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  1. Cost effectiveness of a single-function treatment center for cataract surgery.

    Article - En anglais

    Purpose 

    To compare the clinical and cost effectiveness of two models for cataract treatment : a single-function Cataract Treatment Centre (CTC) and a general ophthalmology service.

    Setting 

    Cataract Treatment Centre and the general ophthalmology service at Sunderland Eye Infirmary, Sunderland, United Kingdom.

    Methods 

    Two hundred patients were studied using two models of care : 100 in the CTC and 100 in the general ophthalmology service.

    Outcome measures were best corrected visual acuity at 3 months postoperatively or at discharge and occurrence of surgery-related complications.

    All direct costs to the National Health Service were identified, measured, and assessed.

    Results 

    Clinical outcomes in the two groups were similar.

    The average cost per patient was £496.90 ($760.25) at the CTC and £566.34 ($866.50) at the general ophthalmology service.

    The cost per patient treated as a day case in the general service group was £495.84 ($758.63).

    Thus, treatment at the CTC was more cost effective than in the mixed service group and as cost effective as in the day case subgroup.

    Conclusions 

    Depending on local circumstances, day care may be delivered more cost effectively in a single-function center than in a general ophthalmology service.

    We recommend day care using local anesthesia and protocols for assessment, surgery, and follow-up.

    J Cataract Refract Surg 1996 ; 22 : 940-946.

    Mots-clés Pascal : Cataracte, Chirurgie, Service hospitalier, Ophtalmologie, Analyse coût efficacité, Economie santé, Homme, Oeil pathologie, Cristallin pathologie, Segment antérieur pathologie

    Mots-clés Pascal anglais : Cataract, Surgery, Hospital ward, Ophthalmology, Cost efficiency analysis, Health economy, Human, Eye disease, Lens disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0484295

    Code Inist : 002B25B. Création : 10/04/1997.