Análise da viabilidade econômica da unidade móvel de um serviço de referência em oftalmologia

Lima, Luiz H.; Sousa, Luciene Barbosa de

doi:10.1590/s0004-27492005000500006

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“…The model of mobile units was originally conceived in the United States early in the 20 th century and were put into practice as Community Mobile Eye Clinics; this model was ultimately used as a means to provide other medical services in addition to basic eye exami nations (15) . These units were used primarily by those who had limited access to basic health care, primarily in resourcepoor regions with inadequate physical in frastructure (16) .…”

Section: Introductionmentioning

confidence: 99%

Impact of a mobile unit on access to eye care in São Paulo, Brazil

Satto

Meneghim

Hirai

et al. 2021

ABO

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The goal of this study was to determine the impact of a mobile eye health unit on access to eye care and to generate a profile of the population requiring ophthalmic care by age, nature of their ophthalmic diseases, and optimal management. Methods: The study was conducted in 14 cities in the southwest region of São Paulo, Brazil. Subjects included individuals who participate in the Brazilian Unified Health System who were in need of eye care. There were no restrictions on age, gender or socioeconomic status. Data was transferred to an Excel table for statistical analyses. Results: We evaluated 6,878 participants in this survey with mean age of 44 years (range 4 months to 96 years); 65.5% were female. Among the diagnoses, 78.6% presented with refractive errors, 9.6% presented with cataracts and 8.3% presented with pterygium. New corrective lenses were prescribed for 60.9% of the participants; 10% retained their existing lenses, ~28% required counseling only and18.1% of the participants were referred to a tertiary facility for specia lized exams and/or surgical procedures. Of the participants who required outside referrals, 36.4% required oculoplastic/external eye surgery and 31.8% required cataract surgery. Conclusion:The vast majority of patients presenting to a mobile eye health unit required prescriptions for corrective lenses. The rate of detection of ocular disorders was relatively high and the mobile unit provided effective treatment of refractive errors and referrals for specialized ophthalmic examinations and procedures. A mobile eye health unit can be an effective alternative method for improving access to basic eye care, for promoting eye health education and preventing blindness.

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Section: Introductionmentioning

confidence: 99%