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


RESULTS
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.


CONCLUSIONS
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.
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.
Marc
M
Töteberg-Harms
Michael S
MS
Berlin
Frances
F
Meier-Gibbons
D000959:Antihypertensive Agents / Q000191:economics; D003695:Delivery of Health Care / Q000191:economics; D003941:Diagnostic Techniques, Ophthalmological / Q000191:economics; D017850:Economics, Pharmaceutical; D005901:Glaucoma / Q000191:economics*; D017048:Health Care Costs; D006801:Humans; D008962:Models, Theoretical; D013508:Ophthalmologic Surgical Procedures / Q000191:economics; D010349:Patient Compliance
D000959:Antihypertensive Agents