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A Sustainable Model For Delivering High-Quality, Efficient Cataract Surgery In Southern India.

Hong-Gam Le1, Joshua R Ehrlich2, Rengaraj Venkatesh3

  • 1Hong-Gam Le is a medical student at the University of Michigan Medical School, in Ann Arbor.

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|October 6, 2016
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Summary
This summary is machine-generated.

Cataract surgery in India is highly cost-effective. The Aravind Eye Care System demonstrates efficient, low-cost delivery, offering significant societal benefits by reducing blindness.

Area of Science:

  • Ophthalmology
  • Health Economics
  • Public Health

Background:

  • Cataracts are a primary cause of reversible blindness in India, impacting millions.
  • Effective surgical treatment is available but requires efficient delivery systems.

Purpose of the Study:

  • To analyze the costs and cost-utility of cataract surgery at the Aravind Eye Care System.
  • To estimate the economic impact of eliminating cataract-related blindness in India.

Main Methods:

  • Detailed cost accounting of cataract surgery procedures.
  • Cost-utility analysis using quality-adjusted life-years (QALYs).
  • Population-based estimates of cataract prevalence.

Main Results:

  • Total cost per cataract operation was US$120.
Keywords:
Developing World < International/global health studiesOrganization and Delivery of Care

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  • Cost-utility was US$195 per QALY gained.
  • Eliminating cataract blindness in India estimated to cost $2.6 billion for a $13.5 billion net societal benefit.
  • Conclusions:

    • The Aravind Eye Care System provides highly cost-effective cataract surgery.
    • Factors include domestic manufacturing, specialized workforce, standardized protocols, and minimal regulation.
    • Lessons learned can improve ambulatory surgery delivery globally.