The Determinants of Healthcare Cost for Glaucoma Patients in Cicendo Eye Hospital, Bandung, Indonesia
Abstract
Glaucoma is the second foremost cause of impaired vision. People who
suffered from Glaucoma face the independent expenditure for the
treatment as blind people with Glaucoma could not be cured perfectly.
This study intends to analyze the effect of age, types of patient care, types
of Glaucoma, and types of payment on the total cost of care of glaucoma
patients at Cicendo Eye Hospital, Bandung, Indonesia. This study uses
3,358 patient medical records of Cicendo Eye Hospital, Bandung,
Indonesia, in 2018. The 3,358 samples were selected from the patient’s
medical record based on patients’ categories indicated or convicted of
having Glaucoma. Robust Linear Regression is applied in this study to
measure the additional cost for Glaucoma treatment. The results showed
that the total cost of patient care was positively and significantly affected
by hospitalization status (p=0.000), age (p=0.000), times of treatment
(p=0.000), having primary glaucoma (p=0.000), having congenital
glaucoma (p=0.000), and presence of intraocular (p=0.000). Conversely,
patient care’s total cost was negatively and significantly affected using
insurance (p=0.082). This result would be a precautionary measure for
the medical institution to consider better financial planning, service
delivery improvement, and the patient’s payment scheme effectiveness.
Full text article
References
Flaxman SR, Bourne RRA, Resnikoff S, et al. Global Causes of Blindness and Distance Vision Impairment 1990–2020: A Systematic Review and Meta-Analysis. The Lancet Global Health. 2017;5(12):1221-1234.
Liu SA, Zhao ZN, Sun NN, Han Y, Chen J, Fan ZG. Transitions of the Understanding and Definition of Primary Glaucoma. Chinese Medical Journal. 2018;131(23):2852-2859.
Kapetanakis V V., Chan MPY, Foster PJ, Cook DG, Owen CG, Rudnicka AR. Global Variations and Time Trends in the Prevalence of Primary Open Angle Glaucoma (POAG): A Systematic Review and Meta Analysis. British Journal of Ophthalmology. 2016;100(1):86-93.
Sun X, Dai Y, Chen Y, et al. Primary Angle Closure Glaucoma: What We Know and What We Don’t Know. Progress in Retinal and Eye Research. 2017;57:26-45.
Sakti ES, Prahasta A, Lestari S, Mildya F. Situasi Glaukoma di Indonesia. Published online 2019:1-2.
Song P, Wang J, Bucan K, Theodoratou E, Rudan I, Chan KY. National and Subnational Prevalence and Burden of Glaucoma in China: A Systematic Analysis. Journal of Global Health. 2017;7(2):020705.
Lazcano-Gomez G, De Los Angeles Ramos Cadena M, Torres-Tamayo M, De Oteyza AH, Turati Acosta M, Jimenez-Román J. Cost of Glaucoma Treatment in a Developing Country Over a 5-Year Period. Medicine. 2016;95(47):1-5.
Hegde SP, Sekharreddy MR, Kumar MR, Dayanidhi VK. Prospective Study of Hypermature Cataract in Kanchipuram District: Causes of Delayed Presentation, Risk of Lens-Induced Glaucoma and Visual Prognosis. Kerala Journal of Ophthalmology. 2018;30(3):187-192.
Yu C, Yao W. Robust Linear Regression: A Review and Comparison. Communications in Statistics: Simulation and Computation. 2017;46(8):6261-6282.
Ribeiro F, Ferreira T, Feijóo B, et al. Improving Outcomes with Multifocal Intraocular Lenses: Managing Glaucoma and Macular Evaluation. Revista Sociedade Portuguesa de Oftalmologia. 2016;40(3):193-198.
Gomaa AS, Birch JB. A Semiparametric Nonlinear Mixed Model Approach to Phase I Profile Monitoring. Communications in Statistics: Simulation and Computation. 2019;48(6):1677-1693.
El-Medany A, Jeganathan VSE, Tatham AJ. Severity of Glaucoma at First Presentation to Hospital Eye Services. International Journal of Open Access Ophthalmology. 2017;2(1):1-5.
Lin B, Li Y, Zhang W, et al. Influencing Factors of Hospitalization Costs for Glaucoma Patients Under Clinical Pathway Mana-gement. Annals of Eye Science. 2019;4(8):36.
McGinley P, Ansari E, Sandhu H, Dixon T. The Cost Burden of Falls in People With Glaucoma in National Health Service Hospital Trusts in the UK. Journal of Medical Economics. 2020;23(1):106-112.
Mandal AK, Senthil S. Childhood Glaucoma Surgery in Developing Countries. Surgical Management of Childhood Glaucoma. Springer, Cham. 2018: 159-171.
Liu D, Huang L, Mukkamala L, Khouri AS. The Economic Burden of Childhood Glaucoma. Journal of Glaucoma. 2016;25(10):790-797.
Azuara-Blanco A, Burr J, Ramsay C, et al. Effectiveness of Early Lens Extraction for the Treatment of Primary Angle Closure Glaucoma (EAGLE): A Randomised Controlled Trial. The Lancet. 2016;388(10052):1389-1397.
Javanbakht M, Azuara-Blanco A, Burr JM, et al. Early Lens Extraction with Intraocular Lens Implantation for the Treatment of Primary Angle Closure Glaucoma: An Economic Evaluation Based on Data from The EAGLE Trial. BMJ Open. 2017;7(1):1-12.
Nayak B, Gupta S, Kumar G, Dada T, Gupta V, Sihota R. Socioeconomics of Long-Term Glaucoma Therapy in India. Indian Journal of Ophthalmology. 2015;63(1):20-24.
Puspasari H, Suryaningrat D, Rizky M. Analisis Biaya Pengobatan Pasien Diagnosa Demam Tifoid di Instalasi Rawat Inap RSUD Dr Soedarso Pontianak Tahun 2018. Jurnal Farmasi dan Ilmu Kefarmasian Indonesia. 2020;7(1):1-6.
Authors
Copyright (c) 2020 by author
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Copyright encompasses rights to reproduce and deliver the article in all form and media, including reprints, photographs, microfilms and any other similar reproductions, as well as translations. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, such as electronic, electrostatic and mechanical copies, photocopies, recordings, magnetic media, etc.
All articles published Open Access are free for everyone to read and download. Under the CC-BY-NC-SA license, authors retain ownership of the copyright for their article, but authors grant others permission to use the content of publications in Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin in whole or in part provided that the original work is properly cited. Users (redistributors) of Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin are required to cite the original source, including the author's names, Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin as the initial source of publication, year of publication, and volume number.
Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin is licensed under Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional.