Al Bayati Mahmood J, Samaha Georges J, Wo Luccie M, Wolfe Erin M, Samaha Mario J, Kassira Wrood M, Lessard Anne-Sophie
University of Miami Miller School of Medicine, Miami, Fla.
Division of Plastic, Aesthetic, and Reconstructive Surgery, University of Miami Miller School of Medicine, Miami, Fla.
Plast Reconstr Surg Glob Open. 2021 Jul 19;9(7):e3742. doi: 10.1097/GOX.0000000000003742. eCollection 2021 Jul.
In response to the COVID-19 pandemic, new guidelines were issued cautioning against performing elective procedures. We aimed to assess the impact of the COVID-19 pandemic on operational and financial aspects of plastic surgery in Miami.
A multiple-choice and short-answer survey regarding practice changes and financial impact was sent to all 67 members of the Miami Society of Plastic Surgeons.
A 41.8% (n = 28) response rate was obtained, five responses did not meet the inclusion criteria, and statistical analysis was performed on 34.3% (n = 23) of responses. Of the plastic surgeons who responded, 21.74% operate in an academic setting, 60.87% are in a single practitioner private practice, and 17.39% are in a multi-practitioner private practice. An estimated 60% of academic plastic surgeons had 75% or more of their previously scheduled cases canceled, compared with 57.14% in single practitioner private practice and 100% in multi-practitioner private practice. In total, 64.29% of single practitioner private practices and 50% of multi-practitioner private practices have had to obtain a small business loan. Single practitioner private practice plastic surgeons reported having an average of 6.5 months until having to file for bankruptcy or permanently close their practices, and multi-practitioner private practice plastic surgeons reported an average of 6 months.
Guidelines to support small business must be implemented in order to allow private practice surgeons to recover from the substantial economic impact caused by the pandemic because it is necessary to reestablish patient access and provide proper care to our patients.
为应对新冠疫情，新指南发布，警示不要进行择期手术。我们旨在评估新冠疫情对迈阿密整形外科手术运营和财务方面的影响。
向迈阿密整形外科医师协会的所有67名成员发送了一份关于业务变化和财务影响的多项选择题及简答题调查问卷。
获得了41.8%（n = 28）的回复率，5份回复不符合纳入标准，对34.3%（n = 23）的回复进行了统计分析。在回复的整形外科医师中，21.74%在学术机构执业，60.87%为单执业者私人诊所，17.39%为多执业者私人诊所。估计60%的学术整形外科医师之前安排的病例中有75%或更多被取消，相比之下，单执业者私人诊所为57.14%，多执业者私人诊所为100%。总体而言，64.29%的单执业者私人诊所和50%的多执业者私人诊所不得不申请小企业贷款。单执业者私人诊所的整形外科医师报告称，平均还有6.5个月就得申请破产或永久关闭诊所，多执业者私人诊所的整形外科医师报告称平均还有6个月。
必须实施支持小企业的指南，以使私人执业外科医生从疫情造成的重大经济影响中恢复过来，因为有必要重新建立患者就医渠道并为我们的患者提供适当护理。
