眼科的慈善护理,2024年
David J Browning1, Sally S Ong1, John G Clarkson2
1From the Department of Ophthalmology, Wake Forest University School of Medicine (D.J.B., S.S.O., H.H.), Winston-Salem, North Carolina.
American journal of ophthalmology
|February 10, 2024
概括
慈善眼科已经转向培训计划,因为私人医生减少了参与. 可持续的解决方案需要更广泛的参与和医院对眼科服务的支持.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健政策 医疗保健政策
- 进行外科手术培训.
背景情况:
- 50多年来,慈善眼科护理的提供一直在发展.
- 更广泛的保险覆盖已经减少了需要慈善护理的人口,现在在2023年约为7.3%.
- 慈善眼科护理领域面临着可持续性和临床医生支持方面的挑战.
研究的目的:
- 审查过去50年来慈善眼科护理服务的变化.
- 假设这些变化对外科培训和患者结果的影响.
- 分析眼科中慈善眼科护理的现状.
主要方法:
- 展望分析. 展望分析.
- 案例报告和社区与培训计划设置中的经验比较.
- 选择的文献评论.
主要成果:
- 慈善护理越来越多地由眼科实习生在教师监督下提供.
- 越来越少的私人医生在没有培训计划的地区提供慈善护理.
- 缺乏有组织的财务支持阻碍了为慈善眼科评估收集数据.
结论:
- 2024年慈善眼科护理的特点是不可持续的,局部化的努力,临床医生支持减少.
- 护理正在转移到培训计划中,非临床人员经常进行财务审查.
- 建议包括增加私人执业医生的参与,医院对慈善护理的支持,以及临床医生定义的手术标准.
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