An economic comparison of hospital-based and community-based glaucoma clinics.

Eye
A SharmaIan E Murdoch

Abstract

We have established one model for community care of glaucoma clinic patients. Community optometrists received training and accreditation in glaucoma care. Once qualified they alternated between running half day glaucoma clinics in their own High Street practices and assisting in a hospital-based glaucoma clinic session. This paper reports the cost of this model. Micro-costing was undertaken for the hospital clinic. A consensus meeting was held to agree costs for community clinics involving all optometrists in the project along with representatives of the multiple chain optometry practices who had participated. Costs to patients both indirect and direct were calculated following structured interviews of 197 patients attending hospital clinics and 194 attending community clinics. The estimated cost per patient attendance to the hospital clinic was £63.91 and the estimated cost per attendance to the community clinic was £145.62. For patients the combined direct and indirect cost to attend the hospital clinic was £6.15 and the cost to attend the community clinic £5.91. The principal reason for the higher cost in the community clinic was higher overhead costs in the community. Re-referral to the hospital system only occurred for 9% ...Continue Reading

References

Dec 8, 1996·Journal of Health Services Research & Policy·J CoastP G Spry
Apr 27, 2000·The British Journal of Ophthalmology·S F GrayD L Easty
Jun 19, 2009·Medical Care·Kevin D Frick

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Citations

Nov 21, 2013·BMC Health Services Research·Hanna Gillespie-GalleryMiriam L Conway
Dec 30, 2014·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Trishal Boodhna, David P Crabb
Nov 5, 2014·Clinical & Experimental Ophthalmology·Khalid F JamousBarbara Zangerl
Mar 30, 2017·Journal of Glaucoma·Emily M SchehleinOsamah J Saeedi
Dec 19, 2019·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Jessie HuangBarbara Zangerl
Nov 9, 2019·Eye·Robert A HarperJohn G Lawrenson
Sep 2, 2016·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Helen BakerJohn G Lawrenson

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