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在安大略省立即连续双边白内障手术的趋势
Richard Zhang1, Cindy M L Hutnik2
1Department of Ophthalmology, Schulich School of Medicine and Dentistry, Western University, London, ON.
概括
立即连续双边白内障手术 (ISBCS) 的采用在安大略省激增,表明范式的转变. 这种方法可以减少等待时间并节省医疗保健费用.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于安全性证据和需求,即时连续双边白内障手术 (ISBCS) 的采用正在增加.
- 了解安大略省白内障手术的转变至关重要.
研究的目的:
- 为了确定是否在安大略省发生了向ISBCS的范式转变.
- 分析ISBCS在该省当前的作用和范围.
主要方法:
- 从2016年到2022年对安大略省医疗保险计划 (OHIP) 索赔数据的回顾性分析.
- 将白内障手术分为单边,ISBCS和延迟的双边顺序白内障手术 (DSBCS).
- 对ISBCS的趋势,等待时间和节省成本的估计进行了审查.
主要成果:
- 在大流行期间,ISBCS病例增加了六倍,到2022年达到11,876,占总病例的1%至10%.
- 疫情期间单边和DSBCS病例下降,但在2022年反弹.
- 第一次和第二次手术的平均等待时间增加;然而,ISBCS在2022年可能节省了1900万美元.
结论:
- 在安大略省发生了有利于ISBCS的重大范式转变.
- ISBCS可能是一个可行的策略,以减轻日益增加的外科等待时间.
- 采用ISBCS为医疗保健成本节省提供了机会.
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