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Beyond monetary benefits of restoring sight in Vietnam: Evaluating well-being gains from cataract surgery

A more holistic understanding of the benefits of sight-restoring cataract surgery requires a focus that goes beyond income and employment, to include a wider array of well-being measures. The objective of this study is to examine the monetary and non-monetary benefits of cataract surgery on both pat...

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Autores principales: Feeny, Simon, Posso, Alberto, McDonald, Lachlan, Chuyen, Truong Thi Kim, Tung, Son Thanh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5809077/
https://www.ncbi.nlm.nih.gov/pubmed/29432447
http://dx.doi.org/10.1371/journal.pone.0192774
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author Feeny, Simon
Posso, Alberto
McDonald, Lachlan
Chuyen, Truong Thi Kim
Tung, Son Thanh
author_facet Feeny, Simon
Posso, Alberto
McDonald, Lachlan
Chuyen, Truong Thi Kim
Tung, Son Thanh
author_sort Feeny, Simon
collection PubMed
description A more holistic understanding of the benefits of sight-restoring cataract surgery requires a focus that goes beyond income and employment, to include a wider array of well-being measures. The objective of this study is to examine the monetary and non-monetary benefits of cataract surgery on both patients as well as their caregivers in Vietnam. Participants were randomly recruited from a Ho-Chi-Minh City Hospital. A total of 82 cataract patients and 83 caregivers participated in the survey conducted for this study. Paired t-tests, Wilcoxon Signed Rank tests, and regression analysis are used to detect any statistically significant differences in various measures of well-being for patients and caregivers before and after surgery. There are statistically significant improvements in monetary and non-monetary measures of well-being for both patients and caregivers approximately three months after undergoing cataract surgery, compared with baseline assessments collected prior to surgery. Non-monetary measures of well-being include self-assessments of overall health, mental health, hope, self-efficacy, happiness and life satisfaction. For patients, the benefits included statistically significant improvements in earnings, mobility, self-care, the ability to undertake daily activities, self-assessed health and mental health, life satisfaction, hope, and self-efficacy (p<0.01). For caregivers, attendance at work improved alongside overall health, mental health, hope, self-efficacy, happiness and life satisfaction, three months post-surgery (p<0.01). Restoring sight has positive impacts for those suffering from cataracts and their caregivers. Sometimes the benefits are almost equal in their magnitude. The study has also demonstrated that many of these impacts are non-monetary in nature. It is clear that estimates of the rate of return to restoring sight that focus only on financial gains will underestimate the true returns to society of restoring sight from cataract surgeries.
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spelling pubmed-58090772018-02-28 Beyond monetary benefits of restoring sight in Vietnam: Evaluating well-being gains from cataract surgery Feeny, Simon Posso, Alberto McDonald, Lachlan Chuyen, Truong Thi Kim Tung, Son Thanh PLoS One Research Article A more holistic understanding of the benefits of sight-restoring cataract surgery requires a focus that goes beyond income and employment, to include a wider array of well-being measures. The objective of this study is to examine the monetary and non-monetary benefits of cataract surgery on both patients as well as their caregivers in Vietnam. Participants were randomly recruited from a Ho-Chi-Minh City Hospital. A total of 82 cataract patients and 83 caregivers participated in the survey conducted for this study. Paired t-tests, Wilcoxon Signed Rank tests, and regression analysis are used to detect any statistically significant differences in various measures of well-being for patients and caregivers before and after surgery. There are statistically significant improvements in monetary and non-monetary measures of well-being for both patients and caregivers approximately three months after undergoing cataract surgery, compared with baseline assessments collected prior to surgery. Non-monetary measures of well-being include self-assessments of overall health, mental health, hope, self-efficacy, happiness and life satisfaction. For patients, the benefits included statistically significant improvements in earnings, mobility, self-care, the ability to undertake daily activities, self-assessed health and mental health, life satisfaction, hope, and self-efficacy (p<0.01). For caregivers, attendance at work improved alongside overall health, mental health, hope, self-efficacy, happiness and life satisfaction, three months post-surgery (p<0.01). Restoring sight has positive impacts for those suffering from cataracts and their caregivers. Sometimes the benefits are almost equal in their magnitude. The study has also demonstrated that many of these impacts are non-monetary in nature. It is clear that estimates of the rate of return to restoring sight that focus only on financial gains will underestimate the true returns to society of restoring sight from cataract surgeries. Public Library of Science 2018-02-12 /pmc/articles/PMC5809077/ /pubmed/29432447 http://dx.doi.org/10.1371/journal.pone.0192774 Text en © 2018 Feeny et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Feeny, Simon
Posso, Alberto
McDonald, Lachlan
Chuyen, Truong Thi Kim
Tung, Son Thanh
Beyond monetary benefits of restoring sight in Vietnam: Evaluating well-being gains from cataract surgery
title Beyond monetary benefits of restoring sight in Vietnam: Evaluating well-being gains from cataract surgery
title_full Beyond monetary benefits of restoring sight in Vietnam: Evaluating well-being gains from cataract surgery
title_fullStr Beyond monetary benefits of restoring sight in Vietnam: Evaluating well-being gains from cataract surgery
title_full_unstemmed Beyond monetary benefits of restoring sight in Vietnam: Evaluating well-being gains from cataract surgery
title_short Beyond monetary benefits of restoring sight in Vietnam: Evaluating well-being gains from cataract surgery
title_sort beyond monetary benefits of restoring sight in vietnam: evaluating well-being gains from cataract surgery
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5809077/
https://www.ncbi.nlm.nih.gov/pubmed/29432447
http://dx.doi.org/10.1371/journal.pone.0192774
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