眼科义诊及基于义诊的白内障手术的成本分析

Cost analysis of eye camps and camp-based cataract surgery.

作者信息

Murthy G V, Sharma P

机构信息

All India Institute of Medical Sciences, Ansari Nagar, New Delhi.

出版信息

Natl Med J India. 1994 May-Jun;7(3):111-4.

PMID:8069200

Abstract

BACKGROUND

Although cataract accounts for half the blindness in the world, the resources available are not sufficient to meet the existing need for operations. The most effective low cost cataract surgery is probably performed in community camps.

METHODS

We estimated the costs incurred in performing cataract operations in makeshift comprehensive eye care camps. Both the capital and recurrent inputs were costed at current market rates.

RESULTS

Rupees 1,508,600 (US$ 47,100) was spent on conducting 17 camps during April 1992 to March 1993. Recurrent inputs were responsible for 83% of the total costs. Sixty per cent of the recurrent inputs were borne by non-governmental organizations. The total capital expenditure was borne by the mobile ophthalmic units. Food and drugs for patients (40%), and staff salaries and allowances (35%) were the major recurrent expenditure, while 60% of the capital expenditure was accounted for by vehicles. The unit cost of cataract surgery was Rs 772 (US$ 23).

CONCLUSIONS

We suggest that comprehensive eye camps are cost-effective.

摘要

背景

尽管白内障是全球失明的主要原因之一，但现有的资源仍不足以满足白内障手术的需求。最有效的低成本白内障手术可能是在社区营地中进行的。

方法

我们估算了在临时综合眼科护理营地中进行白内障手术的成本。资本投入和经常性投入均按当前市场价格计算。

结果

在1992年4月至1993年3月期间，共举办了17个营地，花费了1,508,600卢比（47,100美元）。经常性投入占总成本的83%。经常性投入的60%由非政府组织承担。总资本支出由流动眼科单位承担。患者的食品和药品（40%）以及工作人员的工资和津贴（35%）是主要的经常性支出，而资本支出的60%用于车辆。白内障手术的单位成本为772卢比（23美元）。