High-volume surgery in developing countries
High-volume surgery in developing countries
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DOI：
10.1038/sj.eye.6701966
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发表时间：
2005-10-01
期刊：
影响因子：
3.9
通讯作者：
Yorston, D
中科院分区：
文献类型：
--
作者：
Yorston, D
背景白内障仍然是世界上最主要的致盲原因。在发展中国家，许多眼科诊所只为一小部分有需要的人提供白内障手术。这部分是因为需求低-由意识障碍、服务差、费用和距离造成的-部分是因为服务供应不足。本文回顾了贫困国家旨在扭转这一趋势的白内障手术创新。结论：通过与社区的密切合作，增加手术数量，改善手术效果，可以降低手术成本，从而进一步增加手术量。最近的创新，如低成本人工晶状体和小切口囊外白内障摘除术，有助于改善手术结果，而不增加成本。有效的管理能够增加业务数量，同时改善成果和控制成本。
Background Cataract remains the world's leading cause of blindness. In the developing world, many eye clinics provide cataract surgery for only a small proportion of those in need. This is partly because of low demand-caused by barriers related to awareness, bad services, cost, and distance-and partly because of deficiencies in the supply of services. This article reviews innovations in cataract surgery in poor countries that are intended to reverse this trend. Conclusions Increasing the number of operations, through close involvement with the community, and improved surgical outcomes, enables the cost of surgery to be reduced, leading to further growth in volume. Recent innovations, such as low-cost intraocular lenses, and small-incision extracapsular cataract extraction, have contributed to improving the results of surgery without increasing the costs. Effective management enables the delivery of increasing the numbers of operations, while at the same time improving outcomes and controlling costs.