Zhu Amy Q, Patel Manish J, Chiu Richard, Perez Brandon R, Cristel Robert T, Yu Jeffrey
Department of Otolaryngology-Head & Neck Surgery University of Illinois at Chicago Chicago Illinois USA.
Laryngoscope Investig Otolaryngol. 2021 Jul 15;6(4):668-672. doi: 10.1002/lio2.614. eCollection 2021 Aug.
The Coronavirus disease of 2019 (COVID-19) has impacted physician practices in many ways with some ENT clinics reporting around a 50% drop in completed scheduled ENT visits during the first wave of the pandemic compared to 2019.
This study surveyed first round PPP loan disbursement to otolaryngology practices in the United States in response to COVID-19.
A cross-sectional study was conducted using publicly available data published on PPP by the SBA. Otolaryngology clinics receiving loans greater than $0.15M were filtered using the following terms: "otolaryngology", "otolaryngologist","sinus", "head and neck", "throat", "ENT", and "facial plastic". 481 ENT clinics that received loans greater than $0.15 M from the Paycheck Protection Program (PPP) were identified. Loan amount, business type, geographicregion, owner race, owner gender, and the number of jobs per business were recorded for each clinic. Chi-square analysis was performed to determine significance ( < 0.05) of each characteristic.
Loan distribution was significantly different based on jobs reported ( < .001) and business type ( < .001). 100% of loans ranging from $0.15 M to $0.35 M went to micro and small practices whereas 33% of medium-sized practices received loans greater than $1 M. Higher proportions of Subchapter corporations (60.00%) received smaller loans of $0.15 to $0.35 M than Limited Liability Companies (39.13%) and Corporations (51.69%) which generally employ more people.
Loan distribution was significantly different between businesses based on jobs reported ( < 0.001), with micro/small practices recieving smaller loans than their medium counterparts. All large businesses recived loans in in excess of $2 M. This suggests proportional distribution of loans in accordance with jobs reported.
This study suggests PPP funding was objectively distributed to ENT clinics based on staff size.
Level 4.
2019年冠状病毒病（COVID-19）在许多方面影响了医生的业务，一些耳鼻喉科诊所报告称，在疫情第一波期间，已完成的预定耳鼻喉科就诊量与2019年相比下降了约50%。
本研究调查了美国耳鼻喉科业务因COVID-19而获得的首轮薪资保护计划（PPP）贷款发放情况。
利用美国小企业管理局（SBA）公布的PPP公开数据进行横断面研究。使用以下术语筛选获得贷款超过15万美元的耳鼻喉科诊所：“耳鼻喉科”、“耳鼻喉科医生”、“鼻窦”、“头颈”、“咽喉”、“耳鼻喉”和“面部整形”。确定了481家从薪资保护计划（PPP）获得超过15万美元贷款的耳鼻喉科诊所。记录每家诊所的贷款金额、业务类型、地理区域、所有者种族、所有者性别以及每个业务的就业岗位数量。进行卡方分析以确定每个特征的显著性（P<0.05）。
根据报告的就业岗位数（P<0.001）和业务类型（P<0.001），贷款分布存在显著差异。15万美元至35万美元的贷款中有100%流向了微型和小型业务，而33%的中型业务获得了超过100万美元的贷款。与有限责任公司（39.13%）和公司（51.69%）相比，一般雇佣更多人员的S类公司获得15万美元至35万美元小额贷款的比例更高（60.00%）。
根据报告的就业岗位数，不同业务之间的贷款分布存在显著差异（P<0.001），微型/小型业务获得的贷款比中型业务少。所有大型业务获得的贷款均超过200万美元。这表明贷款是根据报告的就业岗位数按比例分配的。
本研究表明，PPP资金是根据员工规模客观地分配给耳鼻喉科诊所的。
4级。
