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British Journal of Ophthalmology 2008;92:301-302; doi:10.1136/bjo.2007.127431 Copyright © 2008 by the BMJ Publishing Group Ltd.
Economic welfare implications of differently structured vision care marketsKevin D Frick1, Damian G Walker2
1 Johns Hopkins Bloomberg School of Public Health, Department of Health Management and Policy, Baltimore, MD, USA
Correspondence to:
There are abundant examples of "economics of ophthalmology" articles in the peer-reviewed literature describing economic evaluations, that is cost–benefit and cost-effectiveness studies comparing the value of policies, guidelines or patient management options.1–5 In health systems with severely limited resources, the ability to compare the value of the cost and outcomes of different policy options is critical. However, while this is not the only tool that economics provides, there are notably fewer examples of peer-reviewed articles that describe analyses of data related to eye care that test whether economic theory describes individual, provider or organisational behaviour.6
Economics provides a set of theories that provide an insight into how incentives that new policies or guidelines create will affect patient, provider and organisational behaviour. Projected behavioural changes can be used to assess the financial and public health impact of new policies and guidelines. One use of economics related to public health ophthalmology
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