干旱区生态环境知识资源中心(Arid): Ambulatory surgery centers: possible solution to improve cataract healthcare in medical deserts

Arid

DOI	10.1097/j.jcrs.0000000000000452
	Ambulatory surgery centers: possible solution to improve cataract healthcare in medical deserts
	Bigoteau, Maxime; Grammatico-Guillon, Leslie; Massot, Michel; Baudet, Jean-Marie; Cook, Ann-Rose; Duroi, Quentin; Pichard, Tiphanie; Slim, Malek; Pisella, Pierre-Jean; Khanna, Raoul Kanav
通讯作者	Khanna, RK (corresponding author), Ctr Hosp Univ Reg Bretonneau, Dept Ophthalmol, 2 Blvd Tonnelle, F-37000 Tours, France.
来源期刊	JOURNAL OF CATARACT AND REFRACTIVE SURGERY
ISSN	0886-3350
EISSN	1873-4502
出版年	2021
卷号	47 期号:3 页码:352-357
英文摘要	Purpose: To investigate the epidemiological impact of an ambulatory cataract surgery center providing a fast-track procedure without anesthetic evaluation on the access to cataract healthcare. Setting: French nationwide study. Design: Retrospective cross-sectional study. Methods: The study included individuals undergoing cataract surgery from the French national administrative database of medical information. Data analyses focused on patients living in the Cher and neighboring areas. Epidemiological indicators of patient flow and healthcare efficiency were calculated. A medicoeconomic analysis was performed. Results: Between 2012 and 2018, activity increased by +50.2% (3665 to 5506) interventions in the Cher area compared with a national increase of + 22.7% (720 351/884 254), while maintaining a constant ophthalmologist workforce. The leakage ratio decreased by 5.9 points (26.3% to 20.4%), whereas the attractiveness and self-sufficiency ratios increased by 2.3 (8.6% to 10.9%) and 8.6 (80.6% to 89.2%) points, respectively. The age- and sex-standardized rate of healthcare utilization for cataract surgery increased by 4.3 points (11.6 to 15.9 cataract surgeries per 1000 inhabitants), making the Cher the second best French area in 2018 for the rate of cataract surgery despite ranking 96th of 109 French areas for ophthalmologist density. The cost of the cataract removal procedure was 523.99(sic) (666.22(sic) in the conventional operating room). Conclusions: An ambulatory cataract surgery center with a fast-track procedure could represent a solution in medical deserts to improve cataract healthcare without supplementary funding. Nonetheless, consulting activity should be optimized to detect eye disorders and schedule interventions.
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000624944300012
WOS关键词	GEOGRAPHIC-VARIATION
WOS类目	Ophthalmology ; Surgery
WOS研究方向	Ophthalmology ; Surgery
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/350749
作者单位	[Bigoteau, Maxime; Cook, Ann-Rose; Duroi, Quentin; Pisella, Pierre-Jean; Khanna, Raoul Kanav] Ctr Hosp Univ Reg Bretonneau, Dept Ophthalmol, 2 Blvd Tonnelle, F-37000 Tours, France; [Grammatico-Guillon, Leslie] Univ Tours, Reg Unit Epidemiol EpiDclic, Serv Med Informat Epidemiol & Med Econ, Teaching Hosp Tours,Med Sch, Tours, France; [Massot, Michel] Ctr Hosp Jacques Coeur, Dept Med Informat, Bourges, France; [Bigoteau, Maxime; Baudet, Jean-Marie; Pichard, Tiphanie; Slim, Malek] Ctr Hosp Jacques Coeur, Dept Ophthalmol, Bourges, France
推荐引用方式 GB/T 7714	Bigoteau, Maxime,Grammatico-Guillon, Leslie,Massot, Michel,et al. Ambulatory surgery centers: possible solution to improve cataract healthcare in medical deserts[J],2021,47(3):352-357.
APA	Bigoteau, Maxime.,Grammatico-Guillon, Leslie.,Massot, Michel.,Baudet, Jean-Marie.,Cook, Ann-Rose.,...&Khanna, Raoul Kanav.(2021).Ambulatory surgery centers: possible solution to improve cataract healthcare in medical deserts.JOURNAL OF CATARACT AND REFRACTIVE SURGERY,47(3),352-357.
MLA	Bigoteau, Maxime,et al."Ambulatory surgery centers: possible solution to improve cataract healthcare in medical deserts".JOURNAL OF CATARACT AND REFRACTIVE SURGERY 47.3(2021):352-357.