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Ophthalmology underserved

Rie Sakai-Bizmark, Rei Goto, Shusuke Hiragi, Hiroshi Tamura
BACKGROUND: Highly-competent patient care is paramount to medicine. Quality training and patient accessibility to physicians with a wide range of specializations is essential. Yet, poor quality of life for physicians cannot be ignored, being detrimental to patient care and leading to personnel leaving the medical profession. In 2004, the Japanese government reformed postgraduate training for medical graduates, adding a 2-year, hands-on rotation through different specialties before the specialization residency was begun...
March 27, 2018: BMC Medical Education
Sunita Desai, J Michael McWilliams
BACKGROUND: The 340B Drug Pricing Program entitles qualifying hospitals to discounts on outpatient drugs, increasing the profitability of drug administration. By tying the program eligibility of hospitals to their Disproportionate Share Hospital (DSH) adjustment percentage, which reflects the proportion of hospitalized patients who are low-income, the program is intended to expand resources for underserved populations but provides no direct incentives for hospitals to use financial gains to enhance care for low-income patients...
February 8, 2018: New England Journal of Medicine
Pooja D Jani, Lauren Forbes, Arkopal Choudhury, John S Preisser, Anthony J Viera, Seema Garg
Importance: Retinal telescreening for evaluation of diabetic retinopathy (DR) in the primary care setting may be useful in reaching rural and underserved patients. Objectives: To evaluate telemedicine retinal screenings for patients with type 1 or 2 diabetes and identify factors for ophthalmology referral in the North Carolina Diabetic Retinopathy Telemedicine Network. Design, Setting, and Participants: A preimplementation and postimplementation evaluation was conducted from January 6, 2014, to November 1, 2015, at 5 primary care clinics serving rural and underserved populations in North Carolina among 1787 adult patients with type 1 or 2 diabetes who received primary care at the clinics and obtained retinal telescreening to determine the presence and severity of DR...
July 1, 2017: JAMA Ophthalmology
Hannah Hong, Oscar J Mújica, José Anaya, Van C Lansingh, Ellery López, Juan Carlos Silva
BACKGROUND: No comprehensive study currently exists on the supply of ophthalmologists across Latin America. We explored sociogeographic inequalities in the availability and distribution of ophthalmologists across 14 Latin American countries. METHODS: The National Ophthalmologic Societies of Argentina, Bolivia, Brazil, Colombia, Costa Rica, Chile, the Dominican Republic, Ecuador, Guatemala, Mexico, Paraguay, Peru, Uruguay and Venezuela provided data on affiliated ophthalmologists by first-order subnational divisions in 2013...
November 18, 2016: BMJ Open
Lisa A Hark, Eileen L Mayro, Judie Tran, Michael Pond, Rachel Schneider, Justin Torosian, Melanie Snitzer, Nooreen Dabbish, Alex V Levin
BACKGROUND: The Wills Eye Vision Screening Program for Children is a community-based vision screening program for children in urban Philadelphia elementary schools that aims to provide vision screening, remedy refractive error by providing glasses, and refer children with suspected nonrefractive eye disease for eye care. METHODS: Children in grades K-5 from 45 Philadelphia elementary schools were screened for distance and near visual acuity, stereopsis, and color vision from January 2014 to June 2015...
September 16, 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Imam M Xierali, Marc A Nivet, M Roy Wilson
IMPORTANCE: Increasing the level of diversity among ophthalmologists may help reduce disparities in eye care. OBJECTIVE: To assess the current and future status of diversity among ophthalmologists in the workforce by sex, race, and ethnicity in the context of the available number of medical students in the United States. DESIGN, SETTING, AND PARTICIPANTS: Data from the Association of American Medical Colleges, the American Medical Association, and US Census were used to evaluate the differences and trends in diversity among ophthalmologists, all full-time faculty except ophthalmology, ophthalmology faculty, ophthalmology residents, medical school students, and the US population between 2005 and 2015...
September 1, 2016: JAMA Ophthalmology
Joseph F Griffith, Rhonda Wilson, Heather C Cimino, Mayme Patthoff, Daniel F Martin, Elias I Traboulsi
PURPOSE: To present data from an established mobile screening program for children in the amblyogenic age group using gold-standard examination techniques by eye care professionals. DESIGN: Retrospective 12-year, cross-sectional study. METHODS: setting: Single center. STUDY POPULATION: All children enrolled in pre-kindergarten, kindergarten, and first grades in public schools in Cleveland, Ohio were eligible for evaluations...
March 2016: American Journal of Ophthalmology
Julia M Byrd, Michelle R Longmire, Noah P Syme, Cristina Murray-Krezan, Linda Rose
IMPORTANCE: We present a method to reintroduce ophthalmic training into the medical school curriculum. OBJECTIVES: To evaluate knowledge and skills acquired when participating in a service project, the Community Vision Project, and to develop a quantitative method for testing skills with the direct ophthalmoscope in patients. DESIGN: Second-year medical students participated in the study. After 1 month, their knowledge was compared with that of peers and graduates (internal medicine residents)...
March 2014: JAMA Ophthalmology
Daniel B Moore, Mark A Slabaugh
IMPORTANCE: In the past, resident physicians have provided care to indigent patients under the supervision of experienced physicians. General consensus exists regarding higher surgical costs of patient care at teaching hospitals. No study has examined the outcomes or the cost basis for resident physicians providing health care to an underserved population. OBJECTIVES: To evaluate the visual results in uninsured patients undergoing cataract surgery performed by resident surgeons at a single institution and to determine the cost-effectiveness of care...
