Economic impact of visual impairment and blindness in the United States

被引:196
作者
Frick, Kevin D.
Gower, Emily W.
Kempen, John H.
Wolff, Jennifer L.
机构
[1] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Hlth Serv Res & Dev Ctr, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Dept Ophthalmol, Dana Ctr Prevent Ophthalmol, Baltimore, MD 21205 USA
[3] Univ Penn, Ctr Prevent Ophthalmol & Biostat, Dept Ophthalmol, Philadelphia, PA 19104 USA
关键词
GLOBAL BLINDNESS; COST; BURDEN;
D O I
10.1001/archopht.125.4.544
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Objectives: To assess the economic impact of excess medical and informal care and the health utility loss associated with visual impairment and blindness in adults aged 40 years and older in the United States. Methods: Medical Expenditure Panel Survey data from 1996 to 2002 were pooled to estimate the relationship of visual impairment and blindness with total medical expenditures, components of expenditures, days of informal care received, and health utility. Estimates accounting for the complex sampling design were based on regressions including confounders such as comorbidities and demographics. The aggregate economic impact was estimated by projecting average individual effects to the population of individuals with blindness and visual impairment. Results: Blindness and visual impairment were significantly associated with higher medical care expenditures, a greater number of informal care days, and a decrease in health utility. The home care component of expenditures was most affected by blindness. The aggregate annual economic impact included $ 5.5 billion spent for medical care and the value of informal care as well as a loss of more than 209 000 quality-adjusted life years. Conclusions: Visual impairment has a large effect on home care. Any economic analysis of prevention, treatment, and rehabilitation should account for the fraction of the annual monetary cost and loss of quality-adjusted life years that can be averted.
引用
收藏
页码:544 / 550
页数:7
相关论文
共 25 条
[1]  
[Anonymous], STAT INT POP PROJ AG
[2]   Utility values associated with blindness in an adult population [J].
Brown, MM ;
Brown, GC ;
Sharma, S ;
Kistler, J ;
Brown, H .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2001, 85 (03) :327-331
[3]   FEDERAL BUDGETARY COSTS OF BLINDNESS [J].
CHIANG, YP ;
BASSI, LJ ;
JAVITT, JC .
MILBANK QUARTERLY, 1992, 70 (02) :319-340
[4]  
Cohen SB, 2003, MED CARE, V41, P5
[5]  
Congdon N, 2004, ARCH OPHTHALMOL-CHIC, V122, P477
[6]  
*CTR FIN ACC COST, 2005, MEPS HC 036 1996 200
[7]   Modeling valuations for EuroQol health states [J].
Dolan, P .
MEDICAL CARE, 1997, 35 (11) :1095-1108
[8]  
FINKELSTEIN EA, 2003, HLTH AFF MILLWOOD S, DOI DOI 10.1377/H6THAFF.W3.219
[9]   The calculation and use of economic burden data [J].
Frick, KD ;
Kymes, SM .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2006, 90 (03) :255-257
[10]   The magnitude and cost of global blindness: An increasing problem that can be alleviated [J].
Frick, KD ;
Foster, A .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2003, 135 (04) :471-476