Cost of senile cataract surgery in 65 population in the Czech Republic
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F44555601%3A13510%2F17%3A43895268" target="_blank" >RIV/44555601:13510/17:43895268 - isvavai.cz</a>
Alternative codes found
RIV/68407700:21460/17:00317610
Result on the web
<a href="http://cefe.ekf.tuke.sk/CEFE2017_final.pdf" target="_blank" >http://cefe.ekf.tuke.sk/CEFE2017_final.pdf</a>
DOI - Digital Object Identifier
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Alternative languages
Result language
angličtina
Original language name
Cost of senile cataract surgery in 65 population in the Czech Republic
Original language description
The objective of this study is to quantify direct costs related to different types of implanted intraocular lenses from the perspective of public health insurance and from the patient's perspective. The calculations were carried out based on three scenarios. The first scenario describes the real current situation, when the health insurance company reimburses the performances related to the senile cataract treatment including a monofocal artificial intraocular lens (IOL), and the patient pays for all the materials in the case he/she requires a multifocal or toric IOL. The second scenario analyses the situation, when there was the category of so-called "nadstandard" (better care than the standard one) in the Czech healthcare system. In this case, the health insurance company reimburses the performances related to the senile cataract treatment including the sum equivalent to the price of a monofocal IOL as the cheapest option. The patient pays the price difference between the implanted toric or multifocal lens and an equivalent monofocal lens. The third scenario describes the situation corresponding to the judicial interpretation of the Constitutional Court of the Czech Republic, when the health insurance company reimburses only the performances related to the senile cataract treatment including a monofocal IOL, and if a patient requires a multifocal or toric IOL, he/she pays for the whole operation including the materials himself/herself. The study covered a cohort of 200 patients with senile cataract in the age of 65 and over. Data were collected from four cataract surgery performing clinics in 2014. Patients' costs were obtained through a patient questionnaire asking the direct (out-of-pocket) expenses associated with the cataract surgery. Direct costs of the senile cataract surgery from the perspective of public health insurance were CZK 24,900 (about EUR 907) per person (one eye). Patient's direct costs were lower for monofocal lenses than for multifocal ones. Patients' costs for an IOL and the related treatment reached up to CZK 35,000 (about EUR 1,275), out of pocket expenses after the treatment averaged out at CZK 4,450 (about EUR 162). The most cost-effective option from the patients' perspective is the monofocal IOL, however, the patients would spend a higher sum of money for the eyeglasses after the operation. Nevertheless, it is still less than the material costs in the case of a multifocal IOL, which, moreover, is not suitable for all patients. Thus, the monofocal IOL appears to be the best option from the point of view of cost effectiveness both from the perspective of public health insurance and from the patient's perspective.
Czech name
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Czech description
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Classification
Type
D - Article in proceedings
CEP classification
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OECD FORD branch
50204 - Business and management
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2017
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Article name in the collection
Central european conference in finance and economics (CEFE2017)
ISBN
978-80-553-2906-2
ISSN
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e-ISSN
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Number of pages
10
Pages from-to
70-79
Publisher name
Technická univerzita Košice
Place of publication
Košice
Event location
Herlany
Event date
Sep 20, 2017
Type of event by nationality
EUR - Evropská akce
UT code for WoS article
000503056700007