LEADER 04340nam 22004933u 450 001 9910787686303321 005 20230803031235.0 010 $a0-8330-7725-2 035 $a(CKB)2670000000414017 035 $a(EBL)1365160 035 $a(OCoLC)857365336 035 $a(MiAaPQ)EBC1365160 035 $a(EXLCZ)992670000000414017 100 $a20140303d2013|||| u|| | 101 0 $aeng 135 $aur|n|---||||| 200 10$aCataract Blindness and Simulation-Based Training for Cataract Surgeons$b[electronic resource] $eAn Assessment of the HelpMeSee Approach 210 $aSanta Monica $cRAND Corporation$d2013 215 $a1 online resource (136 p.) 300 $aDescription based upon print version of record. 327 $aCover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; CHAPTER ONE: Introduction; Objectives of the Study; Outline of the Report; CHAPTER TWO: Global Cataract Problem and Cataract Surgery Backlog; Cataract Burden in the Developing World; Defining Blindness, Low Vision, and Visual Impairment; Cataracts; Cataract Surgery Techniques; Types of Cataract Surgery and Relative Costs/Benefits; Cataract Surgery Shortfall; Constraints to Expanding Cataract Surgery Coverage; CHAPTER THREE: Existing Models of Cataract Surgery Training and Delivery 327 $aAravind (India)Tilganga (Nepal); Project Vision (China); He Eye Care System (China); Experiences in Africa; Summary: Common Characteristics of Approaches; CHAPTER FOUR: The HelpMeSee Approach; Simulator Training; HelpMeSee Learning Centers; Composition of Surgical Trainees; Service Delivery Model; Private Practices; Financing System; Quality Assurance and Monitoring; CHAPTER FIVE: Forecasting the Burden of Cataract; Introduction; Regional Breakdown for the Analysis; Forecasts of Prevalence of Cataract-Caused Visual Impairment; Methodological Approach; Forecasts of Prevalence by Region 327 $aDisease Burden-Disability Adjusted Life YearsForecasts of Productivity Loss Due to Cataracts; Methodology; Results; Summary; CHAPTER SIX: Modeling the Impacts of HelpMeSee; Assumptions of the Model; Uptake; Impacts on Number of Surgeons and Surgical Capacity; Impacts on Prevalence of Cataract-Caused Visual Impairment; Sensitivity Analysis; Impacts on Disease Burden and Economic Productivity; Implications for the Viability of Individual Practices; Summary; CHAPTER SEVEN: Analysis of Costs and Cost-Effectiveness; Costs; Cost-Effectiveness Analysis 327 $aImpact of HelpMeSee on Disability Adjusted Life Years and Productivity LossCost-Effectiveness of the HelpMeSee Intervention; Summary; CHAPTER EIGHT: Potential Challenges to the HelpMeSee Approach; Mobilization and Screening; Quality and Supervision; Ability of the Simulator Approach to Produce Skilled Surgeons; Nondoctors as Cataract Surgeons; Monitoring Performance; The Surgeon-Entrepreneur Model; Cataracts-Only Practices; Long-Term Viability of Surgical Practices; Legal and Regulatory Environment; CHAPTER NINE: Summary of Findings and Conclusions; Learning from a Pilot Study; APPENDIXES 327 $aA. Modeling Approach, Methodology, and Data SourcesB. Sensitivity Analysis-Practitioner Attrition and Trainee Intake; C. Detailed Input Costs and Methodology; References 330 $aCataracts cause about half of all cases of blindness worldwide, largely in developing countries. HelpMeSee Inc. is developing a simulator-based method for rapid cataract surgical training that RAND researchers determined could significantly help to close the backlog of cataract cases, expected to be 32 million globally by 2020. For this to occur, challenges in the areas of outreach, quality monitoring, and public acceptance must be met. 606 $aCataract surgery 606 $aCataract 606 $aMedicine 615 4$aCataract surgery. 615 4$aCataract. 615 4$aMedicine. 676 $a616.07 700 $aBroyles$b James R$01130118 701 $aGlick$b Peter$0938683 701 $aHu$b Jianhui$01527985 701 $aLim$b Yee-Wei$01527986 801 0$bAU-PeEL 801 1$bAU-PeEL 801 2$bAU-PeEL 906 $aBOOK 912 $a9910787686303321 996 $aCataract Blindness and Simulation-Based Training for Cataract Surgeons$93771369 997 $aUNINA