OBJECTIVES 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. DESIGN 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. PARTICIPANTS Recipients of NYHs from 2009 to 2018. MAIN OUTCOME MEASURES 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. RESULTS 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. CONCLUSIONS 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.

中文翻译：

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像贝克汉姆一样弯曲它，或者像佛罗伦萨一样按比例修复它们，以在新年荣誉中代表医疗保健：一项观察性研究。

目的比较获得新年荣誉（NYH）的医护人员与其他行业的医护人员的比例，并确定NYH系统是否存在性别偏见或地域偏见。设计对英国荣誉制度的观察性研究，对英国劳动力比例代表制和性别与地域代表作亚组分析的比较分析。参与者2009年至2018年纽约居民的接受者。主要观察指标根据英国行业，性别或地区，接收纽约居民的绝对风险。与其他行业相比，获得NYH提供的医疗保健服务的相对风险。结果2009年至2018年，共授予10 989个NYH，其中47％授予女性。832个奖项（7.6％）被授予医疗保健服务。在体育，艺术和媒体领域工作的人比在医疗保健领域工作的人更有可能接受NYH（相对风险分别为22.01（95％的置信区间19.91至24.34）和5.84（5.31至6.44））。医疗保健和科学技术的荣誉获得率之间没有显着差异（P = 0.22）。34％（3741）的奖项是颁发给居住在伦敦和英格兰东南部的人们的，仅1447个奖项中的496个（34％）被授予较高级别的奖项（骑士团，贵妇，荣誉同伴和英军司令）帝国）受到妇女的欢迎。结论就员工人数而言，医疗保健职业并不像某些其他行业的职业那么“光荣”。荣誉制度中可能存在地域和性别偏见。