Reply:
(b)
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of the expenses incurred in each of the categories mentioned in (a) above, how much is borne by the Hospital Authority, the Samaritan Fund or other funds, and the patients themselves respectively?
Since operational statistics are kept by the Hospital Authority according to outcome of clinical diagnosis based on the International Classification of Diseases, a breakdown on the number of operations using specific implants and consumable is not readily available.
While the unit cost of these implants and consumable will tend to vary between different suppliers and specifications, a rough indication of cost is provided at Annex.
Since patients with the ability to pay are normally advised to purchase these implants and consumable direct from the suppliers, information is not available on the total expenditure involved. Nevertheless, about $4 million was paid out from the Samaritan Fund in 1994/95 to provide partial or full waivers for those in need.
Annex
Items of Implants or Consumable
Unit Cost ($)
Total joint replacement
Replacement of spine disc
5,000 - 250,000
10,000 - 20,000
18,000 - 22,000
Percutaneous transluminal coronary angioplasty
12,000 - 15,000
14,000 - 15,000
Percutaneous ballon pulmonary valvotomy
7,000 - 8,000
5,000 - 6,000
Percutaneous transluminal coronary stenting
Percutaneous balloon mitral valvotomy (inoue balloon catheter)
Balloon angioplasty
Items of prosthesis for cardiac operation
(i)
Pacemaker
(ii) Carbomedic Valve (aortic and mitral) (iii) Medtronic Hall Aortic Valve Conduit (iv) Medtronic Hall Valve (aortic and mitral) (v) Carpentier Edwards Biological Valve (vi) Sorin Valve (aortic and mitral)
(vii) Filter for blood transfusion of thalassanemia major
End/Wednesday, May 17, 1995
8,000 - 36,000
9,000 - 10,000 22,000 - 23,000 9,000 - 10,000
9,000 - 10,000
9,000 - 10,000
300-600
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