Increasing healthcare costs: can we influence the costs of glaucoma care?

Töteberg-Harms M; Berlin MS; Meier-Gibbons F

doi:10.1097/ICU.0000000000000343

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Journal article

Increasing healthcare costs: can we influence the costs of glaucoma care?

Töteberg-Harms M aDepartment of Ophthalmology, University Hospital Zurich, Zurich, Switzerland bGlaucoma Institute of Beverly Hills, West Hollywood cUniversity of California Los Angeles Stein Eye Institute, Los Angeles, California, USA dEye Center Rapperswil, Rapperswil, Switzerland.
Berlin MS
Meier-Gibbons F

2016-11-10

Published in:

Current opinion in ophthalmology. - 2017

Diagnostic Techniques, Ophthalmological

Ophthalmologic Surgical Procedures

English PURPOSE OF REVIEW
Despite a decrease in real average growth rates per capita since 2009, healthcare costs continue to rise worldwide. Numerous patient-related and doctor-related factors have contributed to this rise. Glaucoma is the leading cause of irreversible blindness and requires chronic, usually lifelong treatment. As with other chronic diseases, the adherence to prescribed treatment is often low and maybe influenced by the cost of the therapy. The purpose of this review is to seek potential solutions to best control the escalating costs of glaucoma care.

RECENT FINDINGS
The studies we selected for this review can be divided into four different categories: costs of diagnostic tests; costs of direct comparisons between drugs or laser and conventional surgery; patient-related factors (such as adherence); and general aspects regarding costs: theoretical models and calculations.

SUMMARY
It is challenging to find reliable studies concerning this subject matter. As patients are under the umbrellas of variously organized healthcare systems which span different cultures, the costs between countries are difficult to compare. However, one common aspect to lower costs in glaucoma care is to improve patient adherence. Theoretical models with actual patient studies could enable cost reductions by comparing multiple diagnostic and therapeutic scenarios. VIDEO ABSTRACT: http://links.lww.com/COOP/A22.

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