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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

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&apos;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 &quot;nadstandard&quot; (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&apos; 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&apos;s direct costs were lower for monofocal lenses than for multifocal ones. Patients&apos; 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&apos; 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&apos;s perspective.

  • Czech name

  • Czech description

Classification

  • Type

    D - Article in proceedings

  • CEP classification

  • OECD FORD branch

    50204 - Business and management

Result continuities

  • Project

  • 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

  • e-ISSN

  • 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