Nonmedical costs and implications for patients seeking vitreoretinalcare

Rebecca A. Smiddy, William E Smiddy

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

PURPOSE:: To measure nonreimbursable, nonmedical costs incurred by patients attending a vitreoretinal clinic appointment. METHODS:: A nurse-administered questionnaire designed to capture the nonmedical costs for a single clinical appointment was administered to patients attending an appointment at a single-center, single-physician, university-based vitreoretinal clinic. First day postoperative visits were excluded. End points were time commitment, time missing work, and median total nonmedical costs incurred. A subgroup analysis of Medicare patients who lived locally was performed. RESULTS:: Three hundred and six patients completed the survey. The median nonreimbursable, nonmedical cost incurred was $23.32; the mean cost was $236.53 (range, $0-$7,259). The largest component of cost was transportation costs ($13.43). The patient took at least a day off from work in 27% cases. An accompanying person attended in 58%, and 27% took at least 1 day off from work to do so. The Medicare cohort who lived locally had similar median costs ($21.53); the mean cost was $51.29 (range, $0-$1, 255.80). This cohort also had a lower incidence of missing work (6%), and a higher incidence of an accompanying person (68%) who had a lower incidence of missing work (16%). The costs and distributions varied minimally by visit type. CONCLUSION:: Physicians and policymakers may not recognize or consider the potential impediment to care that nonreimbursable costs may present when developing treatment strategies and designing policies.

Original languageEnglish
Pages (from-to)1882-1887
Number of pages6
JournalRetina
Volume34
Issue number9
DOIs
StatePublished - Jan 1 2014

Fingerprint

Costs and Cost Analysis
Appointments and Schedules
Medicare
Incidence
Physicians
Nurses

Keywords

  • Economic
  • Eye care
  • Health care costs
  • Retina
  • Vitreous

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Nonmedical costs and implications for patients seeking vitreoretinalcare. / Smiddy, Rebecca A.; Smiddy, William E.

In: Retina, Vol. 34, No. 9, 01.01.2014, p. 1882-1887.

Research output: Contribution to journalArticle

Smiddy, Rebecca A. ; Smiddy, William E. / Nonmedical costs and implications for patients seeking vitreoretinalcare. In: Retina. 2014 ; Vol. 34, No. 9. pp. 1882-1887.
@article{528d1f60f58048f3863b5fde38631eb2,
title = "Nonmedical costs and implications for patients seeking vitreoretinalcare",
abstract = "PURPOSE:: To measure nonreimbursable, nonmedical costs incurred by patients attending a vitreoretinal clinic appointment. METHODS:: A nurse-administered questionnaire designed to capture the nonmedical costs for a single clinical appointment was administered to patients attending an appointment at a single-center, single-physician, university-based vitreoretinal clinic. First day postoperative visits were excluded. End points were time commitment, time missing work, and median total nonmedical costs incurred. A subgroup analysis of Medicare patients who lived locally was performed. RESULTS:: Three hundred and six patients completed the survey. The median nonreimbursable, nonmedical cost incurred was $23.32; the mean cost was $236.53 (range, $0-$7,259). The largest component of cost was transportation costs ($13.43). The patient took at least a day off from work in 27{\%} cases. An accompanying person attended in 58{\%}, and 27{\%} took at least 1 day off from work to do so. The Medicare cohort who lived locally had similar median costs ($21.53); the mean cost was $51.29 (range, $0-$1, 255.80). This cohort also had a lower incidence of missing work (6{\%}), and a higher incidence of an accompanying person (68{\%}) who had a lower incidence of missing work (16{\%}). The costs and distributions varied minimally by visit type. CONCLUSION:: Physicians and policymakers may not recognize or consider the potential impediment to care that nonreimbursable costs may present when developing treatment strategies and designing policies.",
keywords = "Economic, Eye care, Health care costs, Retina, Vitreous",
author = "Smiddy, {Rebecca A.} and Smiddy, {William E}",
year = "2014",
month = "1",
day = "1",
doi = "10.1097/IAE.0000000000000164",
language = "English",
volume = "34",
pages = "1882--1887",
journal = "Retina",
issn = "0275-004X",
publisher = "Lippincott Williams and Wilkins",
number = "9",

}

TY - JOUR

T1 - Nonmedical costs and implications for patients seeking vitreoretinalcare

AU - Smiddy, Rebecca A.

AU - Smiddy, William E

PY - 2014/1/1

Y1 - 2014/1/1

N2 - PURPOSE:: To measure nonreimbursable, nonmedical costs incurred by patients attending a vitreoretinal clinic appointment. METHODS:: A nurse-administered questionnaire designed to capture the nonmedical costs for a single clinical appointment was administered to patients attending an appointment at a single-center, single-physician, university-based vitreoretinal clinic. First day postoperative visits were excluded. End points were time commitment, time missing work, and median total nonmedical costs incurred. A subgroup analysis of Medicare patients who lived locally was performed. RESULTS:: Three hundred and six patients completed the survey. The median nonreimbursable, nonmedical cost incurred was $23.32; the mean cost was $236.53 (range, $0-$7,259). The largest component of cost was transportation costs ($13.43). The patient took at least a day off from work in 27% cases. An accompanying person attended in 58%, and 27% took at least 1 day off from work to do so. The Medicare cohort who lived locally had similar median costs ($21.53); the mean cost was $51.29 (range, $0-$1, 255.80). This cohort also had a lower incidence of missing work (6%), and a higher incidence of an accompanying person (68%) who had a lower incidence of missing work (16%). The costs and distributions varied minimally by visit type. CONCLUSION:: Physicians and policymakers may not recognize or consider the potential impediment to care that nonreimbursable costs may present when developing treatment strategies and designing policies.

AB - PURPOSE:: To measure nonreimbursable, nonmedical costs incurred by patients attending a vitreoretinal clinic appointment. METHODS:: A nurse-administered questionnaire designed to capture the nonmedical costs for a single clinical appointment was administered to patients attending an appointment at a single-center, single-physician, university-based vitreoretinal clinic. First day postoperative visits were excluded. End points were time commitment, time missing work, and median total nonmedical costs incurred. A subgroup analysis of Medicare patients who lived locally was performed. RESULTS:: Three hundred and six patients completed the survey. The median nonreimbursable, nonmedical cost incurred was $23.32; the mean cost was $236.53 (range, $0-$7,259). The largest component of cost was transportation costs ($13.43). The patient took at least a day off from work in 27% cases. An accompanying person attended in 58%, and 27% took at least 1 day off from work to do so. The Medicare cohort who lived locally had similar median costs ($21.53); the mean cost was $51.29 (range, $0-$1, 255.80). This cohort also had a lower incidence of missing work (6%), and a higher incidence of an accompanying person (68%) who had a lower incidence of missing work (16%). The costs and distributions varied minimally by visit type. CONCLUSION:: Physicians and policymakers may not recognize or consider the potential impediment to care that nonreimbursable costs may present when developing treatment strategies and designing policies.

KW - Economic

KW - Eye care

KW - Health care costs

KW - Retina

KW - Vitreous

UR - http://www.scopus.com/inward/record.url?scp=84906938443&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84906938443&partnerID=8YFLogxK

U2 - 10.1097/IAE.0000000000000164

DO - 10.1097/IAE.0000000000000164

M3 - Article

VL - 34

SP - 1882

EP - 1887

JO - Retina

JF - Retina

SN - 0275-004X

IS - 9

ER -