目的:评估儿童白内障手术患者所需的直接费用。方法:在印度西部的一个综合社区护眼中心的小儿眼科,使用标准成本评估患者所需的直接费用。固定费用包括外部建设、室内装修、门诊设备及手术室设备、人员、管理和医院维护费用。消耗品费用包括用于手术的材料。同时,计算患者的直接费用。结果:门诊检查平均直接费用为印第安卢比(Rs.) 69( $1.77)。手术室设备使用费用为Rs.606 ( $15.53),而职工工资为Rs. 2427 ( $62.23)。根据诊治记录计算得出消耗品费用在Rs.1452( $37.23)到15267( $391.46)范围之间。而儿童白内障手术每只眼睛所需平均费用从Rs.4722 ( $122)到Rs.18537 ( $475)不等。结论:儿童白内障患者手术费用在较大的范围内变动。小儿眼科医生应以最节约有效的治疗方案达到手术消耗品的费用合理化。

AIM:To calculate the direct cost of pediatric cataract surgery,from the provider’s perspective.METHODS:The direct cost was calculated using standard costing methods in a pediatric ophthalmology department of a comprehensive community eye care center in western India.Fixed costs included those of the building,interior decoration,outpatient department’s equipment,operation theater equipment,personnel,administration and hospital maintenance.The consumable costs included materials used during surgery.Only direct costs were considered.RESULTS:The average direct costs were Indian rupees (Rs.) 69 ($1.77) for an outpatient department consultation,Rs.606 ($15.53) for operation theater equipment use,and Rs.2427($62.23) for personnel.The consumable costs ranged from Rs.1452 ($37.23) to 15267 ($391.46),depending on the protocol used.The net average cost of pediatric cataract surgery ranged from Rs.4722 ($122) to Rs.18537 ($475) per eye.CONCLUSION:Cataract surgery is cost intensive for children with cataract.Pediatric ophthalmologists should decide about most cost effective standards of care to rationalize consumable cost.

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