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澳大利亚白内障手术隐形等待时间的真实成本。

The true cost of hidden waiting times for cataract surgery in Australia.

机构信息

School of Optometry and Vision Science, UNSW Sydney, Australia; The George Institute for Global Health, UNSW Sydney, Australia;

The George Institute for Global Health, UNSW Sydney, Australia.

出版信息

Public Health Res Pract. 2022 Oct 12;32(3):31342116. doi: 10.17061/phrp31342116.

DOI:10.17061/phrp31342116
PMID:36220565
Abstract

Cataract surgery is a safe, effective and common elective procedure in Australia but access is inequitable. True waiting times for cataract care are undisclosed or inconsistently reported by governments. Estimates of true waiting times range from 4 to 30 months and have been extended during the coronavirus disease 2019 (COVID-19) pandemic. Comparative analysis revealed that reducing waiting periods from 12 to 3 months would result in estimated public health system cost savings of $6.6 million by preventing 50 679 falls. Investment in public cataract services to address current unmet needs would prevent avoidable vision impairment and associated negative consequences.

摘要

白内障手术在澳大利亚是一种安全、有效且常见的选择性手术,但获得手术的机会并不公平。白内障护理的实际等待时间政府没有披露或报告不一致。实际等待时间的估计范围从 4 到 30 个月不等,并且在 2019 年冠状病毒病(COVID-19)大流行期间有所延长。比较分析表明,通过防止 50679 起跌倒,将等待时间从 12 个月缩短至 3 个月,预计将节省公共卫生系统 660 万美元的成本。投资于公共白内障服务以满足当前未满足的需求,将防止可避免的视力损害和相关的负面后果。

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Int J Mol Sci. 2024 Aug 20;25(16):9042. doi: 10.3390/ijms25169042.
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Pushing the envelope: the feasibility of using a mailed contrast sensitivity test to prioritise cataract waiting lists.推陈出新:使用邮寄对比敏感度测试来确定白内障等候名单优先级的可行性。
Eye (Lond). 2024 Sep;38(13):2568-2574. doi: 10.1038/s41433-024-03081-6. Epub 2024 May 27.
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The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study.
初次和二次白内障手术后跌倒的发生率:一项纵向队列研究。
Med J Aust. 2022 Jul 18;217(2):94-99. doi: 10.5694/mja2.51611. Epub 2022 Jun 15.
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Benefits of Integrating Telemedicine and Artificial Intelligence Into Outreach Eye Care: Stepwise Approach and Future Directions.将远程医疗和人工智能整合到外展眼科护理中的益处:逐步方法与未来方向
Front Med (Lausanne). 2022 Mar 11;9:835804. doi: 10.3389/fmed.2022.835804. eCollection 2022.