University of Oulu

Tuulonen, A., Kataja, M., Aaltonen, V., Kinnunen, K., Moilanen, J., Saarela, V., Linna, M., Malmivaara, A., & Uusitalo‐Jarvinen, H. (2022). A comprehensive model for measuring real‐life cost‐effectiveness in eyecare: Automation in care and evaluation of system (aces‐rwmTM). Acta Ophthalmologica, 100(3).

A comprehensive model for measuring real-life cost-effectiveness in eyecare : automation in care and evaluation of system (aces-rwm™)

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Author: Tuulonen, Anja1; Kataja, Marko1; Aaltonen, Vesa2;
Organizations: 1Tays Eye Centre, Tampere University Hospital, Tampere, Finland
2Department of Ophthalmology, Turku University Hospital, Turku, Finland
3Department of Ophthalmology, Kuopio University Hospital, Kuopio, Finland
4Department of Ophthalmology, Helsinki University Hospital, Helsinki, Finland
5Department of Ophthalmology and Medical Research Center, Oulu University Hospital, Oulu, Finland
6PEDEGO Research Unit, University of Oulu, Oulu, Finland
7Institute of Healthcare Engineering, Management and Architecture (HEMA), Aalto University School of Science, Helsinki, Finland
8University of Eastern Finland, Kuopio, Finland
9National Institute of Health and Welfare, Helsinki, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 3.9 MB)
Persistent link:
Language: English
Published: John Wiley & Sons, 2022
Publish Date: 2022-11-02


This paper describes a holistic, yet simple and comprehensible, ecosystem model to deal with multiple and complex challenges in eyecare. It aims at producing the best possible wellbeing and eyesight with the available resources. When targeting to improve the real-world cost-effectiveness, what gets done in everyday practice needs be measured routinely, efficiently and unselectively. Collection of all real-world data of all patients will enable evaluation and comparison of eyecare systems and departments between themselves nationally and internationally. The concept advocates a strategy to optimize real-life effectiveness, sustainability and outcomes of the service delivery in ophthalmology. The model consists of three components: (1) resource-governing principles (i.e., to deal with increasing demand and limited resources), (2) real-world monitoring (i.e., to collect structured real-world data utilizing automation and visualization of clinical parameters, health-related quality of life and costs), and (3) digital innovation strategy (i.e., to evaluate and benchmark real-world outcomes and cost-effectiveness). The core value and strength of the model lies in the consensus and collaboration of all Finnish university eye clinics to collect and evaluate the uniformly structured real-world outcomes data. In addition to ophthalmology, the approach is adaptable to any medical discipline to efficiently generate real-world insights and resilience in health systems.

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Series: Acta ophthalmologica
ISSN: 1755-375X
ISSN-E: 1755-3776
ISSN-L: 1755-375X
Volume: 100
Issue: 3
Pages: e833 - e840
DOI: 10.1111/aos.14959
Type of Publication: A1 Journal article – refereed
Field of Science: 3125 Otorhinolaryngology, ophthalmology
Funding: The <em>aces-rwm</em>™ Research Team in Tays Eye Centre has received funding from Competitive Research Funding of the Tampere University Hospital, Silmäsäätiö (Eye Foundation), Emil Aaltonen Foundation and Finnish Ophthalmological Society. The development of the digital tailor-made aces-rwm™ digital tool package received support as Public Procurement for Innovation from Business Finland (directed by Finnish Ministry of Employment and Economy). Innovative Public Procurement refers to new and/or significantly improved goods or services that can help to enhance the productivity, quality, sustainability and/or effectiveness of public services. Business Finland does not influence the contents of the procurement process nor the medical contents of the presented ecosystem.
Copyright information: © 2021 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.