Panorama Orthopaedics and Spine Center, Golden, Colorado 80401-9522, USA.
J Arthroplasty. 2012 May;27(5):703-9. doi: 10.1016/j.arth.2011.10.007. Epub 2012 Jan 14.
The purpose of this study was to evaluate patient perception of orthopedic surgeon reimbursement for total hip (THA) and knee (TKA) arthroplasty. A total of 1120 consecutive patients were asked what they believed a surgeon should be paid for performing THA and TKA. Patients were then asked to estimate what Medicare actually reimbursed for each of these procedures. On average, patients thought that surgeons should receive $14,358 for THA and $13,332 for TKA. Patients estimated actual Medicare reimbursement to be $8212 for THA and $7196 for TKA. Most of the patients stated that Medicare reimbursement was "much lower" than what it should be. Many patients commented that given this discrepancy, surgeons may drop Medicare, which may decrease access to quality hip and knee arthroplasties.
本研究旨在评估患者对全髋关节置换术（THA）和全膝关节置换术（TKA）的骨科医生报酬的看法。共有 1120 名连续患者被问及他们认为外科医生进行 THA 和 TKA 应获得多少报酬。然后，患者被要求估计 Medicare 对这些手术的每项实际报销金额。平均而言，患者认为外科医生应分别获得 THA 手术 14358 美元和 TKA 手术 13332 美元的报酬。患者估计 Medicare 对 THA 的实际报销金额为 8212 美元，对 TKA 的实际报销金额为 7196 美元。大多数患者表示， Medicare 的报销金额“远低于”应有的金额。许多患者表示，如果存在这种差异，外科医生可能会放弃 Medicare，这可能会降低接受高质量髋关节和膝关节置换术的机会。
