{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T22:15:56Z","timestamp":1784326556771,"version":"3.55.0"},"reference-count":36,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012825","name":"International Visegrad Fund","doi-asserted-by":"publisher","award":["22120107"],"award-info":[{"award-number":["22120107"]}],"id":[{"id":"10.13039\/100012825","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objectives<\/jats:title>\n<jats:p>The article aims to compare payment schemes for cataract, glaucoma, vitrectomy, cornea transplantations, DME, and AMD across Hungary, Poland, and Ukraine, and to identify implementable practices in Ukraine within the context of ongoing healthcare reforms.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Researchers used mixed-method research\u2013with legal documents and data analysis on utilisation of ophthalmology services between 2010 and 2019 and in-depth semi structured interviews with fifteen health experts from Hungary, Poland, and Ukraine. Interviewees, five from each country, were representatives from healthcare providers and payers with at least 10 years\u2019 experience in ophthalmology care and knowledge about financing schemes in each country of residence.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>We identified significant differences in healthcare delivery and financing of ophthalmology services between Hungary and Poland, despite both countries rely on Diagnosis-Related Group (DRG) based systems for hospital care. Good practices for financing specific eye treatments like cataract, glaucoma, age-related macular degeneration (AMD), diabetic macular edema (DME), cornea transplantations, and vitrectomy are identified. The financing scheme, including financial products and incentives, can influence the volume of treatments. Access to ophthalmic care is a key concern, with differences in treatment schemes between Hungary (ambulatory care) and Poland (hospital care), leading to higher costs and the need for centralization of complex procedures like cornea transplantations.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The article highlights the importance of incentivizing quality improvements and removing financial barriers in Poland, while Hungary should focus on continuous monitoring of treatment methods and flexibility in reimbursement. For Ukraine, the research findings are significant due to ongoing healthcare reform, and the country seeks optimal practices while considering the experiences of other countries.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0306562","type":"journal-article","created":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T18:24:40Z","timestamp":1720549480000},"page":"e0306562","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["How much can we learn from each other? Polish and Hungarian good practices in financing ophthalmology care as a proposal for implementation in Ukraine"],"prefix":"10.1371","volume":"19","author":[{"given":"Barbara","family":"Wi\u0119ckowska","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0656-3536","authenticated-orcid":true,"given":"Katarzyna","family":"Byszek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0429-6649","authenticated-orcid":true,"given":"Marek","family":"R\u0119kas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9455-9141","authenticated-orcid":true,"given":"Tetiana","family":"Yurochko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1828-8447","authenticated-orcid":true,"given":"Maryna","family":"Shevchenko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5096-6469","authenticated-orcid":true,"given":"Olena","family":"Skrypnikova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Csaba","family":"Dozsa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Toth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,7,9]]},"reference":[{"key":"pone.0306562.ref001","volume-title":"World Report on Vision","author":"World Health Organization","year":"2019"},{"issue":"4","key":"pone.0306562.ref002","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1001\/archopht.122.4.532","article-title":"Prevalence of open-angle glaucoma among adults in the United States","volume":"122","author":"DS Friedman","year":"2004","journal-title":"Arch Ophthalmol"},{"key":"pone.0306562.ref003","first-page":"29","article-title":"The genetics of age-related macular degeneration","volume":"5","author":"MB Gorin","year":"1999","journal-title":"Mol Vis"},{"issue":"3","key":"pone.0306562.ref004","doi-asserted-by":"crossref","first-page":"556","DOI":"10.2337\/dc11-1909","article-title":"Global prevalence, and major risk factors of diabetic retinopathy","volume":"35","author":"JW Yau","year":"2012","journal-title":"Diabetes Care"},{"key":"pone.0306562.ref005","first-page":"5250924","article-title":"Posterior Segment Ocular Trauma: Timing and Indications for Vitrectomy","volume":"2017","author":"R. 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[Population\u2019s self-perceived of health status and availability of selected types of medical aid in 2019. Statistical collection. State Statistics Service of Ukraine. K., 2020 State Committee of Statistics of Ukraine (ukrstat.gov.ua) Accessed 6 Jan 2023]"},{"key":"pone.0306562.ref007","unstructured":"Wieckowska B, Byszek K, Rekas M, Yurochko T, Shevchenko M, Skrypnikova O, et al., The summary report on good practices in financing healthcare services in ophthalmology, May 2023 https:\/\/www.sgh.waw.pl\/kes\/sites\/kes\/files\/2023-06\/VISEGRAD-GRANT-PROJECT-SUMMARY-REPORT.pdf Accessed 30 June 2023"},{"key":"pone.0306562.ref008","unstructured":"World Health Organization. Guide for documenting and sharing \u201cBest Practices\u201d in Health Programmes. Regional Office for Africa Brazzaville. 