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E-mail: ihs@cso.ie Sinead Bracken (+353) 21 453 5935
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CSO statistical release, , 11am

HSE Funded Optical Treatments

2015-2017

Optical treatments and corresponding costs, 2015-2017
 201520162017
Number of treatments ('000s)769.7785.6699.9
Treatment costs €29.7m€30.4m€27.2m
Average cost per treatment€38.57€38.66€38.78

Number of Optical treatments fall 9% to almost 700,000 between 2015-2017.

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  • The number of Optical treatments fell from 769.7 thousand to 699.9 thousand between 2015-2017. This is a 9% reduction in the number of treatments. See headline table and Figure 1.
  • These payments were paid by the Primary Care Reimbursement service (PCRS). Please see background notes for a further description of the PCRS and Community Ophthalmic Services Scheme (COSS). The figures on this release are based off fully complete and processed claims. For this reason, figures may vary from those published by the HSE. Please note, care should be taken when examining trends over time in the form of expenditure and average amounts as eligibility criteria can change over time.  
  • The supply of appliances, such as glasses and contact lenses, are the most popular optical treatment making up over 50% of treatments annually. The second most commonly performed treatment is eye examinations, making up at least 34% of annual optical treatments between 2015-2017. Other treatments, home visits, medical optical treatment, and repairs and replacements make up around 7% of annual treatments between 2015-2017. See Table 1.
  • Optical treatments are consistently higher among female COSS patients than male COSS patients during the years 2015-2017. Most instances of optical treatments are in the 75 years and over age group. See Table 2a-2e.  
  • In 2017, most treatments including, appliance, bifocal lenses, eye examinations, and single vision lenses to own frame, among other treatments were highest in the Southern Local Health Office Region. However, Bifocals were highest in the West Local Health Office Region. Home visits, repairs and medical optical treatments were highest in Dublin mid-Leinster. See Table 2e.  
  • The average number of treatments per COSS patient in 2015 was 1.14 treatments per COSS patient. In 2017 this figure remained the same. Figures for average treatments per patient are highest in the 75 years and over category. Average number of treatments per patient are highest in the Dublin Mid-Leinster region. See Table 3.
  • The average number of treatments per COSS patient was 1.07 treatments per patient, between 2015-2017. The state average, and averages for both male and female COSS patients are also 1.07 treatments. Figures for average treatments per patient are highest in the 75 years and over category. Average number of treatments per patient are highest in the Dublin Mid-Leinster region. See Table 4.
  • Treatments on major optical conditions such as age related macular degeneration, cataracts and glaucoma, have seen an overall increase since 2015 (6%, 5%, 9% respectively). In contrast diabetic ophthalmic management related optical treatments have seen a 40% decrease.  Age related macular degeneration treatments are highest in the over 75s category. Treatments for age related macular degeneration, treatments for cataracts and treatments for glaucoma are higher for female COSS patients than male COSS patients.  See Table 5.
  • The average payment for optical average payment per optical treatments increased marginally between 2015 and 2017 (0.6%) and is similar among both COSS patient genders between this time. By 2017, the average payment per female patient was €38.86, and the average payment for male COSS patients was €38.70. The Dublin Mid-Leinster region saw the highest average payments for optical treatments. See Table 6.
Table 1 Total Number of Procedures by Treatment Description, 2013-2017 ('000s)
Description201520162017
Appliances (incl. glasses and contact lenses)412.4421.7380.5
Eye examination292297.4264.5
