Comparison of resource utilization in the treatment of open‐angle glaucoma between two cities in Finland: is more better?

Right services to right patients at right time in right setting in Tays Eye Centre

“…,b). This is also true for ophthalmology, and spending more resources may even counter‐intuitively result in worse health‐related quality of life (Fisher & Welch ; Hagman ).…”

“…Excessive autonomy and individualization could lead to disastrous results at a system level (Maynard ). For example, over use of diagnostics and over‐treatment cause unnecessary worry and harm to patients who do not have manifest disease (Hagman ), while simultaneously, patients with sight threatening disease may become blind due to delayed control visits (Tuulonen ). Political and professional choices have been claimed to be far more important in explaining the increase in spending than, for example, to ageing (Tuulonen ).…”

“…Related to the development of clinical care processes, eye services and leadership, health services research, health economics and secondary research (systematic reviews) continue to be important part of the research profile in the Tays Eye Centre (Tuulonen , ; Hagman ; Saarela et al. ; Tuulonen et al.…”

Diabetes Alone Does Not Impair Recovery From Uneventful Cataract Surgery

“…12,13 These biases raise concern of overestimating the risk of diabetes for PCME, 14 which in turn may mistarget effective allocation of public eye care services and cause unnecessary worry for the patients. 15,16 The purpose of this study was to assess whether diabetes itself has any effect on the recovery from uneventful cataract surgery. Furthermore, we aimed to evaluate whether the relative risk of postoperative PCME in diabetic patients depends on the selected anti-inflammatory medication.…”

Glaucoma blindness at the end of life

“…Improvements in the quality of ophthalmic training and care, and strategies to implement evidence‐based and cost‐effective strategies, may be difficult to achieve. There is also evidence that simply adding more resources to glaucoma care may not have impact on quality of life (Hagman ). The recent improvement in outcomes for age‐related macular degeneration, cataract and retinal vein obstruction will certainly have an impact in people with glaucoma.…”