Analysis of Total Joint Arthroplasty Costs in Chinese Patients
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, ma...
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Veröffentlicht in: | The Journal of arthroplasty 2012-09, Vol.27 (8), p.1423-1428.e1 |
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container_title | The Journal of arthroplasty |
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creator | Zhang, YiChao, MD Zhang, Hong, MD Clarke, Henry D., MD Hattrup, Steven J., MD |
description | 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. |
doi_str_mv | 10.1016/j.arth.2012.01.014 |
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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.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2012.01.014</identifier><identifier>PMID: 22425299</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - economics ; Arthroplasty, Replacement, Knee - economics ; China ; cost analysis ; Costs and Cost Analysis ; Female ; Humans ; joint arthroplasty ; Male ; Middle Aged ; Orthopedics ; Young Adult</subject><ispartof>The Journal of arthroplasty, 2012-09, Vol.27 (8), p.1423-1428.e1</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. 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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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - economics</subject><subject>Arthroplasty, Replacement, Knee - economics</subject><subject>China</subject><subject>cost analysis</subject><subject>Costs and Cost Analysis</subject><subject>Female</subject><subject>Humans</subject><subject>joint arthroplasty</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Young Adult</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-LFDEQxYMo7rj6BTxIH730WPnXkwFZGAZ3VRZccD2HdLrCZuzpjKmMMN9-08zqwYPwoC7vPajfY-wthyUH3n3YLV0uD0sBXCyBV6lnbMG1FK1R0D1nCzBGtlqBvGCviHYAnGutXrILIZTQYr1esKvN5MYTRWpSaO5TcWPzNcWpNJtandNhdFROzTZRoSZOzfYhTkjY3LkScSr0mr0IbiR883Qv2Y_rT_fbz-3tt5sv281t6xXnpUWveRgQ0Xc9uCAkQi97IcNqFcxgeidQKQOuC8b1ul-rgQuxNjIYxTswIC_Z-3PvIadfR6Ri95E8jqObMB3JcpCq00atumoVZ6vPiShjsIcc9y6fqsnO3OzOztzszM0Cr1I19O6p_9jvcfgb-QOqGj6eDVi__B0xW_KVgMchZvTFDin-v__qn7gf4xS9G3_iCWmXjrnuUP-wVDP2-7zcPBwXAKDNSj4C93qS3Q</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>Zhang, YiChao, MD</creator><creator>Zhang, Hong, MD</creator><creator>Clarke, Henry D., MD</creator><creator>Hattrup, Steven J., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120901</creationdate><title>Analysis of Total Joint Arthroplasty Costs in Chinese Patients</title><author>Zhang, YiChao, MD ; Zhang, Hong, MD ; Clarke, Henry D., MD ; Hattrup, Steven J., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-ec51fdeeec6b0af23e0b3b23f77f8d8ba2e4480a6f8ab5b94d122983f84160803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - economics</topic><topic>Arthroplasty, Replacement, Knee - economics</topic><topic>China</topic><topic>cost analysis</topic><topic>Costs and Cost Analysis</topic><topic>Female</topic><topic>Humans</topic><topic>joint arthroplasty</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, YiChao, MD</creatorcontrib><creatorcontrib>Zhang, Hong, MD</creatorcontrib><creatorcontrib>Clarke, Henry D., MD</creatorcontrib><creatorcontrib>Hattrup, Steven J., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, YiChao, MD</au><au>Zhang, Hong, MD</au><au>Clarke, Henry D., MD</au><au>Hattrup, Steven J., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of Total Joint Arthroplasty Costs in Chinese Patients</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>27</volume><issue>8</issue><spage>1423</spage><epage>1428.e1</epage><pages>1423-1428.e1</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22425299</pmid><doi>10.1016/j.arth.2012.01.014</doi></addata></record> |
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source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
subjects | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - economics Arthroplasty, Replacement, Knee - economics China cost analysis Costs and Cost Analysis Female Humans joint arthroplasty Male Middle Aged Orthopedics Young Adult |
title | Analysis of Total Joint Arthroplasty Costs in Chinese Patients |
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