Organizational aspects of outpatient surgical care for patients with cataract in the Kaluga branch of the S. Fyodorov Eye Microsurgery Federal State Institutuion

    Abstract

    Organizational aspects of outpatient surgical care for patients with cataract in the Kaluga branch of the S. Fyodorov Eye Microsurgery Federal State Institutuion

    А.V. Tereschenko, I.G. Trifanenkova, E.I. Belova, A.S. Petrushina, A.M. Ivanov, A.S. Kuzminskaya

    The S. Fyodorov Eye Microsurgery Federal State Institutuion, the Kaluga branch

    Purpose. Is to consider the organizational aspects of outpatient cataract surgery in the Kaluga branch of the S. Fyodorov Eye Microsurgery Federal State Institutuion and evaluate its effectiveness.

    Material and methods. The outpatient cataract surgery established in Kaluga branch is a type of hospital-replacing forms and involves hospitalization, surgery, nearest postoperative period and the patient’s discharged in the same day, that is not required inpatient medical care.

    The modern technologies in cataract surgery actively use in clinical practice of the Kaluga branch of Eye Microsurgery, that allow to perform operations on an outpatient basis.

    Results. During 2015-2016 in the Kaluga branch of Eye Microsurgery in 12 357 cataract surgeries were performed, including 11 368 (92%) in outpatient regime. The number of surgeries increases by 36% as compared with the same period before the outpatient surgical care began to use.

    The clinical and functional results of the outpatient cataract surgery are high, despite the absence of postoperative follow-up in inpatient regime. Besides, the majority of patients are satisfied with the absence of hospitalization and possibility to be at home after undergoing surgery.

    Alongside with the clinical effectiveness the outpatient treatment is resulted in considerable economic effect.

    Conclusions. Outpatient medical surgical care allows to perform major volume of operative treatment, ensuring the effectiveness and safety of cataract surgery and is a promising direction of the healthcare development.

    Key words: cataract, outpatient cataract surgery, ambulatory surgery.