2008. https:\/\/www.afro.who.int\/sites\/default\/files\/2017-06\/Guide_for_documenting_and_Sharing_Best_Practice_-_english_0.pdf. 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P\u00f3nusz","year":"2022","journal-title":"LAM"},{"issue":"4","key":"pone.0306562.ref025","doi-asserted-by":"crossref","first-page":"3","DOI":"10.53020\/IME-2022-401","article-title":"The place and role of one-day surgery in reducing waiting list for cataract surgeries (Az egynapos seb\u00e9szet helye \u00e9s szerepe a sz\u00fcrkeh\u00e1lyog m\u0171t\u00e9t v\u00e1r\u00f3lista cs\u00f6kkent\u00e9s\u00e9ben)","volume":"21","author":"R P\u00f3nusz","year":"2022","journal-title":"IME"},{"key":"pone.0306562.ref026","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1186\/s12913-020-05212-7","article-title":"Defining and assessing context in healthcare implementation studies: a systematic review","volume":"20","author":"L Rogers","year":"2020","journal-title":"BMC Health Serv Res"},{"key":"pone.0306562.ref027","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1186\/s13012-023-01315-x","article-title":"Built to last? Barriers and facilitators of healthcare program sustainability: a systematic integrative review","volume":"18","author":"Y Zurynski","year":"2023","journal-title":"Implementation Sci"},{"key":"pone.0306562.ref028","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1186\/s13643-018-0734-5","article-title":"Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: a systematic integrative review","volume":"7","author":"SA Li","year":"2018","journal-title":"Syst Rev"},{"key":"pone.0306562.ref029","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s13012-021-01171-7","article-title":"Implementability of healthcare interventions: an overview of reviews and development of a conceptual framework","volume":"17","author":"M Klaic","year":"2022","journal-title":"Implementation Sci"},{"issue":"3","key":"pone.0306562.ref030","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1080\/09286586.2022.2059812","article-title":"A Systematic Review of Clinical Practice Guidelines for Age-related Macular Degeneration","volume":"30","author":"X Han","year":"2023","journal-title":"Ophthalmic Epidemiol"},{"key":"pone.0306562.ref031","unstructured":"World Health Organization. A Guide to Identifying and Documenting Best Practices in Family Planning Programmes. 2017. https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/254748\/9789290233534-eng.pdf. Accessed 17 Feb 2023."},{"key":"pone.0306562.ref032","unstructured":"On state financial guarantees of medical care for the population: Law of Ukraine 19.10.2017 \u2116 2168-VIII (\u041f\u0440\u043e \u0434\u0435\u0440\u0436\u0430\u0432\u043d\u0456 \u0444\u0456\u043d\u0430\u043d\u0441\u043e\u0432\u0456 \u0433\u0430\u0440\u0430\u043d\u0442\u0456\u0457 \u043c\u0435\u0434\u0438\u0447\u043d\u043e\u0433\u043e \u043e\u0431\u0441\u043b\u0443\u0433\u043e\u0432\u0443\u0432\u0430\u043d\u043d\u044f \u043d\u0430\u0441\u0435\u043b\u0435\u043d\u043d\u044f: \u0417\u0430\u043a\u043e\u043d \u0423\u043a\u0440\u0430\u0457\u043d\u0438 \u0432\u0456\u0434 19.10.2017 \u2116 2168-VIII). https:\/\/zakon.rada.gov.ua\/laws\/card\/2168-19"},{"key":"pone.0306562.ref033","unstructured":"Population\u2019s self- perceived of health status and availability of selected types of medical aid (\u0421\u0430\u043c\u043e\u043e\u0446\u0456\u043d\u043a\u0430 \u043d\u0430\u0441\u0435\u043b\u0435\u043d\u043d\u044f\u043c \u0441\u0442\u0430\u043d\u0443 \u0437\u0434\u043e\u0440\u043e\u0432\u2019\u044f \u0442\u0430 \u0440\u0456\u0432\u043d\u044f \u0434\u043e\u0441\u0442\u0443\u043f\u043d\u043e\u0441\u0442\u0456 \u043e\u043a\u0440\u0435\u043c\u0438\u0445 \u0432\u0438\u0434\u0456\u0432 \u043c\u0435\u0434\u0438\u0447\u043d\u043e\u0457 \u0434\u043e\u043f\u043e\u043c\u043e\u0433\u0438 \u0443 2019 \u0440\u043e\u0446\u0456). Statistical Bulletin. State Statistics Service of Ukraine. K., 2020 State Committee of Statistics of Ukraine. https:\/\/ukrstat.gov.ua\/druk\/publicat\/kat_u\/2020\/zb\/03\/snsz_med_2019.pdf. Accessed 17 Feb 2023"},{"key":"pone.0306562.ref034","unstructured":"Zdrowe dane. Choroby narz\u0105du wzroku, Centrum eZdrowia, https:\/\/ezdrowie.gov.pl\/portal\/home\/badania-i-dane\/zdrowe-dane\/monitorowanie\/choroby-narzadu-wzroku Accessed 7 May 2023."},{"issue":"11","key":"pone.0306562.ref035","doi-asserted-by":"crossref","first-page":"1580","DOI":"10.1016\/j.ophtha.2021.04.027","article-title":"Global Prevalence of Diabetic Retinopathy and Projection of Burden through 2045: Systematic Review and Meta-analysis","volume":"128","author":"ZL Teo","year":"2021","journal-title":"Ophthalmology"},{"issue":"11","key":"pone.0306562.ref036","doi-asserted-by":"crossref","first-page":"2081","DOI":"10.1016\/j.ophtha.2014.05.013","article-title":"Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis","volume":"121","author":"YC Tham","year":"2014","journal-title":"Ophthalmology"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0306562","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T18:25:21Z","timestamp":1720549521000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0306562"}},"subtitle":[],"editor":[{"given":"Ugochukwu Anthony","family":"Eze","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,7,9]]},"references-count":36,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2024,7,9]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0306562","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,9]]}}}