Unidades de atención primaria en oftalmología en Chile: historia y funciones

Ballester, Benjamín; Saez, V.; Escobar, Santiago; Barría, Fernando; Donoso, Rodrigo; Gil, Constanza

doi:10.4067/s0034-98872015000700013

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…El acceso a la especialidad de oftalmología se ha mantenido históricamente como un tema de gran preocupación. De esta forma, a comienzos de los años 2000 se crean las unidades de atención primaria oftalmológica (UAPO), las cuales han mejorado el acceso a la salud visual y disminuido las altas listas de espera oftalmológicas 6 .…”

Section: Introductionunclassified

Implementación de cámara no midriática en tamizaje de pacientes diabéticos en una unidad de atención primaria oftalmológica

Segovia¹,

Salinas-Toro²,

Bassi³

et al. 2022

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Section: Introductionunclassified

Implementación de cámara no midriática en tamizaje de pacientes diabéticos en una unidad de atención primaria oftalmológica

Segovia¹,

Salinas-Toro²,

Bassi³

et al. 2022

IRIS

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“…A raíz de este problema, y con el objetivo de acercar la atención de salud visual a la población, nace en 1960 la primera Unidad de Atención Primaria en Oftalmología (UAPO), bajo el alero del Dr. Juan Arentsen Sauer y el equipo del Departamento de Oftalmología del Hospital San Juan de Dios (HSJD) 1 . Posteriormente, a partir del año 2003, estas unidades se incorporaron a la atención del Ministerio de Salud (MINSAL) en el marco del Programa de Resolutividad de la División de Atención Primaria (DIVAP).…”

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Experiencia de atención en red entre Hospital del Salvador y tres unidades de Atención Primaria Oftalmológica: Un modelo de salud pública para mejorar la atención oftalmológica

et al. 2018

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A model of ophthalmological network care including primary care centers and a tertiary care hospital Background: Primary care units of ophtalmology (UAPO) were incorporated in 2003 into the healthcare system of the Ministry of Health, in response to the high demand for hospital care. Three of these primary care units were incorporated to provide a network care with the ophthalmology service of a tertiary care hospital. Aim: To report the public health impact of networking. Material and Methods: A descriptive-prospective study was carried out analyzing all the healthcare attentions carried out between June and August 2016. An epidemiological characterization of the sample was made. We recorded: clinical diagnoses, decisions, resolution of the clinical problem at the primary care or referral to the hospital. Results: A total of 2,096 ophthalmologic attentions were carried out in the three UAPOs during the study period. The main diseases attended were disorders of refraction, cataracts, glaucoma and diabetic retinopathy. The resolution index was 84% of attentions. Only 16% of attentions required referral and consisted mainly of cataracts (covered by a special health care system), diabetic retinopathy, capsulotomies, iridotomies, uveitis, pterygium and lacrimal duct obstruction. Conclusions: This model of care allowed an efficient management of the high demand for hospital referral. This is expressed in the high-resolution index and low derivation, resulting in a decrease in waiting lists at the tertiary level. This system should be implemented by other tertiary centers of our country.

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Prevalence and associated factors of diabetic retinopathy in Latin American countries: a scoping review

Machado,

Brandão,

Castro

et al. 2024

Revista Brasileira De Oftalmologia

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Objective: To gather the available evidence in the literature on the prevalence and associated factors of diabetic retinopathy (DR) in Latin America.Methods: This scoping review was developed according to the PRISMA-ScR. Prevalence data were summarized by weighted mean, considering the type of DM and country. For the analysis of associated factors, meta-analyses were performed with the most homogeneous studies, and the ORs and their 95%CIs were calculated.Results: Forty-two articles published between 2004 and 2020 were included in this study. The mean prevalence of DR ranged from 15.0% in Costa Rica to 32.7% in Brazil. Conclusion:This variation may be related to the diagnostic method, age of the studied population, duration of disease, glycemic control, or other associated factors such as the presence of diabetic nephropathy or hypertension. This review discloses an important burden of DR in Latin America and highlights the need for further in-country studies. RESUMOObjetivo: O objetivo desta revisão foi reunir as evidências disponíveis na literatura sobre a prevalência e os fatores associados à retinopatia diabética na América Latina.Métodos: Esta é uma revisão de escopo desenvolvida de acordo com o PRISMA-ScR. Os dados de prevalência foram resumidos por média ponderada, considerando o tipo de diabetes mellitus e o país. Para a análise dos fatores associados, foram realizadas metanálises com os estudos mais homogêneos e calculados as razões de chance e seus intervalos de confiança de 95%.Resultados: Foram publicados 42 artigos entre 2004 e 2020, os quais foram incluídos neste estudo. A prevalência média de retinopatia diabética variou de 15,0%, na Costa Rica, a 32,7%, no Brasil.Conclusão: Essa variação pode estar relacionada ao método de diagnóstico, à idade da população estudada, à duração da doença, ao controle glicêmico ou a outros fatores associados, como a presença de nefropatia diabética ou hipertensão. Esta revisão revelou um ônus importante da retinopatia diabética na América Latina e destaca a necessidade de mais estudos nos países.

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Unidades de atención primaria en oftalmología en Chile: historia y funciones

Cited by 5 publications

References 4 publications

Implementación de cámara no midriática en tamizaje de pacientes diabéticos en una unidad de atención primaria oftalmológica

Implementación de cámara no midriática en tamizaje de pacientes diabéticos en una unidad de atención primaria oftalmológica

Experiencia de atención en red entre Hospital del Salvador y tres unidades de Atención Primaria Oftalmológica: Un modelo de salud pública para mejorar la atención oftalmológica

Prevalence and associated factors of diabetic retinopathy in Latin American countries: a scoping review

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