Cost and reimbursement of cataract surgery in Europe: a cross-country comparison

Health Economics
Giovanni Fattore, Aleksandra Torbica

Abstract

The number of cataract extractions has increased substantially over time. At present, cataract surgery is estimated to be the most common single procedure performed in the developed world. The present study compares the costs of a cataract intervention across nine European countries. To enhance comparability, data were collected using a common template based on a case vignette. Adequate data for analysis were collected from 41 providers and were used to evaluate variation across countries and providers. Ordinary least squares and a multilevel model were used to investigate cost variation. Mean total costs per cataract intervention varied considerably from country to country, ranging from 318 euros in Hungary to 1087 euros in Italy. Variations of a similar magnitude were detected for personnel costs and overheads. However, variations in the cost of the lens were more modest. Overall, our results confirm expectations about the causes of cost variations across EU member states, indicating that these variations may be attributable to the quantity of resources used in performing the operation, the price of resources, and the type of setting in which the operation is performed. The study highlights how accounting practices and availa...Continue Reading

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Citations

Jan 13, 2012·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·M PirsonP Leclercq
Apr 17, 2013·Japanese Journal of Ophthalmology·Yoshimune HiratsukaTomoyuki Takura
Sep 11, 2010·BMC Public Health·Jiahua FangJingbo Li
May 30, 2013·International Ophthalmology·Sofia TheodoropoulouAnastasia Tzonou
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Jan 13, 2010·Acta Ophthalmologica·Sofia TheodoropoulouAnastasia Tzonou
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Sep 23, 2014·BioMed Research International·Maria Lucia SpecchiaWalter Ricciardi
Jan 14, 2009·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Siok Swan TanLeona Hakkaart-van Roijen
Oct 24, 2012·European Journal of Clinical Pharmacology·Gianfranco DamianiWalter Ricciardi
Aug 18, 2020·International Journal of Surgery Protocols·Dominique VervoortRawn Salenger

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