印度马哈拉施特拉邦小儿白内障手术的费用。
Cost of pediatric cataract surgery in Maharashtra, India.
作者信息
Gogate Parikshit, Dole Kuldeep, Ranade Satish, Deshpande Madan
机构信息
Lions Juhu Institute of Community Ophthalmology, H. V. Desai Eye Hospital, Pune, India.
出版信息
Int J Ophthalmol. 2010;3(2):182-6. doi: 10.3980/j.issn.2222-3959.2010.02.22. Epub 2010 Jun 18.
AIM
To calculate the direct cost of pediatric cataract surgery, from the provider's perspective.
METHODS
The direct cost was calculated using standard costing methods in a pediatric ophthalmology department of a comprehensive community eye care center in western India. Fixed costs included those of the building, interior decoration, out patient department's equipment, operation theater equipment, personnel, administration and hospital maintenance. The consumable costs included materials used during surgery. Only direct costs were considered.
RESULTS
The average direct costs were Indian rupees (Rs.) 69 ($1.77) for an outpatient department consultation, Rs.606 ($15.53) for operation theater equipment use, and Rs. 2 427($62.23) for personnel. The consumable costs ranged from Rs.1 452 ($37.23) to 15 267 ($391.46), depending on the protocol used. The net average cost of pediatric cataract surgery ranged from Rs. 4 722 ($122) to Rs. 18 537 ($475) per eye.
CONCLUSION
Cataract surgery is cost intensive for children with cataract. Pediatric ophthalmologists should decide about most cost effective standards of care to rationalize consumable cost.
目的
从医疗服务提供者的角度计算小儿白内障手术的直接成本。
方法
采用标准成本核算方法，对印度西部一家综合社区眼科护理中心的小儿眼科部门的直接成本进行计算。固定成本包括建筑物、内部装修、门诊部设备、手术室设备、人员、行政管理和医院维护等方面的成本。消耗成本包括手术期间使用的材料。仅考虑直接成本。
结果
门诊部会诊的平均直接成本为69印度卢比（1.77美元），手术室设备使用成本为606印度卢比（15.53美元），人员成本为2427印度卢比（62.23美元）。消耗成本根据所采用的方案，从1452印度卢比（37.23美元）到15267印度卢比（391.46美元）不等。小儿白内障手术每只眼睛的净平均成本在4722印度卢比（122美元）到18537印度卢比（475美元）之间。
结论
白内障手术对于患有白内障的儿童来说成本较高。小儿眼科医生应确定最具成本效益的护理标准，以使消耗成本合理化。
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