Table 2 Description of costs and tariffs of day case cataract surgery
Country | Unit of activity | Unit value | Description of costing item, Monetary value (€)* | Year of cost publication | Institution responsible for calculation/publication of cost/tariff | Resources included | Costing methodology |
|---|---|---|---|---|---|---|---|
England | DRG | Cost | Complex, Cataract or Lens Procedures, with CC Score 0–1 (1,555€), Very Major, Cataract or Lens Procedures, with CC Score 0–1 (1,168€), Intermediate, Cataract or Lens Procedures, with CC Score 0–1 (991€) [17] | 2019 | NHS England | All direct costs, variable overheads and fixed overheads (except teaching cost and research cost) | Top-down micro-costing |
Tariff | Complex, Cataract or Lens Procedures, with CC Score 0–1 (1,603€), Very Major, Cataract or Lens Procedures, with CC Score 0–1 (1,040€), Intermediate, Cataract or Lens Procedures, with CC Score 0–1 (829€) [18] | 2017 | NHS England | Direct costs, variable overheads and fixed overheads (except teaching cost and research cost) | Based on costs | ||
France | DRG | Cost | Interventions on the lens with or without vitrectomy (1,668€) [15] | 2017 | Scansanté (ATIH database) | Clinical activities (caregivers, medical and clinical staff), medico-technical activities (operating room, anaesthesia), fixed overheads (119€) (logistics and general management (general administrative services, hotel services, management information system, maintenance, restoration)) and variable overheads. Fixed overheads excludes research costs, teaching costs and financial costs | Top-down micro-costing |
Tariff | Interventions on the lens with or without vitrectomy (1,355.87€) [19] | 2019 | ATIH | N/A | Based on costs | ||
Germany | DRG | Cost | Bilateral extracapsular extraction of the lens with congenital malformation of the lens (2,263€); Extracapsular extraction of the lens without congenital malformation of the lens (1,634€) [20] | 2019 | InEK | All direct costs, variable overheads (except nursing) and fixed overheads (except teaching cost, research cost, depreciation of building and financial cost) | Top-down micro-costing |
Italy | DRG | Tariff | 994€ [21] | 2012 | Italian Ministry of Health | All direct costs, variable overheads and fixed overheads (except teaching cost, research cost and financial cost) | Top-down micro-costing |
Poland | DRG | Tariff | Severity 1 (504.99€), severity 2 (432.45€) [22] | 2018 | National Health Fund | All direct costs, variable overheads and fixed overheads (except teaching cost, research cost and financial cost) | Top-down gross-costing |
Portugal | DRG | Tariff | Severity 1 (1313.65€), severity 2 (1771.19 €) and severity 3 (3411.96€) [23] | 2018 | National Health Service | All direct costs, variable overheads and fixed overheads | Top-down micro-costing |
Slovenia | DRG | Cost | 593.55€ [24] | 2019 | Health Insurance Institute of Slovenia | Personnel costs (1.1 specialist, who, in turn, includes 0.1 anaesthesiologist, 1 nurse, 1 health care technician and 0.47 administrative technical worker), variable overheads, premium for additional pension insurance, material, depreciation and additional funding for computerization 2 outpatient examinations (1 before and 1 after surgery). Financial costs and depreciation of building are excluded | Top-down gross-costing |
Spain | DRG | Cost | 951€ [25] | 2017 | Spanish National Health System | All direct cost, variable overheads and fixed overheads (except teaching cost, research cost, depreciation of building and financial cost) | Top-down micro/gross costing (depends on hospital) |
+ | Tariff | + | + | Autonomous Region Government | + | Not clear | |
Sweden | DRG | Tariff | Unilateral lens surgery (637€ in Blekinge, Halland and Kronoberg region; 695€ in Skåne region; 701€ Jönköpings län, Kalmar län and Östergötland region). Bilateral lens surgery (1,316€ in Blekinge, Halland and Kronoberg region; 1,435€ in Skåne region; 1,441€ in Jönköpings län, Kalmar län and Östergötland region) [26, 27] | 2019 | Swedish healthcare regions | All direct cost, variable overhead and fixed overhead (except research cost and teaching cost) | Top-down micro-costing |