Journal article
Influence of Cost of Care and Adherence in Glaucoma Management: An Update
Journal of ophthalmology, Vol.2020, pp.5901537-5
2020
DOI: 10.1155/2020/5901537
PMCID: PMC7168718
PMID: 32322410
Abstract
The costs for glaucoma care are rising worldwide. The main reason is the increase of life expectancy and the increasing variety of diagnostic tests and therapeutically options by implants and devices. How can we influence the increase in costs? Does a relationship exist between the rising costs and the behavior of patients especially in regard to adherence of patients to the prescribed therapy? Are there ways to improve adherence? The costs of a disease can be estimated by adding the direct costs and the indirect costs deriving from the disease. Many studies have been looking at the direct costs, for example, the costs of diagnostic tests and treatment modalities. Unfortunately, not many studies investigated the indirect costs, i.e., costs related to the need of a person to accompany the patient during his or her outpatient visits or the costs deriving from loss of work capacity because of the disease itself or the outpatient visits. Adherence or the synonym compliance has been discussed since many years, and it seems that it remains a major problem in the management of many chronic diseases. Despite all efforts to improve adherence, the adherence rate in chronic diseases such as glaucoma or arterial hypertension remains considerably low. One of the main factors in improving adherence is raising patient's awareness of the disease by providing general understanding of their disease. Other important factors are simplified therapeutic regimens, e.g., fixed combination drops, sustained drug release techniques, or new glaucoma surgical procedures with a more favorable risk profile.
Details
- Title: Subtitle
- Influence of Cost of Care and Adherence in Glaucoma Management: An Update
- Creators
- Frances Meier-Gibbons - University of Applied Sciences RapperswilMarc Toteberg-Harms - Univ Hosp Zurich, Dept Ophthalmol, Frauenklin Str 24, CH-8091 Zurich, Switzerland
- Resource Type
- Journal article
- Publication Details
- Journal of ophthalmology, Vol.2020, pp.5901537-5
- Publisher
- Hindawi Publishing Group
- DOI
- 10.1155/2020/5901537
- PMID
- 32322410
- PMCID
- PMC7168718
- ISSN
- 2090-004X
- eISSN
- 2090-0058
- Number of pages
- 5
- Language
- English
- Date published
- 2020
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984696726202771
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