July 2013: JAMA Ophthalmology
Daniel T Weaver
PURPOSE OF REVIEW: To examine and review digital retinal imaging via telemedicine as an important screening and diagnostic tool in the management of retinopathy of prematurity (ROP). RECENT FINDINGS: The use of wide-angle digital retinal photography to detect clinically significant ROP has been described in numerous reports since 2000. Comparisons with the gold standard of binocular indirect ophthalmoscopy have been favorable. Digital image capture can provide more objective information for disease detection, thereby facilitating internet consultation and retrospective analysis as part of the electronic medical record...
September 2013: Current Opinion in Ophthalmology
Aimée R P Edell, Elisabeth J Cohen
OBJECTIVE: To further define the spectrum of clinical disease and treatment among patients with herpes zoster ophthalmicus (HZO) and ocular herpes simplex viral (HSV) infection presenting at a large city hospital for the underserved in the United States. METHODS: Retrospective review of medical records of 64 patients (40 HZO and 24 ocular HSV infection) presenting to the Bellevue Hospital Emergency Department for the management of herpetic eye disease for which an ophthalmologic consultation was obtained from January 1, 2006, to December 31, 2011...
July 2013: Eye & Contact Lens
A K Khan, A Z M I Hussain
The curriculum represents the expression of educational ideas in practice. Ophthalmic education is the corner stone to improve eye care globally. Curriculum needs continuous modification varying in different geographic locations. Though 90% of common conditions are either preventable or curable but emphasis on the common conditions is inadequate. This is a stepwise descriptive study aiming to develop a community based ophthalmology curriculum for undergraduate medical course in Bangladesh conducted during March 2007 to February 2008 at UniSA School of Public Health and Life Sciences, University of South Asia, Banani, Dhaka...
August 2012: Bangladesh Medical Research Council Bulletin
Mario A Pérez, Beau B Bruce, Nancy J Newman, Valérie Biousse
BACKGROUND: Ocular fundus examination is an important element of the neurological examination. However, direct ophthalmoscopy is difficult to perform without pupillary dilation and requires extensive practice to accurately recognize optic nerve and retinal abnormalities. Recent studies have suggested that digital retinal photography can replace direct ophthalmoscopy in many settings. REVIEW SUMMARY: Ocular fundus imaging is routinely used to document and monitor disease progression in ophthalmology...
November 2012: Neurologist
Babar M Qureshi, Rabiu Mansur, Abdulaziz Al-Rajhi, Van Lansingh, Kristen Eckert, Kunle Hassan, Thulasiraj Ravilla, Mohammad Muhit, Rohit C Khanna, Chaudhry Ismat
Since the launching of Global Initiative, VISION 2020 "the Right to Sight" many innovative, practical and unique comprehensive eye care services provision models have evolved targeting the underserved populations in different parts of the World. At places the rapid assessment of the burden of eye diseases in confined areas or utilizing the key informants for identification of eye diseases in the communities are promoted for better planning and evidence based advocacy for getting / allocation of resources for eye care...
September 2012: Indian Journal of Ophthalmology
Aron D Rose
No abstract text is available yet for this article.
September 2011: Hastings Center Report
Yaqin Li, Thomas P Karnowski, Kenneth W Tobin, Luca Giancardo, Scott Morris, Sylvia E Sparrow, Seema Garg, Karen Fox, Edward Chaum
In this article, we present the design and implementation of a regional ocular telehealth network for remote assessment and management of diabetic retinopathy (DR), including the design requirements, network topology, protocol design, system work flow, graphics user interfaces, and performance evaluation. The Telemedical Retinal Image Analysis and Diagnosis Network is a computer-aided, image analysis telehealth paradigm for the diagnosis of DR and other retinal diseases using fundus images acquired from primary care end users delivering care to underserved patient populations in the mid-South and southeastern United States...
October 2011: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Angus W Turner, Will Mulholland, Hugh R Taylor
BACKGROUND: This paper aims to describe funding models used and compare the effects of funding models for remuneration on clinical activity and cost-effectiveness in outreach eye services in Australia. DESIGN: Cross-sectional case study based in remote outreach ophthalmology services in Australia. PARTICIPANTS: Key stake-holders from eye services in nine outreach regions participated in the study. METHODS: Semistructured interviews were conducted to perform a qualitative assessment of outreach eye services' funding mechanisms...
May 2011: Clinical & Experimental Ophthalmology
Angus W Turner, Will J Mulholland, Hugh R Taylor
BACKGROUND: This paper aims to describe models for service integration between ophthalmology and optometry when conducting outreach eye services. The effect of good coordination on clinical activity and cost-effectiveness is examined. DESIGN: Cross-sectional case study based on remote outreach ophthalmology services in Australia. PARTICIPANTS: Key stake-holders from eye services in nine outreach regions participated in the study. METHODS: Semistructured interviews were conducted to perform a qualitative assessment of outreach eye services' levels of coordination...
May 2011: Clinical & Experimental Ophthalmology
Paul M O'Rourke, Kay Whitten
No abstract text is available yet for this article.
April 2010: Insight
Greta Kilmer, LaTonya Bynum, Appathurai Balamurugan
CONTEXT: Rural residents are more likely to be uninsured and have low income. PURPOSE: To determine if rural residents in Arkansas have decreased access to eye care services and use them less frequently than urban residents. METHODS: Data from the 2006 Visual Impairment and Access to Eye Care Module from the Arkansas Behavioral Risk Factor Surveillance System (BRFSS) were used in the analysis. Adults age 40 years and older were included (n = 4,289)...
2010: Journal of Rural Health
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