加拿大各地内镜检查医生报销费用的差异。
Variation in physician reimbursement for endoscopy across Canada.
作者信息
Roth L S, Adams P C
机构信息
University of Western Ontario, London Health Sciences Centre, London, Canada.
出版信息
Can J Gastroenterol. 2009 Jul;23(7):503-5. doi: 10.1155/2009/345719.
BACKGROUND
Endoscopy accounts for a significant proportion of income for physicians practicing gastroenterology. Fees are set provincially, and the consistency with regard to compensation for colonoscopy and gastroscopy across the provinces has yet to be established.
OBJECTIVE
To compare and contrast provincial endoscopy fees across Canada and internationally.
METHODS
Provincial and territorial ministries responsible for health care were contacted for their most current fee schedule. This was reviewed, and the billing amounts for colonoscopy and endoscopy collected. International contacts were made with regard to rates outside of Canada.
RESULTS
The mean (+/- SD) national fee for gastroscopy was $114.19+/-$31.47 per procedure, with a range of $52.50 to $156.10. Physician billing nationally averaged $170.99+/-$33.49 per colonoscopy procedure, with a range of $105.00 to $223.00. The province of Quebec provided the least amount of compensation for both procedures, and the province of Nova Scotia provided the most for both procedures.
CONCLUSION
Physician fees for gastroscopy and colonoscopy vary widely among the provinces, and, on average, seem to be less than international rates.
背景
在内镜检查方面的收入，在从事胃肠病学的医生收入中占相当大的比例。费用由各省制定，而各省之间结肠镜检查和胃镜检查补偿的一致性尚未确立。
目的
比较和对比加拿大各省以及国际上的内镜检查费用。
方法
与负责医疗保健的各省和地区部门联系，获取其最新的收费表。对收费表进行审查，并收集结肠镜检查和胃镜检查的计费金额。就加拿大以外地区的收费标准与国际机构进行了联系。
结果
全国胃镜检查的平均（±标准差）费用为每次检查114.19美元±31.47美元，范围为52.50美元至156.10美元。全国医生每次结肠镜检查的计费平均为170.99美元±33.49美元，范围为105.00美元至223.00美元。魁北克省对这两种检查的补偿金额最少，新斯科舍省对这两种检查的补偿金额最多。
结论
各省之间胃镜检查和结肠镜检查的医生费用差异很大，而且平均而言，似乎低于国际收费标准。
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