Background
China has the largest population of cataract patients in the world. However, the cataract surgery rate per million remains low in China. We carried out a survey on costs of cataract surgery from four different graded providers in China and analyzed differences in cost among these clinics.
Results
Mean total cost per cataract intervention of four different providers varied considerably, ranging from US$ 1,293 in Union Hospital to US$ 536 in Jingshan County Hospital. In all providers, except for Jingshan County Hospital, the cost exceeded annual disposable income of local rural residents. As to the proportion of patients with reimbursement, the figure for Union Hospital was only 36%, while for other three clinics it was more than 60%. There was a significant difference between mean reimbursement ratios, with the highest ratio in Zhongshan Ophthalmic Center being 71%.
Conclusions
Significant differences in costs of cataract surgery were found among the 4 different graded providers. A part of the cost was borne by patients. Proportion of patients with reimbursement and mean reimbursement ratios were higher in economically developed regions than in economically developing regions. Much more financial support should be directed into the rural New Cooperative Medical Scheme to raise the reimbursement ratio in rural China.
 
 
背景
中國是世界上白內障患者最多的國家。然而，國內的百萬人口白內障手術率仍然較低。我們對來自中國的四家不同等級醫療機構進行調查，統計其白內障手術的治療費用并分析不同醫療機構治療費用間的差異。
 
結果
四家不同醫院的調查結果發現，患者白內障治療的平均總體費用存在較大差異。仁安醫院的平均費用為1293美元，而京山縣醫院的平均花費為536美元。除京山縣醫院外，其他三家醫療機構的治療費用均超過了當地農村居民的年度可支配收入。能夠報銷的患者人數比例在四家醫院間同樣存在較大差異，仁安醫院最低僅為36%，其他三家醫院也僅超過60%，比例最高的是中山眼科中心為71%。
 
結論
四家不同等級醫療機構的白內障手術治療費用存在顯著性差異。患者均要承擔一定比例的醫療費用。能夠報銷費用的患者人數比例、患者醫療費用的報銷比例均受到當地經濟發展水平的影響：表現為地區經濟越發達，報銷人數比例和費用比例均越高。新型農村合作醫療體質的完善，需要更多的財政支持用以提高中國農村醫療費用的報銷比例。
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