BOOKS OF RtfiDIfGS - PAHO/WHO

In.lumin- i',)i.eIu XV. Seph.irhb'r 1978
- 397 -
Table 4. Exposure snd expenditure data from Ihe Prepaid Health Care Project
Calulated
tota
wolnan
yc¿lr% of Oulpatlenl Inp a.cni
Age e s rDoure co.:% Co ,
36--4 349 S37 $44
35- 9 252 39 59
40-44 2tu1 37 44
45-49 ?.10 44 mn
-.4 191 39 25
55-49 139 22 ]
4tL IMi 9 2"
1Ir .I prtjected cXp 'Ihe wotien
Annualied .ivcragc cxpccted expenJturc per uoman
tin ro)unded Jollar,,) or uterinec-relatcd didgnosc%.
PV )ol PV of
' orltl am.oun totail cot total .om)
of projertecd for cach age for cach age
Ih%s per wom;an tor ¡he spesified
ulerine-rel.ilcd diiagnote%. This table also
ahows the nel direct henefil as a result of a
hylrcr¡lomy lo he $2.735. undiscounied.
When discounied ait a 3.'# interet ratle. the
value of the henefil is reduced ¡o $1.822. By
discounting al a ¡ia te of 6.. 5'. the pteent valtc
hecomea $1.240.
und.'rgoin¡g l C.'r omy have ne: uterine paihology
anu *:xpracnce no muiohidily rel'er;ble
Io the uterut. T'hi% ib Ihe exlrcme cajc
where there are no medical indicaiion% for the
operation. If a henetit were found in analyzing
an operation pertormed under Ihee condilions.
then le%% rigid crileria would Nho.
greater benefil. 4) The palient. are healilhy
and experience minimum operatilv mortalily.
5) 'I'herc arc no %ignificani complicalion, *)i
the %urgcr>. excluisive of fatality. l'hi% .,%-
:.umpnion %ould Icad lo a conerv¿alive etimale
of the co,%¡% that might he realized h> the
operation.
Once the annualized cot projecllon% were
hobtained. the .%ream fl' epcetcd henefiti werc
dJiícounied to preenl value u-,ing a rate of re-
Itull oíf t.; . a- ucll a. a `'S; lisCitinl tate tlt
ici the %en%iisvlyt of the hnlingn 1ti Ih¡t ple.ent
vahlue calcula¿lion%. The rallonaile for u,,ing
¡hese Ito hglrc% i., dlicust,,ed heilo
The mean ct),t of a hytercctoniy in ¡he Prepuid
iHealth C'ae Projel sa is 51.h67 (s.d. J.
.36h. N 22. Although both presenl value,
1I the heneftil,, ¡e ilhin (ne standard deviation
of Ihc co(P%. the imporiance of the discounl
r.ate can he sen h! the faic. thalí. at a rate of
1',. I¡lc ie ¡ .a -s,.d nl t heIllelil of .S18.-
Rt'~
I he calculaíion o., >' .gc-.pe k:i ,i:.-:, h,r ,iat
wh:te.s '. italh a. dlsnini tale of h .';. there is
. nc(l :o,( of $197 KRc.liS:? Ill I¡he stlialiegy
,1 tihe ,snal lsl U; .s chosecn Io mt;lxiillmue the
palaeni .mnd inpalient Itcalmenl o uerlcHlle lelalcd
dJeaJae are iel forth mn I ahlk 2 und .l
I'ahle 2 ,h( thatl the average annu¿al per :arpila
c%.% rlo uherine-relalc(l anthul.fi(, utac
eparciled dtrel htncarili. relaailtrn of an) of
¡he icstli liti:. ;surnmplmri.r osf he hanal¿. .i%
,ouIhl lireascc e the nel henelil (1o incrcei,, ihe
nflt io I>r