Download 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

Cataracts account for roughly 1/2 all circumstances of blindness around the globe, with the overwhelming majority in constructing international locations, the place blindness and visible impairment can lessen existence expectancy and financial productiveness. almost all these situations will be cured via quickly, low-cost surgeries, yet a scarcity of expert surgeons makes it not likely that the necessity for such surgical procedures — envisioned to arrive 32 million situations globally by means of 2020 — could be met less than present practices. HelpMeSee Inc. (HMS) is constructing an method of surgical procedure education and supply that comes with use of high-fidelity simulator know-how and linked curricula for high-volume education, improvement of a procedure of autonomous deepest practitioners, and coaching the place priceless of people with no clinical levels. RAND researchers decided that this system has the aptitude to scale up surgical skill speedily and that lower than confident assumptions, the HMS software might mostly shut the backlog of surgical situations within the 4 significant areas studied, leading to 21 million situations of cataract-caused visible impairment in 2030, in comparison with 134 million situations lower than the established order. this system additionally grants to have huge affects on future health and productiveness, and the predicted charges in keeping with yr of incapacity prevented recommend that the intervention will be hugely within your budget in all the areas researched. in spite of the fact that, a couple of major demanding situations must be met, quite within the parts of outreach, distant tracking of self sustaining practitioners (especially non-doctors), and public and felony popularity of non-doctors as surgeons. you will need to rigorously pilot and computer screen the procedure ahead of absolutely scaling up.

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

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19 20 Cataract Blindness and Simulation-Based Training for Cataract Surgeons cases and complications in far greater numbers than students would normally experience when doing a small number of real operations. The HMS simulation training system comprises a linked surgical simulator and surgical tutoring system, which are described in turn. The Surgical Simulator: The surgical simulator is being developed by HMS to be consistent in terms of realism to the aviation industry’s highest flight simulator standard, known as level D.

Thulasiraj, personal communication). The high quality of cataract surgeries helps to build up Aravind’s reputation among potential patients through word of mouth, and increases the demand for surgeries, helping to ensure high volume. Avarind uses a “hub and spoke” model of care to provide surgery to rural patients: Screening camps are held periodically in different locations and operable patients are immediately transported to urban-based Aravind hospitals for surgery and an overnight stay, permitting checkup the following day.

The clinical facility, the Surgicentre, provides comprehensive eye services, including cataract surgeries and treatment of other eye conditions such as glaucoma, trachoma, and childhood blindness. Operating costs are covered completely though through patient fees. The pricing system at Tilganga is similar to that at Aravind in that revenues from those who can afford to pay are used to subsidize procedures for those who cannot. Approximately 53 percent of the services at the Surgicentre are paid for in full at an average price of US$120, 43 percent are provided for free, and the rest are substantially subsidized (Tilganga Institute of Ophthalmology, 2010).

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