Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»1781Научная статьяSTUDY OF ECONOMIC ASPECTS OF DIAGNOSIS AND TREATMENT OF AMETROPY IN CHILDRENMarkovaE. Yublyu18@mail.ruBezmelnitsynaL. Yumarkova_ej@mail.ruKurganovaO. Vdr_kurganowa@mail.ruPronkoN. Ainfo@dgp12.mosgorzdrav.ruVenediktovaL. Vinfo@dgp12.mosgorzdrav.ruNational Research Institute of Public Health"Eye Microsurgery" them. Acad. S.N. FedorovaChildren's Medical Center»Office of the President of the Russian FederationHospital №12 DZM151220174101614042022Copyright © 2017,2017To assess the clinical and economic effectiveness of ametropia diagnostics in children of different age categories (before 1 year, 1-3 yrs, 3-7 yrs). Materials and methods: retrospective analysis of medical documentation of 260 patients aged 5-7 years with refractive errors with mathematical, statistical methods. Clinical and economical analysis included detection of direct medical costs (DMC) for managing patients, decision tree modeling, burden of ametropia in children in the Russian Federation in modern conditions and the Budget impact analysis (BIA) of early diagnosis. Results: The average level DMCper patient under the age before 1 year was 46000 rubles, at the age of 1 -3 years - 55 000 rubles, at the age of 3-7 years - 63000 rubles. BIA has shown that early diagnosis can save up to 6-7 billion rubles. Conclusion: uncorrected refractive errors in children are characterized by a high economic and social burden.organization of outpatient examinationametropia in childrenclinical and economical analysisорганизация диспансерных осмотроваметропии у детейклинико-экономический анализ[Хабриев Р.У., Ягудина Р.И., Правдюк Н.Т. Оценка технологии здравоохранения. 2013. Москва. Мия. С.319.][Маркова Е.Ю., Сидоренко Е.Е. Хирургическое лечение анизометропий, обусловленных гиперметропией у детей. Российская педиатрическая офтальмология.2009. № 4. C. 35-37.][Нероев В.В. Организация офтальмологической помощи населению Российской Федерации. Вестник офтальмологии. 2014; 30 (6). С. 8-12.][H-H Konig, J-C Barry Cost-effectiveness of treatment for amblyopia: an analysis based on a probabilistic Markov model // J. Value based ophthalmology. P.606-12.][Baltussen R, Naus J, Limburg H. Cost-effectiveness of screening and correcting refractive errors in school children in Africa, Asia, America and Europe. Health Policy. 2009 Feb;89(2). P. 201-15][Traboulsi EI, Cimino H, Mash C, Wilson R, Crowe S, Lewis H. Vision First, a program to detect and treat eye diseases in young children: the first four years. Trans Am Ophthalmol Soc. 2008;106. P. 179-85.][Kvarnström G, Jakobsson P, Lennerstrand G. Visual screening of Swedish children: an ophthalmological evaluation. Acta Ophthalmol Scand. 2001 Jun;79(3). P.240-4.][Snowdon S.K., Stewart-Brown S.L. Preschool vision screening. Health Technol. Assess 1997;1. P. 1-83.][König H.H., Barry J.C., Leidl R. et al. Cost-effectiveness of orthoptic screening in kindergarten: a decision-analytic model. Strabismus. 2000 Jun;8(2). P. 79-90.][Käsmann-Kellner B., Heine M, Pfau B., Singer A. et al. Screening for amblyopia, strabismus and refractive abnormalities in 1,030 kindergarten children. [Article in German] Klin. Monbl. Augenheilkd. 1998 Sep;213(3). С. 166-73.][Thorburn R., Roland M. The effectiveness of preschool vision screening by health visitors. Br. J. Community Nurs. 2000 Jan;5(1).P.41-444]