Abstract
All charges for patients undergoing unilateral and bilateral hip or knee arthroplasties
at 1 hospital in Beijing, China, were identified and assigned to 1 of 11 charge categories:
hospital room, nursing, radiology, laboratory, anesthesia, surgery, prosthesis, pharmacy,
blood transfusion, materials, and miscellaneous. The prosthesis and pharmacy charges
at this institution accounted for approximately 80% of the total charges; compared
with published data from institutions in North America and Taiwan, these 2 charges
accounted for a greater percentage of total charges. In distinction, labor costs in
China accounted for a lower percentage of total charges. Importantly, because the
percentage of costs covered by medical insurance was relatively low, a substantial
financial burden was imposed on patients that may limit access to joint arthroplasty
in China.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal of ArthroplastyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Health related quality of life in total hip and total knee arthroplasty: A qualitative and systematic review of the literature.J Bone Joint Surg Am. 2004; 86: 963
- Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs.Acta Orthop. 2007; 78: 108
- Total joint arthroplasties: current concepts of patient outcomes after surgery.Rheum Dis Clin North Am. 2007; 33: 71
- An overview of economic issues in computer-assisted total joint arthroplasty.Clin Orthop and Relat Res. 2007; 463: 26
- Health, Unite Stated, 2009. With special feature on medical technology. Data obtained from: U.S. Department of Health and Human Services; Centers for Disease Control and Prevention; National Center for Health Statistics.(Available at:) ([Ref Type: Internet Communication])
- Prevalence of primary and revision total hip and total knee arthroplasty in the United States from 1990 through 2002.J Bone Joint Surg Am. 2005; 87: 1487
- Chinese orthopedic annual report: 2007-Joint surgery.Chinese Journal of Orthop. 2007; 27: 3
- Inpatient cost of primary total joint arthroplasty.J Arthroplasty. 1996; 11: 281
- Impact of declining reimbursement and rising hospital costs on the feasibility of total hip arthroplasty.J Arthroplasty. 1997; 12: 526
- Opportunities for control of hospital costs for total joint arthroplasty after initial cost containment.J Arthroplasty. 1998; 13: 504
- Patient out-of-pocket expenses in major orthopedic procedures: total hip arthroplasty as a case study.J Arthroplasty. 2008; 23: 509
- The effects of a prospective case payment system on hospital charges for total hip arthroplasty in Taiwan.J Arthroplasty. 2007; 22: 65
http://www.cms.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf; [accessed 8/24/2011].
- The notice about reimbursement issues related to artificial organs in the basic medical insurance. 2010-7-12. Data obtained from: Beijing Municipal Bureau of Human Resources and Social Security.(Available at:)http://www.hdhospital.com/A/579.ahtml([Ref Type: Internet Communication])Date: 2010
Article info
Publication history
Published online: March 15, 2012
Accepted:
January 20,
2012
Received:
April 13,
2011
Footnotes
Supplementary material available at www.arthroplastyjournal.org.
The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2012.01.014.
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
