Cost-benefit analysis of screening for diabetic retinopathy among Chinese type 2 diabetes: decision from different perspectives of a population-based study
成本效益分析在中国2型糖尿病患者糖尿病视网膜病变的筛选：在金门，台湾的人口为基础的研究不同的角度作出的决定作者机构：Cheng Hsin General Hospital Community Medicine Research Center & Institute of Public Health National Yang-Ming University Faculty of Public Health School of Medicine Fu-Jen Catholic University
出 版 物：《Health》
年 卷 期：2009年第1卷第4期
页 面：304-312页
学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学]
主 题：Type 2 Diabetes Diabetic Retinopathy Cost-Benefit Analysis Population-Based Study
摘 要：The purpose of this study is to explore whether it is worthwhile to launch a routine diabetic retinopathy (DR) screening for blindness pre- vention among Chinese type 2 diabetes from different perspective based on the popula- tion-based study in Kinmen, Taiwan. A total of 971 community dwelling adults previously di- agnosed with type 2 diabetes in 1991-1993 un- derwent DR screening in 1999-2002 by a panel of ophthalmologists using on-site indirect oph- thalmoscopy and 45-degree color fundus retinal photographs. The cost-benefit analysis is used to evaluate the DR screening. In terms of bene- fit-cost ratio, the different screening programs for DR could save New Taiwan Dollars (NTD) from 14.38 to 36.83 in discounted costs for each dollar incurred in different screening years from the societal viewpoint for Taiwan and save NTD from 0.81 to 1.80 in different screening years from health care payers perspective. The av- erage estimate of willingness-to-pay to translate into benefit yields NTD from 937.8 to 4,689 be- nefits per case due to DR screening in different screening years during 10-year follow-up. The net present value of the DR screening were NTD from -167,318 to -307,251.2 in different screening years. In conclusion, it is worthwhile to initial a routine DR screening of Chinese type 2 diabetes for blindness prevention from the societal per- spective but not from consumer decision based on the willingness-to-pay perspective.