Open AccessThe Cost and Challenges of Facial Trauma: AAO‐HNS Survey
Author(s) -
McCusker Scott B.,
Schmalbach Cecelia E.
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811416318a6
Subject(s) - reimbursement , medicine , family medicine , facial trauma , lawsuit , medical emergency , surgery , health care , political science , law , economics , economic growth
Objective 1) Define practice patterns and perceptions of young otolaryngologists treating maxillofacial trauma. 2) Identify manners in which the AAO‐HNS can meet future maxillofacial trauma needs. Method A 26‐question survey was designed to identify demographic factors, practice patterns, perceptions of facial trauma, and areas for improvement in trauma care. It was distributed anonymously to AAO‐HNS members who completed residency from 2005 to 2009 and analyzed using descriptive statistics. Results A total of 444 of 1378 (32%) otolaryngologists responded. A total of 85% treat maxillofacial trauma (<1 case/month). A total of 64% identify trauma as part of their ideal practice. Sense of duty (54%) and institutional requirement (33%) are the most common reasons for trauma participation. Major deterrents: patient noncompliance (60%) and lifestyle limitations (47%). While insufficient reimbursement is a major deterrent (52%), only 35% would increase their volume if reimbursement improved. Sixteen (3.7%) have had a trauma‐related lawsuit. Increased education represents the most common request to the AAO‐HNS (59%), followed by focus on improved reimbursement/tort reform (28%). Topics proposed: practice guidelines, pediatric, laryngeal, and midface trauma. Conclusion Most otolaryngologists treat facial trauma, but do so infrequently. A total of 64% of young otolaryngologists identify trauma as a component of their ideal practice. However, universal concerns include inadequate reimbursement, limited pool of treating physicians, and lack of practice guidelines.