High volume and high quality eye care - Bridging the paradox. A unique rural based approach - The Chitrakoot model

Jain, B. K.; Jain, Elesh; Kuyyadiyil, Subeesh; Sen, Alok; Sood, Devindra; Bajaj, Asheesh

doi:10.4103/ijo.ijo_61_20

Cited by 6 publications

(4 citation statements)

References 5 publications

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“…[ 9 ] The majority of our participants came from Institution 1 (43.7%), which is the largest institution surveyed and the largest rural eye care provider in India. [ 16 ] Institution 1 serves more than a million patients annually, and has more than 100 full-time ophthalmologists. [ 16 ] The response rate from Institution 1 (100%) was among the highest in this study, along with Institution 4, which also had a response rate of 100%.…”

Section: Discussionmentioning

confidence: 99%

“…[ 16 ] Institution 1 serves more than a million patients annually, and has more than 100 full-time ophthalmologists. [ 16 ] The response rate from Institution 1 (100%) was among the highest in this study, along with Institution 4, which also had a response rate of 100%. The variability in response rate among the institutions was minimal and did not significantly affect the outcomes of this study.…”

Section: Discussionmentioning

confidence: 99%

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An ophthalmology professionalism survey tool: Outcomes from a multi-center study in Central India

Joltikov,

Khandekar,

Shenoy

et al. 2023

Indian Journal of Ophthalmology

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Purpose: To describe a professionalism survey tool and its use to assess knowledge of medical professionalism in ophthalmology training programs in Central India. Settings and Design: Multi-center survey study. Methods: A validated 33-question, scenario-based survey addressing professionalism attributes was administered at five centers in central India. The attributes tested included “personal characteristics,” “physician–patient relationships,” “workplace practice and relationships,” and “socially responsible behaviors.” A mean attribute score (%) was calculated and compared to “gold standard” responses by a group of expert senior ophthalmologists (100% agreement for responses). Results: A total of 225 participants completed the survey; 124 residents, 47 fellows, and 54 consultants (98.4% response rate). The total mean attribute score was 80.7 ± 9.1 (min 16.67, max 100). There was variation in the mean attribute score by professionalism attribute (P < 0.001), and a trend toward higher mean attribute scores for consultants compared to trainees across all attribute groups. The scores for “personal characteristics” (93 ± 9.7) and “physician-patient relationship” (82 ± 15.8) were the highest, whereas scores for “socially responsible behaviors” (73.9 ± 18.6) and “workplace practices” were low (72 ± 13). Conclusions: There is a generally high level of professionalism knowledge among ophthalmologists in central India. The results suggest that experience does impact knowledge of professionalism. Potential for improvement in professionalism exists in around “workplace practices”, and around “socially responsible behaviors”. These findings may serve as a valuable discussion starter and teaching tool to enhance professionalism in ophthalmology training programs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An ophthalmology professionalism survey tool: Outcomes from a multi-center study in Central India

Joltikov,

Khandekar,

Shenoy

et al. 2023

Indian Journal of Ophthalmology

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“…Eye care provisions for the rural populace were and still remain a challenge as there is an unfavorable rural–urban disparity in terms of provision of and access to health-care facilities. [ 1 ] The need of the hour, therefore, is to establish several sustainable rural quality eye care facilities to tackle this evergoing disparity.…”

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confidence: 99%

Rural development through eye care: A new dimension of possibilities

Jain¹,

Jain²

2023

Indian Journal of Ophthalmology

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“…Also, in the last five decades, various models have been proposed to reduce avoidable blindness and VI. [ 6 7 8 9 ] Two significant changes were shifting from mobile to fixed facilities and mass eye care (eye camps) to person-specific care. In 2019, the World Health Organization (WHO) proposed the incorporation of “integrated people-centered eye care” (IPEC).…”

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confidence: 99%

Vision centre helps reduce blindness and vision impairment. Proof of concept in a four-year longitudinal study in an urban area in India

Gogate

Phadke

Das

et al. 2022

Indian Journal of Ophthalmology

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Purpose: To estimate the prevalence of blindness and severe visual impairment (SVI) by using a door-to-door screening and vision center (VC) examination strategy in an urban area in western Maharashtra (Pune), India and repeat the exercise after 4 years to study its impact. Methods: Four trained community health workers measured the visual acuity and performed an external ocular examination in patients’ homes. People with vision <6/18 were requested to visit the VC for a comprehensive eye examination by an optometrist. An ophthalmologist examined people whose vision did not improve to 6/12. A home examination was done for people who did not visit the VC despite two requests. The same population was examined twice in an interval of 4 years. Results: In the study, 44,535 people in 2015–16 and 98.14% (n = 43,708) of them in 2018–19 were examined. Blindness (vision < 3/60 in better eye), and moderate-to-severe visual impairment (MSVI, vision 6/18–6/60 in better eye) were 0.26% and 1.3%, respectively, in the first cohort, and 0.16% and 1.1%, respectively, in the second cohort ( P < 0.001 ). When the worse eye was considered, the prevalence of blindness reduced from 0.72% to 0.44%, SVI reduced from 0.1% to 0.07%, and MVI decreased from 1.7% to 1.49% between 2015 and 2019 ( P < 0.001). Females ( P < 0.001) and older individuals ( P < 0.001) were more likely to have blindness or SVI. In the VC, 8211 people were examined in 4 years. Conclusion: The reduction of blindness and MSVI in the urban area of Pune can be partly ascribed to the presence of a VC and attendant screening in this locality.

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High volume and high quality eye care - Bridging the paradox. A unique rural based approach - The Chitrakoot model

Cited by 6 publications

References 5 publications

An ophthalmology professionalism survey tool: Outcomes from a multi-center study in Central India

An ophthalmology professionalism survey tool: Outcomes from a multi-center study in Central India

Rural development through eye care: A new dimension of possibilities

Vision centre helps reduce blindness and vision impairment. Proof of concept in a four-year longitudinal study in an urban area in India

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