Research Christmas 2019: Shiny Happy People

Bend it like Beckham or fix them like Florence—proportional representation of healthcare in New Year honours: an observational study

John A Emelifeonwu, James E Hazelwood, Oscar Nolan, et al

BMJ 2019;367:l6721 doi: https://doi.org/10.1136/bmj.l6721 (Published 18 December 2019) 

Objectives 目的

To compare the proportional representation of healthcare workers in receipt of New Year honours (NYHs) with workers in other industries and to determine whether the NYH system has gender or geographical biases.

比较新年荣誉奖(NYHs)获得者中医疗工作者的比例与其他行业的比例，确定NYH系统是否存在性别及地域差异。

Design 试验设计

Observational study of the UK honours system with a comparative analysis of proportional representation of the UK workforce and subgroup analyses of gender and geographical representations.

对于UK获奖者系统的观察性研究，比较分析UK劳动力代表的比例，并进行性别及地域的亚组分析

Participants 研究对象

Recipients of NYHs from 2009 to 2018.

2009年至2018年NYHs获奖者

Main outcome measures 主要预后指标

Absolute risk of receiving an NYH based on industry, gender, or region of the UK. Relative risk of receiving an NYH for services to healthcare compared with other industries.

NYH获奖者的职业、性别或UK地域绝对危险度。医务人员与其他行业NYH获奖的相对危险度。

Results 结果

10 989 NYHs were bestowed from 2009 to 2018, 47% of which were awarded to women. 832 awards (7.6%) were for services to healthcare. People working in sport and in the arts and media were more likely to receive NYHs than those working in healthcare (relative risks of 22.01 (95% confidence interval 19.91 to 24.34) and 5.84 (5.31 to 6.44), respectively). There was no significant difference between the rate of receiving honours for healthcare and for science and technology (P=0.22). 34% (3741) of awards were issued to people living in London and in the southeast of England, and only 496 of 1447 (34%) higher order awards (knighthoods, damehoods, companions of honour, and commanders of the order of the British empire) were received by women.

2009年至2018年共有10 989 NYH 获奖者，47%为女性。832 获奖者 (7.6%) 为医务人员。与医务人员相比，体育、艺术及媒体领域从业者更容易获奖 (相对危险度分别为 22.01 (95% 可信区间 19.91 to 24.34) 及 5.84 (5.31 to 6.44))。医务人员与科技人员获奖比例没有差异(P=0.22)。34% (3741) 的获奖者居住在伦敦及英格兰东南部，1447名高级奖项 (骑士，荣誉爵士，荣誉勋爵，大英帝国司令勋章) 获得者中仅有 496 名 (34%) 女性。

Conclusions 结论

In relation to the size of its workforce, a career in healthcare is not as “honourable” as careers in certain other industries. Geographical and gender biases might exist in the honours system.

相较于其劳动力规模而言，医务人员比其他行业更不容易得到荣誉。奖励系统中可能存在地域及性别偏倚。