Risk-oriented method for assessing the cost of glaucoma surgical treatment
https://doi.org/10.25700/NJG.2019.02.02
Abstract
Purpose: To find out the need for various health services repeated delivery on the previously operated eye and evaluate their total cost in the surgical treatment of glaucoma.
Methods: The material for the study was taken from the database of the medical information system of the Orenburg branch of S. Fyodorov Eye Microsurgery Federal State Institution for the period of 2014-2017. Assessment of the change in the cost of medical services was carried out using automated process lists of surgical and laser treatment of glaucoma used in the Orenburg branch of S. Fyodorov Eye Microsurgery FSI by estimating the ratio of prevailing unit cost and the cost due to the application of the risk-oriented method.
Results: There is a significant amount of patients who need to undergo surgery of the previously operated eye — 12.75%. However, the number of re-surgery is uneven for various operations: laser glaucoma surgery — 8.55%, nonpenetrating glaucoma surgery — 17.60%, penetrating glaucoma surgery — 12.78%.
Conclusion: The use of the risk-based method of estimating the cost of medical care allows the medical institution to have a reserve of funds for re-intervention (1 time) at the presence of medical indications, but this increases the cost of initial medical intervention by 1.69% for penetrating surgery, by 8.47% — for non-penetrating surgery, by 21.18% — for antiglaucoma laser surgery.
About the Authors
A. D. Chuprov
Orenburg branch of S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Med.Sc.D., Professor, Director.
17 Salmyshskaya st., Orenburg, Russian Federation, 460047
A. O. Lositskiy
Orenburg branch of S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Deputy director for organizational and methodical work.
17 Salmyshskaya st., Orenburg, Russian Federation, 460047
A. S. Firsov
Orenburg branch of S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Resident.
17 Salmyshskaya st., Orenburg, Russian Federation, 460047
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Review
For citations:
Chuprov A.D., Lositskiy A.O., Firsov A.S. Risk-oriented method for assessing the cost of glaucoma surgical treatment. National Journal glaucoma. 2019;18(2):10-17. (In Russ.) https://doi.org/10.25700/NJG.2019.02.02
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