Home visit by optician/ophthalmologist10.710.97.6
Medical optical treatment26.428.123.9
Repairs and replacements28.227.523.3
Table 2a Percentages of Detailed Optical Treatments, by patient gender, age group and Local Health Office- 2015 ('000s)
   Appliances (incl. glasses and contact lenses)Eye examinationHome visit by optician/ opthalmologistMedical optical treatmentRepairs and replacements
StateN412.429210.726.428.2
%100100100100100
Gender of patient      
FemaleN240.6172.86.916.417.5
%58.359.264.461.961.9
MaleN171.8119.23.810.110.8
%41.740.835.638.138.1
Age Group     
0 -24N30.127.7<0.10.31.2
 %7.39.50.11.14.4
25-34N17.117<0.10.60.7
 %4.25.80.42.22.6
35-44N28.525.10.10.91.2
 %6.98.60.83.44.3
45-54N59.642.30.21.52.9
 %14.514.51.95.510.2
55-64N69.845.40.52.53.9
 %16.915.64.59.413.7
65-74N95.864.71.26.27.9
 %23.222.211.223.628
75+N111.569.88.714.510.4
%2723.981.254.936.8
Local Health Office      
Dublin Mid-LeinsterN100.868.73.414.56
%24.523.532.154.821.4
Dublin North EastN78.551.32.35.84.7
%1917.621.12216.8
SouthN120.687.82.73.68.7
%29.230.12513.830.7
WestN112.584.22.32.58.8
  %27.328.821.89.531.2
Table 2b Percentages of Detailed Optical Treatments, by patient gender, age group and Local Health Office - 2016 ('000s)
   Appliances (incl. glasses and contact lenses)Eye examinationHome visit by optician/ opthalmologistMedical optical treatmentRepairs and replacements
StateN421.7297.410.928.127.5
  %100100100100100
Gender of patient      
 FemaleN244.7175.3717.517.1
  %5858.964.462.561.9
 MaleN177122.13.910.510.5
  %4241.135.637.538.1
Age Group      
 0-24N30.126.9<0.1<0.11.2
  %7.19<0.114.4
 25-34N17.116.7<0.10.50.7
  %4.15.60.41.82.4
 35-44N28.424.80.10.91.1
  %6.78.30.93.14
 45-54N61.943.60.21.52.7
  %14.714.71.85.59.9
 55-64N71.346.50.52.63.6
  %16.915.64.29.313.1
 65-74N100.267.41.36.67.8
  %23.822.712.223.628.3
 75+N112.871.58.815.610.4
  %26.72480.555.737.9
Local Health Office      
 Dublin Mid-LeinsterN106.271.13.515.15.9
  %25.223.932.453.821.3
 Dublin North EastN78.551.42.46.64.6
  %18.617.322.423.716.8
 SouthN120.187.32.63.78.6
  %28.529.423.413.131.1
 WestN116.887.62.42.68.5
  %27.729.421.79.430.7
Table 2c Percentages of Detailed Optical Treatments, by patient gender, age group and Local Health Office - 2017 ('000s)
   Appliances (incl. glasses and contact lenses)Eye examinationHome visit by optician/ opthalmologistMedical optical treatmentRepairs and replacements
State      
N380.5264.57.623.923.3
%100100100100100
Gender of patient      
FemaleN222.6157.44.914.814.4
%58.559.564.16261.8
MaleN157.9107.22.79.18.9
%41.540.535.93838.2
Age Group      
0 -24N28.324.300.21.1
%7.59.20.10.94.5
25-34N1413.300.40.5
%3.750.21.52.2
35-44 N24.621.30.10.70.8
%6.58.10.733.6
45-54N54.9380.21.42.2
%14.414.42.25.89.5
55-64N64.141.10.32.23
%16.815.54.39.112.7
65-74 N91.460.70.966.4
%2422.911.625.127.4
75+N103.265.86.113.19.3
%27.124.980.954.739.9
Local Health Office      
Dublin Mid-LeinsterN93.161.92.412.94.9
%24.523.431.254.221
Dublin North EastN68.644.41.75.43.9
%1816.821.822.716.7
SouthN114.881.72.23.97.9
%30.230.928.616.433.7
WestN10476.51.41.66.7
  %27.328.918.46.728.5
Table 3 Average number of treatments per patient by patient gender, age group, and Local Health Office Region, 2015-2017
  201520162017
State
Total1.141.151.14
Gender of patient
Female1.141.151.14
Male1.141.151.14
Age Group
0 - 241.061.061.05
25 - 341.061.061.05
35 - 441.071.071.06
45 - 541.081.091.08
55 - 641.111.121.11
65 - 741.171.181.17
75+1.241.261.24
Local Health Office Region
Dublin Mid-Leinster1.211.211.2
Dublin North East1.131.141.12
South1.141.151.15
 West1.091.111.09
Table 4 Number of selected major optical conditions, by patient gender, age group and Local Health Office Region, 2015-2017
  000's of treatments
  YearAge related mascular degenerationCataractsDiabetic Opthalmic Management Glaucoma
State     
Total20151.63.81.54.5
20161.74.31.25
20171.740.94.9
Gender of patient     
Female20151.12.40.72.5
20161.12.80.62.7
20171.12.60.52.7
Male20150.51.40.82.1
20160.51.50.62.3
20170.61.50.52.2
Age Group     
0 - 242015<0.1<0.1<0.1<0.1
2016<0.1<0.1<0.1<0.1
2017<0.1<0.1<0.1<0.1
     
