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Cataract blindness and simulation-based training for cataract surgeons : an assessment of the HelpMeSee approach /
Cataracts cause about half of all cases of blindness worldwide, largely in developing countries. HelpMeSee Inc. is developing a simulator-based method for rapid cataract surgical training that RAND researchers determined could significantly help to close the backlog of cataract cases, expected to be...
| Clasificación: | Libro Electrónico |
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| Autores principales: | , , , |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Santa Monica, CA :
RAND,
[2012]
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Ch. 1: Introduction
- ch. 2: Global cataract problem and cataract surgery backlog
- ch. 3: Existing models of cataracts surgery training and delivery
- ch. 4: The HelpMeSee approach
- ch. 5: Forecasting the burden of cataract
- ch. 6: Modeling the impacts of HelpMeSee
- ch. 7: Analysis of costs and cost-effectiveness
- ch. 8: Potential challenges to the HelpMeSee approach
- ch. 9: Summary of findings and conclusions
- Appendix A. Modeling approach, methodology, and data sources
- Appendix B. Sensitivity analysis-practitioner attrition and trainee intake
- Appendix C. Detailed input costs and methodology.
- Cover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; CHAPTER ONE: Introduction; Objectives of the Study; Outline of the Report; CHAPTER TWO: Global Cataract Problem and Cataract Surgery Backlog; Cataract Burden in the Developing World; Defining Blindness, Low Vision, and Visual Impairment; Cataracts; Cataract Surgery Techniques; Types of Cataract Surgery and Relative Costs/Benefits; Cataract Surgery Shortfall; Constraints to Expanding Cataract Surgery Coverage; CHAPTER THREE: Existing Models of Cataract Surgery Training and Delivery.
- Aravind (India)Tilganga (Nepal); Project Vision (China); He Eye Care System (China); Experiences in Africa; Summary: Common Characteristics of Approaches; CHAPTER FOUR: The HelpMeSee Approach; Simulator Training; HelpMeSee Learning Centers; Composition of Surgical Trainees; Service Delivery Model; Private Practices; Financing System; Quality Assurance and Monitoring; CHAPTER FIVE: Forecasting the Burden of Cataract; Introduction; Regional Breakdown for the Analysis; Forecasts of Prevalence of Cataract-Caused Visual Impairment; Methodological Approach; Forecasts of Prevalence by Region.
- Disease Burden-Disability Adjusted Life YearsForecasts of Productivity Loss Due to Cataracts; Methodology; Results; Summary; CHAPTER SIX: Modeling the Impacts of HelpMeSee; Assumptions of the Model; Uptake; Impacts on Number of Surgeons and Surgical Capacity; Impacts on Prevalence of Cataract-Caused Visual Impairment; Sensitivity Analysis; Impacts on Disease Burden and Economic Productivity; Implications for the Viability of Individual Practices; Summary; CHAPTER SEVEN: Analysis of Costs and Cost-Effectiveness; Costs; Cost-Effectiveness Analysis.
- Impact of HelpMeSee on Disability Adjusted Life Years and Productivity LossCost-Effectiveness of the HelpMeSee Intervention; Summary; CHAPTER EIGHT: Potential Challenges to the HelpMeSee Approach; Mobilization and Screening; Quality and Supervision; Ability of the Simulator Approach to Produce Skilled Surgeons; Nondoctors as Cataract Surgeons; Monitoring Performance; The Surgeon-Entrepreneur Model; Cataracts-Only Practices; Long-Term Viability of Surgical Practices; Legal and Regulatory Environment; CHAPTER NINE: Summary of Findings and Conclusions; Learning from a Pilot Study; APPENDIXES.
- A. Modeling Approach, Methodology, and Data SourcesB. Sensitivity Analysis-Practitioner Attrition and Trainee Intake; C. Detailed Input Costs and Methodology; References.