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Cost-effectiveness in eyebanking.

A S Leveille, J Benson, H D Cavanagh

    Ophthalmology
    |June 1, 1982
    PubMed
    Summary
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    American eyebanks should aim for a cost-effective processing goal of $222-$464 per donor cornea. Achieving this requires high annual volume and professional staffing for optimal cost-effectiveness in eye banking.

    Area of Science:

    • Ophthalmology
    • Health Services Research
    • Medical Economics

    Background:

    • American eyebanks operate with an annual budget exceeding $5 million.
    • Third-party payers are increasingly covering the expenses associated with eyebanking.
    • Optimizing cost-effectiveness in eyebanking is crucial for resource allocation.

    Purpose of the Study:

    • To determine a reasonable cost per transplant tissue for American eyebanks.
    • To identify factors influencing cost-effectiveness in eyebanking operations.
    • To provide recommendations for optimizing the cost-effectiveness of American eyebanking.

    Main Methods:

    • Survey of American eyebanks to gather operational and cost data.
    • Analysis of processing costs per donor cornea for transplantation.

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  • Identification of key performance indicators for cost-effective eyebanking.

    • Main Results:

    • Most well-managed eyebanks incur costs between $222 and $464 to process each donor cornea.
    • Cost-effectiveness is typically achieved with an annual output of at least 150 corneas.
    • Full-time professional staff and modern tissue preservation techniques contribute to cost-effectiveness.

    Conclusions:

    • Eyebanks processing fewer than 150 corneas annually may not be cost-effective.
    • Consideration should be given to obtaining tissue from more cost-effective regional eyebanks.
    • This strategy allows for the redirection of charitable funds to other eye care initiatives.