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
中国是世界上白内障患者最多的国家。然而，国内的百万人口白内障手术率仍然较低。我们对来自中国的四家不同等级医疗机构进行调查，统计其白内障手术的治疗费用并分析不同医疗机构治疗费用间的差异。
 
结果
四家不同医院的调查结果发现，患者白内障治疗的平均总体费用存在较大差异。仁安医院的平均费用为1293美元，而京山县医院的平均花费为536美元。除京山县医院外，其他三家医疗机构的治疗费用均超过了当地农村居民的年度可支配收入。能够报销的患者人数比例在四家医院间同样存在较大差异，仁安医院最低仅为36%，其他三家医院也仅超过60%，比例最高的是中山眼科中心为71%。
 
结论
四家不同等级医疗机构的白内障手术治疗费用存在显著性差异。患者均要承担一定比例的医疗费用。能够报销费用的患者人数比例、患者医疗费用的报销比例均受到当地经济发展水平的影响：表现为地区经济越发达，报销人数比例和费用比例均越高。新型农村合作医疗体质的完善，需要更多的财政支持用以提高中国农村医疗费用的报销比例。
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