Ophthalmologists' Perspective on Barriers to Cataract Surgery and Surgical Productivity in Ethiopia, Ghana, and Zambia: A Descriptive, Mixed-Methods Survey.

IF 1.7 4区 医学 Q3 OPHTHALMOLOGY
Ophthalmic epidemiology Pub Date : 2024-10-01 Epub Date: 2024-01-18 DOI:10.1080/09286586.2023.2301581
Scott Herrod, Sadik Taju Sherief, Akwasi Ahmed, Grace Chipalo Mutati, John Welling, Boateng Wiafe, Michael Gyasi, Benjamin Crookston, Joshua West, Cougar Hall
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引用次数: 0

Abstract

Purpose: While progress was made towards the Vision 2020: The Right to Sight goals, Ethiopia, Ghana, and Zambia fell short of the recommended cataract surgical rate (CSR) on a national level. Post-operative cataract surgical outcomes are also lower compared to other regions. This study aimed to describe perceived barriers to cataract surgical uptake, factors related to surgeon surgical productivity, and surgical offerings in each of these countries.

Methods: An online survey was sent to ophthalmologists practicing in Ethiopia, Ghana, and Zambia. Responses were collected between June 25, 2021 and January 30, 2022.

Results: Responses were received from 122 ophthalmologists from Ethiopia, Ghana, and Zambia. The estimated participation rate was 47% (122/257). Distance to cataract surgical centres, lack of surgical centres, and lack of surgical equipment were among the top 10 most agreed upon barriers by respondents within each country. Many respondents reported that current financial reimbursement does not incentivise maximum productivity in themselves (56%, 68/122) or their staff (61%, 74/122). Surgeons proposed several ways to improve productivity incentives. Private practice was perceived to have the best reimbursement incentives (77%, 94/122), whereas government hospitals were least agreed upon (4%, 5/122). Discrepancies in timely post-operative refraction and eyeglasses disbursement were reported.

Conclusions: Overcoming the identified barriers, improving surgeon productivity, and addressing identified deficits in cataract care will likely reduce the backlog of cataract blindness while ensuring increasingly improved patient outcomes.

埃塞俄比亚、加纳和赞比亚眼科医生对白内障手术障碍和手术效率的看法:描述性混合方法调查。
目的:埃塞俄比亚、加纳和赞比亚在实现 "视觉 2020"(Vision 2020)的 "视力权 "目标方面取得了进展,但在全国范围内,它们的白内障手术率(CSR)却低于建议水平:实现 "看得见的权利 "目标方面取得了进展,但埃塞俄比亚、加纳和赞比亚在全国范围内的白内障手术率(CSR)均未达到建议水平。与其他地区相比,白内障手术的术后效果也较低。本研究旨在描述这些国家接受白内障手术的障碍、与外科医生手术效率相关的因素以及手术服务:向埃塞俄比亚、加纳和赞比亚的眼科医生发送了一份在线调查。调查时间为 2021 年 6 月 25 日至 2022 年 1 月 30 日:共收到来自埃塞俄比亚、加纳和赞比亚 122 名眼科医生的回复。估计参与率为 47%(122/257)。距离白内障手术中心的距离、缺乏手术中心以及缺乏手术设备是每个国家的受访者最认同的十大障碍。许多受访者表示,目前的经济补偿无法激励他们自己(56%,68/122)或他们的员工(61%,74/122)发挥最大生产力。外科医生提出了几种提高生产力的激励方法。私人诊所被认为拥有最好的报销激励机制(77%,94/122),而政府医院则最少(4%,5/122)。据报告,在术后及时屈光和眼镜付款方面存在差异:结论:克服已发现的障碍、提高外科医生的工作效率并解决白内障护理中已发现的不足之处,将有可能减少白内障致盲的积压,同时确保患者的治疗效果得到日益改善。
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来源期刊
Ophthalmic epidemiology
Ophthalmic epidemiology 医学-眼科学
CiteScore
3.70
自引率
5.60%
发文量
61
审稿时长
6-12 weeks
期刊介绍: Ophthalmic Epidemiology is dedicated to the publication of original research into eye and vision health in the fields of epidemiology, public health and the prevention of blindness. Ophthalmic Epidemiology publishes editorials, original research reports, systematic reviews and meta-analysis articles, brief communications and letters to the editor on all subjects related to ophthalmic epidemiology. A broad range of topics is suitable, such as: evaluating the risk of ocular diseases, general and specific study designs, screening program implementation and evaluation, eye health care access, delivery and outcomes, therapeutic efficacy or effectiveness, disease prognosis and quality of life, cost-benefit analysis, biostatistical theory and risk factor analysis. We are looking to expand our engagement with reports of international interest, including those regarding problems affecting developing countries, although reports from all over the world potentially are suitable. Clinical case reports, small case series (not enough for a cohort analysis) articles and animal research reports are not appropriate for this journal.
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