25 - 342015<0.1<0.1<0.1<0.1
2016<0.1<0.1<0.1<0.1
2017<0.1<0.1<0.1<0.1
   
35 - 442015<0.1<0.10.10.1
2016<0.1<0.1<0.10.1
2017<0.1<0.1<0.10.1
  
45 - 542015<0.10.10.10.3
2016<0.10.10.10.3
20170.10.10.10.3
 
55 - 6420150.10.20.30.6
20160.10.20.20.6
20170.10.20.10.6
 
65 - 7420150.410.51.4
20160.41.20.41.5
20170.41.10.31.5
 
75+201512.40.52.1
20161.12.70.42.4
201712.60.42.3
Local Health Office Region     
Dublin Mid-Leinster201512.50.82.4
20161.12.70.62.5
201712.60.42.3
 
Dublin North East20150.30.60.21.3
20160.30.90.21.5
20170.30.80.11.4
 
South20150.10.40.30.7
20160.20.40.30.8
20170.30.40.31
 
 West20150.10.30.20.2
 20160.10.30.20.3
 20170.10.20.10.2
Table 5 Average payment per optical treatment, by patient gender, age group, and Local Health Office Region, 2015-2017
  201520162017
State
Total38.5738.6738.8
Gender of patient
Female38.638.7238.86
Male38.5338.638.7
Age Group
0 - 2431.8331.9331.95
25 - 3432.6632.732.67
35 - 4434.4234.6334.48
45 - 5437.7437.9838.05
55 - 6439.3939.3839.39
65 - 7440.840.6740.78
75+40.6140.7240.96
Local Health Office Region
Dublin Mid-Leinster40.2140.340.49
Dublin North East38.8939.2539.19
South37.8337.7137.84
 West37.6337.7738.04

Background Notes

General Medical Services Scheme (GMS):

The data in this release is provided to the Central Statistics Office by the Primary Care Reimbursement Service (PCRS). The PCRS is the part of the Health Service Executive (HSE) that processes payments to all GPs, pharmacists, dentists and other health professionals who provide free or reduced cost services to the public.

Payments to opticians and ophthalmologists are covered under the Community Ophthalmic Services Scheme (COSS). Under the COSS, General Medical Services (GMS) eligible adults have access to a range of treatments and clinical procedures. All claims under the COSS are processed and paid by the PCRS.

Under the GMS, people who are unable without undue hardship to arrange general practitioner medical and surgical services for themselves and their dependants may be granted a medical card and receive free general medical services.

The figures derived in this release refer to claims that were carried out in the corresponding year.

 Explanation for differences between published PCRS figures and CSO figures:

Please note, there are some differences between figures presented in this release, and releases composed by the HSE. These figures are not comparable. CSO figures are calculated from a claim records data set, while HSE figures are calculated from a claim record and expenditure data set. 

CSO expenditure figures are based solely off complete and fully processed Optical treatments that were carried out .

This data set on which this release is based includes only treatments and costs for treatments for which claims were filled out in full, processed and paid. Claims made to PCRS, were deemed incomplete if they lacked patient information (e.g. gender, DOB) and are not reported in this release. The use of only fully complete claims enables the breakdown of the figures by age group, gender and Local Health Office Region which is a valuable dimension of the data set. 

Treatments carried out in one calendar year, but not claimed until the following calendar year do not always appear in this claims data set. Furthermore, claims which are rejected and not processed until the following calendar year do not always appear in this claims data set.

 Regions

The regions consist of the local health offices and are constructed as follows; 

Local Health Offices

Dublin Mid-Leinster

Dublin South

Dublin North East

Dublin North West

 

Dublin South East

 

Dublin North Central

 

Dublin South City

 

Dublin North City

 

Dublin South West

 

Cavan / Monaghan

 

Dublin West

 

Louth

 

Kildare / West Wicklow

 

Meath

 

Wicklow

 

 

 

Laois / Offaly 

 

 

 

Longford / Westmeath

 

 

 

 

 

 

West

Galway

South

South Lee Cork

 

Mayo

 

North Lee Cork

 

Roscommon

 

West Cork

 

Donegal

 

Kerry

 

Sligo / Leitrim

 

North Cork

 

Clare

 

Carlow / Kilkenny

 

North Tipperary / East Limerick

 

Waterford

 

Limerick

 

South Tipperary

 

 

 

Wexford

 

 

 

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