Estimation of provider cost and the out of pocket expenditure for cataract surgery at a base hospital

Perera, Chantal; Silva, D De; Perera, Lakshman

doi:10.4038/cmj.v61i4.8395

Cited by 3 publications

(2 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our review of the literature, 8 articles examined OOP spending in surgery (obstetrics and gynecology, 3,18,19,22 ophthalmology, 17 transplant, 18 orthopedics, 10 plastic surgery, 2 and general surgery 1 ); however, none of the studies examined neurosurgical care. Four of these studies were conducted internationally, 3,17,18,22 and 1 study was based on a survey of patients, 19 which is prone to patient recall bias and underreporting of costs. Two studies 2,10 that explored OOP costs in pediatric orofacial clefts and total hip arthroplasty included fewer than 50 patients, making extrapolation and generalizability of analysis challenging.…”

Section: Discussionmentioning

confidence: 99%

Patient out-of-pocket spending in cranial neurosurgery: single-institution analysis of 6569 consecutive cases and literature review

Yoon¹,

Mooney²,

Bohl³

et al. 2018

Neurosurgical Focus

View full text Add to dashboard Cite

OBJECTIVEWith drastic changes to the health insurance market, patient cost sharing has significantly increased in recent years. However, the patient financial burden, or out-of-pocket (OOP) costs, for surgical procedures is poorly understood. The goal of this study was to analyze patient OOP spending in cranial neurosurgery and identify drivers of OOP spending growth.METHODSFor 6569 consecutive patients who underwent cranial neurosurgery from 2013 to 2016 at the authors’ institution, the authors created univariate and multivariate mixed-effects models to investigate the effect of patient demographic and clinical factors on patient OOP spending. The authors examined OOP payments stratified into 10 subsets of case categories and created a generalized linear model to study the growth of OOP spending over time.RESULTSIn the multivariate model, case categories (craniotomy for pain, tumor, and vascular lesions), commercial insurance, and out-of-network plans were significant predictors of higher OOP payments for patients (all p < 0.05). Patient spending varied substantially across procedure types, with patients undergoing craniotomy for pain ($1151 ± $209) having the highest mean OOP payments. On average, commercially insured patients spent nearly twice as much in OOP payments as the overall population. From 2013 to 2016, the mean patient OOP spending increased 17%, from $598 to $698 per patient encounter. Commercially insured patients experienced more significant growth in OOP spending, with a cumulative rate of growth of 42% ($991 in 2013 to $1403 in 2016).CONCLUSIONSEven after controlling for inflation, case-mix differences, and partial fiscal periods, OOP spending for cranial neurosurgery patients significantly increased from 2013 to 2016. The mean OOP spending for commercially insured neurosurgical patients exceeded $1400 in 2016, with an average annual growth rate of 13%. As patient cost sharing in health insurance plans becomes more prevalent, patients and providers must consider the potential financial burden for patients receiving specialized neurosurgical care.

show abstract

Section: Discussionmentioning

confidence: 99%

Patient out-of-pocket spending in cranial neurosurgery: single-institution analysis of 6569 consecutive cases and literature review

Yoon¹,

Mooney²,

Bohl³

et al. 2018

Neurosurgical Focus

View full text Add to dashboard Cite

show abstract

“…Accurate information on the cost of health care or eye care in Sri Lanka are not available in the published literature but a recent study in a hospital in Sri Lanka estimated the out-of-pocket expenditure for cataract surgery to be SLR 25,407 (US$ 165.4). The provider cost for the delivering cataract surgery was SLR 15,668 (US$ 102) [20]. Although the recently the Government of Sri Lanka provides intraocular lenses at no cost to the patient, the costs for cataract surgery will be significantly higher when patients need to buy their own lenses, especially the high-end costly lenses.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of self-reported ocular morbidity and utilization of eye services in Sri Lanka: results from a national population-based survey

et al. 2018

View full text Add to dashboard Cite

Introduction Data on ocular morbidity is essential for planning primary and referral eye care services.Objectives Determine the prevalence and causes of selfreported ocular morbidity and eye care service utilization in Sri Lanka among adults 40 years of age.Methods Multistage, stratified, cluster random sampling was used to select a nationally representative sample aged 40 years. All participants were administered a questionnaire to assess ocular morbidity they had experienced in the previous month and the pattern of service utilization for reported eye problems. The interviews were conducted by a team of trained investigators at the clinical examination site before they underwent an eye examination.Results 5779 of those presenting for a clinical examination were interviewed among 6713 enumerated (86.1%). The prevalence of self-reported ocular morbidity was 89.9% [95% Confidence Interval (CI): 89.0-90.6%]. Near vision impairment was the commonest problem reported (72.1%; 95% CI: 70.8-73.3%) followed by distance vision impairment (36.2%; 95% CI: 34.9-37.5%). Among those reporting an eye problem, 31.4% sought treatment. 49.4% of those seeking care utilized private facilities. Financial constraints, perceptions that the condition was not serious or had insufficient impact on day-to-day tasks were the most important reasons for not accessing care.Conclusions Ocular morbidities are common in the Sri Lanka population; however utilization of services is relatively low, particularly for asymptomatic illnesses. It is important that the service planners take into account geographical and social inequalities and focus the services on underserviced areas and disadvantaged social groups.

show abstract

Factors Associated with Out-of-Pocket Expenditure among Patients Admitted for Cataract Surgery under District Blindness Control Society Scheme

Shambhu¹,

Akshaya²,

Bappal³

et al. 2022

Indian Journal of Community Medicine

View full text Add to dashboard Cite

Background: The National Programme for Control of Blindness and Visual Impairment in India supports the management of various conditions of the eye including cataracts. Objective: The objective of this study is to estimate out-of-pocket expenditure (OOPE) and factors associated with it among patients admitted for cataract surgery under District Blindness Control Society (DBCS) scheme. Materials and Methods: A cross-sectional study was conducted in a Medical College Hospital of Coastal Karnataka, South India. Data were collected using a predesigned semi-structured interview schedule from 100 patients admitted for cataract surgery under DBCS scheme. Costs were reported as median values with interquartile range (IQR) and compared using the Kruskal-Wallis test. Results: Median total cost incurred by the patient was INR 1700 (IQR 1052–2575). Median direct costs (1425, IQR 762.5–2200 INR) included medical expenditure (600, IQR 0–1475 INR), mainly contributed by the treatment of systemic comorbid conditions and nonmedical expenditure toward travel. Median indirect costs (400, IQR 200–600 INR) included loss of wages for the patient and the bystander. Conclusions: OOPE for cataract surgery among DBCS patients was associated with the presence of comorbidity, postponement of surgery, duration of hospital stay, and distance traveled by the patient.

show abstract

Estimation of provider cost and the out of pocket expenditure for cataract surgery at a base hospital

Cited by 3 publications

References 1 publication

Patient out-of-pocket spending in cranial neurosurgery: single-institution analysis of 6569 consecutive cases and literature review

Patient out-of-pocket spending in cranial neurosurgery: single-institution analysis of 6569 consecutive cases and literature review

Prevalence and determinants of self-reported ocular morbidity and utilization of eye services in Sri Lanka: results from a national population-based survey

Factors Associated with Out-of-Pocket Expenditure among Patients Admitted for Cataract Surgery under District Blindness Control Society Scheme

Contact Info

Product

Resources

About