26 (0.6) | 24 (0.57) | 1.169 (1.033‒1.323) | 0.014 | 172 (4.1) |
Payments >$100,000 | 2 (0.048) | 2 (0.048) | 4 (0.096) | 5 (0.12) | 1.420 (0.940‒2.147) | 0.096 | 75 (1.8) |
Gini index | 0.876 | 0.885 | 0.870 | 0.872 | ‒ | ‒ | 0.856 |
Pharmaceutical companies with 4-years payment dataa | Â | Â | Â | Â | Â | Â | Â |
Total payments, $ (¥) | 7,700,346 (838,940,102) | 8,266,798 (884,814,326) | 10,045,073 (1,091,772,525) | 10,142,157 (11,05,495,102) | ‒ | ‒ | 35,972,679 (3,921,022,055) |
Average payments (SD), $ | 4259 (9291) | 4918 (10,677) | 5306 (11,403) | 5536 (11,557) | 1.112 (1.091‒1.134) | <0.001 | 13,333 (34,685) |
Median payments (IQR), $ | 1241 (511‒3442) | 1343 (525‒4087) | 1504 (523‒4628) | 1633 (613‒4760) | 2470 (851‒9500) | ||
Payment range, $ | 46‒106,834 | 46‒167,828 | 0‒148,942 | 0‒137,882 | ‒ | ‒ | 46‒528,038 |
Physicians with specific payments, n (%) | Â | Â | Â | Â | Â | Â | Â |
Any payments | 1808 (43.2) | 1681 (40.2) | 1893 (45.3) | 1844 (44.1) | 1.018 (1.006‒1.030) | 0.003 | 2698 (64.5) |
Payments >$500 | 1444 (34.5) | 1373 (32.8) | 1577 (37.7) | 1570 (37.5) | 1.040 (1.027‒1.054) | <0.001 | 2383 (57.0) |
Payments >$1000 | 1024 (24.5) | 998 (23.9) | 1178 (28.2) | 1159 (27.7) | 1.055 (1.039‒1.071) | <0.001 | 1938 (46.3) |
Payments >$5000 | 331 (7.9) | 360 (8.6) | 454 (10.9) | 446 (10.7) | 1.117 (1.088‒1.146) | <0.001 | 973 (23.3) |
Payments >$10,000 | 187 (4.5) | 208 (4.8) | 239 (5.7) | 253 (6.0) | 1.109 (1.071‒1.149) | <0.001 | 659 (15.8) |
Payments >$50,000 | 15 (0.36) | 20 (0.48) | 26 (0.62) | 24 (0.57) | 1.169 (1.033‒1.323) | 0.014 | 174 (4.2) |
Payments >$100,000 | 2 (0.048) | 2 (0.048) | 4 (0.096) | 5 (0.12) | 1.420 (0.940‒2.147) | 0.096 | 77 (1.8) |
Gini index | 0.876 | 0.885 | 0.870 | 0.872 | ‒ | ‒ | 0.857 |