干旱区生态环境知识资源中心(Arid): Clinical and economic impact of an ambulatory cataract surgery center without anesthesia in an area with poor ophthalmologic coverage

Arid

DOI	10.1016/j.jfo.2020.11.032
	Clinical and economic impact of an ambulatory cataract surgery center without anesthesia in an area with poor ophthalmologic coverage
	Bigoteau, M.; Grammatico-Guillon, L.; Massot, M.; Baudet, J-M; Duroi, Q.; Pichard, T.; Slim, M.; Pisella, P-J; Khanna, R. K.
通讯作者	Khanna, RK (corresponding author), 2 Blvd Tonnelle, F-37000 Tours, France.
来源期刊	JOURNAL FRANCAIS D OPHTALMOLOGIE
ISSN	0181-5512
EISSN	1773-0597
出版年	2021
卷号	44 期号:7 页码:947-956
英文摘要	Introduction. - The Ambulatory Clinic for Cataract Surgery (CACC) is a public department of the Bourges Medical Center, with a fast-track protocol without perioperative anesthesia care launched in 2015. This study aimed to evaluate the benefits of the CACC in terms of access to cataract surgery. Methods. - This retrospective study included all patients undergoing cataract surgery between 2012 and 2018. Data were collected from the French PMSI database. In order to evaluate the impact of the CACC, the surgical activity and change in indicators of patient flow and usage, as well as clinical and economic factors were analyzed. Results. - Between 2012 and 2018, with the same number of ophthalmologists, surgical activity increased by 50.2% in the Cher (vs. a mean increase of 22.7% in France). The patient loss ratio decreased by 5.9 points, the attraction and self-sufficiency ratios increased by 2.3 and 8.6 points respectively. The standardized rate of healthcare utilization for cataract surgery increased by 4.3 points (from 11.6 to 15.9 surgeries per 1000 inhabitants). As a result, Cher became the second highest French Department in 2018 in terms of utilization rate despite its 96th place out of 109 Departments in terms of density of ophthalmologists. Conclusion. - The ambulatory cataract surgery center without anesthesia for selected patients might represent a solution in medical deserts to improve access to cataract surgery without increasing costs. (C) 2021 Elsevier Masson SAS. All rights reserved.
英文关键词	Cataract Ambulatory surgerycenter Medicaldemographics Fast-track Public health
类型	Article
语种	法语
收录类别	SCI-E
WOS记录号	WOS:000691276000017
WOS关键词	GEOGRAPHIC-VARIATION
WOS类目	Ophthalmology
WOS研究方向	Ophthalmology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/363702
作者单位	[Bigoteau, M.; Duroi, Q.; Pisella, P-J; Khanna, R. K.] Ctr Hosp Univ Reg Bretonneau, Serv Ophtalmol, Tours, France; [Grammatico-Guillon, L.] CHRU Tours, Serv Sante Publ, Fac Med Tours, Unite Epidemiol EpiDcliC, Tours, France; [Massot, M.] Ctr Hosp Jacques Coeur, Dept Informat Med, Bourges, France; [Bigoteau, M.; Baudet, J-M; Pichard, T.; Slim, M.] Ctr Hosp Jacques Coeur, Serv Ophtalmol, Bourges, France
推荐引用方式 GB/T 7714	Bigoteau, M.,Grammatico-Guillon, L.,Massot, M.,et al. Clinical and economic impact of an ambulatory cataract surgery center without anesthesia in an area with poor ophthalmologic coverage[J],2021,44(7):947-956.
APA	Bigoteau, M..,Grammatico-Guillon, L..,Massot, M..,Baudet, J-M.,Duroi, Q..,...&Khanna, R. K..(2021).Clinical and economic impact of an ambulatory cataract surgery center without anesthesia in an area with poor ophthalmologic coverage.JOURNAL FRANCAIS D OPHTALMOLOGIE,44(7),947-956.
MLA	Bigoteau, M.,et al."Clinical and economic impact of an ambulatory cataract surgery center without anesthesia in an area with poor ophthalmologic coverage".JOURNAL FRANCAIS D OPHTALMOLOGIE 44.7(2021):947-956.