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The rate of outpatient cataract surgery in ten European countries: An analysis using data from the SHARE survey

  • S. M. Mojon-Azzi
  • D. S. MojonEmail author
Short Communication

Abstract

Background

The aim of this study was to determine the rates of outpatient cataract surgery (ROCS) in ten European countries and to find country-specific health indicators explaining the differences.

Methods

Using data from the Survey of Health, Ageing and Retirement in Europe (SHARE), 251 eligible respondents were identified for which cataract surgery was the last surgical procedure. The ROCS of ten countries were compared using logistic regression. The influence of the public expenditure on health as per cent of the total expenditure on health, of the number of acute care beds per 1,000 population, and of the number of practicing physicians per 1,000 population, was studied by multiple logistic regression. Additional information was obtained from country-specific opinion leaders in the field of cataract surgery.

Results

The ROCS differed significantly between the ten analysed European countries where Denmark had the highest (100%) and Austria the lowest (0%) rate of day care surgery. A decrease in the density of acute care beds (p < 0.0000001) and in the density of practicing physicians (p < 0.05) and an increase in the public expenditure on health as per cent of the total health expenditure (p < 0.01) lead to an increase in the ROCS. According to the opinion leaders, regulations and financial incentives also have a strong influence on the ROCS.

Conclusions

The outpatient rate of cataract surgery in the ten European countries was mainly influenced by the acute-care beds density, but also by the density of practicing physicians, and by the public expenditure on health.

Keywords

SHARE Inpatient Outpatient Cataract surgery Europe 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Research Institute for Labour Economics and Labour LawUniversity of St. GallenSt. GallenSwitzerland
  2. 2.Department of Ophthalmology, Eye InstituteKantonsspitalSt. GallenSwitzerland

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