dc.contributor.author |
Ramke, Jacqueline |
en |
dc.contributor.author |
Gilbert, Clare E |
en |
dc.contributor.author |
Lee, Arier |
en |
dc.contributor.author |
Ackland, Peter |
en |
dc.contributor.author |
Limburg, Hans |
en |
dc.contributor.author |
Foster, Allen |
en |
dc.date.accessioned |
2018-11-12T20:47:59Z |
en |
dc.date.issued |
2017-01 |
en |
dc.identifier.citation |
PLoS One 12(3):13 pages Article number e0172342 01 Mar 2017 |
en |
dc.identifier.issn |
1932-6203 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/44130 |
en |
dc.description.abstract |
OBJECTIVE:To define and demonstrate effective cataract surgical coverage (eCSC), a candidate UHC indicator that combines a coverage measure (cataract surgical coverage, CSC) with quality (post-operative visual outcome). METHODS:All Rapid Assessment of Avoidable Blindness (RAAB) surveys with datasets on the online RAAB Repository on April 1 2016 were downloaded. The most recent study from each country was included. By country, cataract surgical outcome (CSOGood, 6/18 or better; CSOPoor, worse than 6/60), CSC (operated cataract as a proportion of operable plus operated cataract) and eCSC (operated cataract and a good outcome as a proportion of operable plus operated cataract) were calculated. The association between CSC and CSO was assessed by linear regression. Gender inequality in CSC and eCSC was calculated. FINDINGS:Datasets from 20 countries were included (2005-2013; 67,337 participants; 5,474 cataract surgeries). Median CSC was 53.7% (inter-quartile range[IQR] 46.1-66.6%), CSOGood was 58.9% (IQR 53.7-67.6%) and CSOPoor was 17.7% (IQR 11.3-21.1%). Coverage and quality of cataract surgery were moderately associated-every 1% CSC increase was associated with a 0.46% CSOGood increase and 0.28% CSOPoor decrease. Median eCSC was 36.7% (IQR 30.2-50.6%), approximately one-third lower than the median CSC. Women tended to fare worse than men, and gender inequality was slightly higher for eCSC (4.6% IQR 0.5-7.1%) than for CSC (median 2.3% IQR -1.5-11.6%). CONCLUSION:eCSC allows monitoring of quality in conjunction with coverage of cataract surgery. In the surveys analysed, on average 36.7% of people who could benefit from cataract surgery had undergone surgery and obtained a good visual outcome. |
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dc.format.medium |
Electronic-eCollection |
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dc.language |
eng |
en |
dc.relation.ispartofseries |
PloS one |
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dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
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dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
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dc.subject |
Humans |
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dc.subject |
Cataract |
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dc.subject |
Cataract Extraction |
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dc.subject |
Sex Factors |
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dc.subject |
Databases, Factual |
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dc.subject |
Aged |
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dc.subject |
Middle Aged |
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dc.subject |
Insurance Coverage |
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dc.subject |
Quality of Health Care |
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dc.subject |
Female |
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dc.subject |
Male |
en |
dc.subject |
Healthcare Disparities |
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dc.title |
Effective cataract surgical coverage: An indicator for measuring quality-of-care in the context of Universal Health Coverage. |
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dc.type |
Journal Article |
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dc.identifier.doi |
10.1371/journal.pone.0172342 |
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pubs.issue |
3 |
en |
pubs.begin-page |
e0172342 |
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pubs.volume |
12 |
en |
dc.rights.holder |
Copyright: The authors |
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dc.identifier.pmid |
28249047 |
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pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
615757 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Optometry and Vision Science |
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pubs.org-id |
Population Health |
en |
pubs.org-id |
Epidemiology & Biostatistics |
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dc.identifier.eissn |
1932-6203 |
en |
pubs.record-created-at-source-date |
2017-03-02 |
en |
pubs.dimensions-id |
28249047 |
en |