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Cataract Blindness and Simulation-Based Training for by James R. Broyles, Peter Glick, Jianhui Hu, Yee-Wei Lim PDF

By James R. Broyles, Peter Glick, Jianhui Hu, Yee-Wei Lim

ISBN-10: 0833077252

ISBN-13: 9780833077257

ISBN-10: 0833077279

ISBN-13: 9780833077271

Cataracts account for approximately half all circumstances of blindness all over the world, with the overwhelming majority in constructing international locations, the place blindness and visible impairment can lessen existence expectancy and fiscal productiveness. almost all these situations may be cured by means of quickly, low-cost surgeries, yet a scarcity of informed surgeons makes it not likely that the necessity for such surgical procedures — predicted to arrive 32 million circumstances globally via 2020 — could be met below present practices. HelpMeSee Inc. (HMS) is constructing an method of surgical procedure education and supply that comes with use of high-fidelity simulator expertise and linked curricula for high-volume education, improvement of a process of self sustaining inner most practitioners, and coaching the place useful of people with out scientific levels. RAND researchers decided that this system has the aptitude to scale up surgical means speedily and that less than confident assumptions, the HMS application might principally shut the backlog of surgical situations within the 4 significant areas studied, leading to 21 million circumstances of cataract-caused visible impairment in 2030, in comparison with 134 million situations less than the established order. this system additionally delivers to have huge affects on wellbeing and fitness and productiveness, and the expected charges in step with 12 months of incapacity prevented recommend that the intervention will be hugely in your price range in all the areas researched. even if, a couple of major demanding situations have to be met, really within the components of outreach, distant tracking of autonomous practitioners (especially non-doctors), and public and criminal reputation of non-doctors as surgeons. you will need to rigorously pilot and visual display unit the method earlier than totally scaling up.

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Extra info for Cataract Blindness and Simulation-Based Training for Cataract Surgeons: An Assessment of the HelpMeSee Approach

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There is no direct evidence on the quality of outcomes of these nondoctor surgeons and how this compares to physician surgeons. Such evidence would be of significant interest for the present study in view of HMS’s plans to train large numbers of nonphysician surgeons. It should be noted, however, that even if such studies existed they would be difficult to interpret, since both the training and subsequent support of surgeon practitioners in the HMS system will be different than in existing models.

2003a) compared costs and surgery outcomes of MSICS with those of conventional ECCE and PHACO in a hospital setting in India (Gogate, 2003b, 2007). 68 vs. 82), but MSICS gave good surgery outcomes in a greater proportion of patients than ECCE. 10 vs. 34), largely due to the different prices of the intraocular lens used in the two procedures. 1 The international dollar is a measure used to facilitate comparison of costs in different countries. See Chapter Seven for discussion. , per surgery) provider direct costs were found highest for PHACO and lowest for ECCE, with the difference attributed to the cost of equipment and materials; the costs to patients (direct plus indirect) were found to be highest for ECCE and identical for PHACO and MSICS.

In Africa, the urgent issue seems to be the extraordinarily low number of qualified personnel compared with the rest of the developing world. As noted in the Introduction, there is only about one ophthalmologist per million population in the region (Yorston 2005). Poor quality is another vexing problem that has an important, if hard to quantify, negative effect on the demand for cataract surgery. Individuals will be reluctant to undergo surgery—a potentially costly and frightening procedure—if the outcomes experienced by others in the community are perceived to be poor.

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Cataract Blindness and Simulation-Based Training for Cataract Surgeons: An Assessment of the HelpMeSee Approach by James R. Broyles, Peter Glick, Jianhui Hu, Yee-Wei Lim


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