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Comparison of Clinical Outcomes Between Day Surgery and Overnight Admission Surgery in 23 Gauge Vitrectomy

Sungjin Na, Yongbaek Kim, Keunsung Park, Eunjung Lee, Eunkyoung Lee (Daejeon, South Korea) Advantages: To reduce patient’s cost and facilitate early rehabilitation in day surgery. Methods: After performing 23-gauge vitrectomy, we prospectively compared the 3-month follow-up results of day surgery cases (79 eyes) and 1-day admission cases (72 eyes). Effectiveness / Safety: Between 2 groups, improvement of best-corrected visual acuity...

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What Can We Do to Improve and Increase the Efficacy of Our Service Delivered to the Patients?

Authors: Lyubomyr Lytvynchuk, Andrii M. Sergienko, Kiev, Ukraine Advantages: Taking care of themselves the surgeons save strength to deliver medical service to the patients. The accuracy of the hand and fingers movements is dependent on the physical status of the whole body. Methods: The idea is to make the surgeons pay attention to the self-posturing during the surgery and to increase their physical activity during the operating day. Some...

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Pay for Performance: A True Quality Initiative or a Means of Cost Control

William L. Rich, III, MD (Falls Church, VA) Currently U.S. physicians under commercial fee for service, Medicaid and Medicare are paid for each transaction. Public policy opinion leaders, Congress, employers, MedPac, andpayers are demanding a shift to a value based delivery of care. This “Pay for Performance” initiative will dramatically change the way we practice. Physicians who document validated quality measure in the outcomes and...

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The Value and Cost-effectiveness of Vitreoretinal Interventions

http://www.evrs.eu/medias/2006/congress/The-Value-and-Cost-effectiveness-of-Vitreoretinal-Interventions.swf Gary C. Brown, MD, MBA (Wyndmoor, PA),* Melissa M. Brown, MD, MN, MBA (Flourtown, PA),* Sanjay Sharma, MD, MSc, MBA (Kingston, Canada) PURPOSE: To assess the value and cost-effectiveness of vitreoretinal interventions employing evidencebased data from clinical trials integrated with value-based medicine utility data and cost-utility...

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Economic Analyses of Therapeutics for Macular Degeneration: A Crossnational Systematic Review

Amalia M. Issa, MPH, PhD (Houston, TX), L. Todd Weiss, MPH, MSPH (Houston, TX), William J. Foster, MD, PhD (Houston, TX) PURPOSE: Several options are currently available for the treatment of choroidal neovascularization (CNV) due to AMD, and potential new drugs are in the pipeline. The study’s purpose was to systematically review economic analyses of AMD therapeutics. Such economic analyses will become increasingly valuable tools for...

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Factors Influencing Utilization of a Telemedicine Diabetic Retinopathy Assessment Program in the Primary Care Setting

http://www.evrs.eu/medias/2006/congress/Factors-Influencing-Utilization-of-a-Telemedicine-Diabetic-Retinopathy-Assessment-Program-in-the-Primary-Care-Setting.swf Ingrid E. Zimmer-Galler, MD (Baltimore, MD)* PURPOSE: When implemented appropriately, programs combining digital retinal imaging and telecommunications technology have the potential to increase assessment rates for diabetic retinopathy. The purpose of this study was to evaluate the...

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