Paik Angie M, Hoppe Ian C, Pastor Craig J
Division of Plastic Surgery, Department of Surgery, New Jersey Medical School-University of Medicine and Dentistry of New Jersey, Newark, NJ 07103, USA.
Ann Plast Surg. 2013 Sep;71(3):316-9. doi: 10.1097/SAP.0b013e31828b02d7.
As physician compensation and reimbursement tightens throughout the United States, it is important for physicians to be aware of the influence that the economic environment has on the unique medical field of plastic and reconstructive surgery. This study will attempt to determine a relationship between the volume of different plastic surgical procedures and various economic indicators.
Information from the American Society of Plastic Surgeons' annual reports on plastic surgery statistics available on the Internet (http://www.plasticsurgery.org/Media/Statistics.html) was collected from the years 2000 through 2011. Yearly economic indicators were collected from readily available Web sites.
In terms of the total number of plastic surgery procedures performed, there was a significant positive relationship with GDP, GDP per capita, personal income, consumer price index (CPI) (all), and CPI (medical), and a significant negative relationship with the issuance of new home permits. There was a significant positive relationship with total cosmetic procedures and GDP, GDP per capita, personal income, CPI (all), and CPI (medical), and a significant negative relationship with the issuance of new home permits. There was a significant positive relationship between cosmetic surgical procedures and the issuance of new home permits and the average prime rate charged by banks. There was a significant positive relationship with cosmetic minimally invasive procedures and GDP, GDP per capita, personal income, CPI (all), and CPI (medical), and a significant negative relationship with the issuance of new home permits. There was a significant negative relationship between reconstructive procedures and GDP, GDP per capita, personal income, CPI (all), and CPI (medical).
Cosmetic minimally invasive procedures involve less downtime, are generally less expensive than surgical options, and are widely available, making it easier for patients to decide on them quickly during good economic times. Furthermore, it is apparent that plastic surgeons must be proficient at performing minimally invasive cosmetic procedures to maintain a clientele and offer patients a more affordable option during tough economic times. This may lead to further business growth during more favorable economic times.
在美国，随着医生薪酬和报销政策收紧，医生了解经济环境对整形与重建外科这一独特医学领域的影响至关重要。本研究将试图确定不同整形手术量与各种经济指标之间的关系。
从美国整形外科医师协会互联网上发布的整形手术统计年度报告（http://www.plasticsurgery.org/Media/Statistics.html）中收集2000年至2011年的信息。每年的经济指标从易于获取的网站收集。
就所实施的整形手术总数而言，与国内生产总值（GDP）、人均GDP、个人收入、消费物价指数（CPI）（全部）以及医疗消费物价指数（CPI）呈显著正相关，与新住房许可发放量呈显著负相关。美容手术总数与GDP、人均GDP、个人收入、CPI（全部）以及医疗消费物价指数（CPI）呈显著正相关，与新住房许可发放量呈显著负相关。美容外科手术与新住房许可发放量以及银行平均优惠利率之间呈显著正相关。美容微创程序与GDP、人均GDP、个人收入、CPI（全部）以及医疗消费物价指数（CPI）呈显著正相关，与新住房许可发放量呈显著负相关。重建手术与GDP、人均GDP、个人收入、CPI（全部）以及医疗消费物价指数（CPI）呈显著负相关。
美容微创程序恢复时间短，通常比手术选择成本更低，且广泛可得，这使得患者在经济形势良好时更容易迅速做出选择。此外，显然整形医生必须熟练掌握微创美容手术，以便在经济困难时期维持客户群并为患者提供更实惠的选择。这可能在经济形势更有利时带来进一步的业务增长。
