Portable wide-field digital imaging for screening of neonatal visual impairment causes in Rio de Janeiro, Brazil: a budget impact analysis
Portable wide-field digital imaging for screening of neonatal visual impairment causes in Rio de Janeiro, Brazil: a budget impact analysis
Data
2022
Autores
Haefeli, Lorena M
Neves, Luiza M
Zin, Andrea
Costa, Ana Carolina Carioca
Vasconcelos, Zilton Farias Meira de
Pinto, Marcia
Journal Title
Journal ISSN
Volume Title
Publisher
BMJ Open
Resumo
Objective To estimate the budget impact of portable
wide-field digital imaging incorporation on screening
neonatal causes of childhood blindness and visual
impairment in Rio de Janeiro, Brazil.
Design Budget impact analysis.
Setting Rio de Janeiro, Brazil.
Primary and secondary outcome measures The
primary outcome was the direct cost of indirect binocular
ophthalmoscopy, red reflex test and portable wide-field
digital image screening comprising all babies born in Rio
de Janeiro’s government maternity wards. The secondary
outcome was the budget impact of implementing portable
wide-field digital image screening in Rio de Janeiro, Brazil.
Results Considering 100% coverage of maternity wards,
the total budget impact between 2020 and 2024 would
be US$3 820 706.04, ranging from US$3 139 844.34 to
US$6 099 510.35. The additional cost would be US$3
124 457.28, ranging from US$2 714 492.26 to US$4 880
608.63.
Conclusion The cost of universal digital imaging
screening corresponds to less than 1% of the government
health budget of the city of Rio de Janeiro. The information
provided in this study may help government decision-
makers evaluate the feasibility of implementing this new
strategy in the municipal setting. Further health economic
evaluations should be performed to verify the affordability
of the implementation of this screening strategy in the
Brazilian scenario, taking into account scarce human
resources.
Description
Palavras-chave
Costs and cost Analysis, Neonatal screening, Telemedicine, Vision Disorders
Citação
Haefeli LM, Neves LM, Zin A, et al. Portable wide- field digital imaging for screening of neonatal visual impairment causes in Rio de Janeiro, Brazil: a budget impact analysis. BMJ Open 2022;12:e056498. doi:10.1136/ bmjopen-2021-056498