Introduction Established in 1976 with the mission to eliminating needless blindness, Aravind is the largest and most productive eye care facility in the world. The brainchild of Dr. Venkataswamy, Aravind Eye Hospital provided free eye care and surgery to millions of needy patients apart from regular patients. Currently, there were 3 Aravind Eye Care hospitals across the state of Tamil Nadu – at Madurai, Tirunelveli and Theni. A new facility at Coimbatore was also under consideration. Since its inception, the Aravind group of hospitals had screened 3.65 million patients and performed some 335,000 cataract operations nearly 70% of which were done free of charge. Operations Aravind Eye Hospital adopted a unique model in order to try and achieve its vision of eradicating blindness in India. Eye Care Delivery Model The hospital ran 2 different kinds of hospitals – the main hospital and the free hospital. Main Hospital The Main Hospital functioned like a regular ophthalmology hospital. All patients admitted here paid for the hospital’s services apart from a few complicated cases which were brought over from the Free Hospital for diagnosis and treatment. The hospital provided different kinds of rooms class A, B and C, each with somewhat different levels of privacy and facilities and consequently different price levels. Treatments performed in the main hospital varied from simple treatments to extremely complex surgeries like retina detachment repair. The cataract surgeries done at the main hospital were primarily the ECCE cataract surgeries that required an operating microscope and were also more expensive since it required an IOL lens. Free Hospital The Free Hospital provided free eye treatment to the poorer section of the society free of charge. Patients brought in from eye camps were brought here for treatment. The patients in the Free Hospital were not provided a bed but were provided with choir mats and a small pillow. The hospital primarily provided ICCE type of cataract surgery with an ECCE recommended only when the ICCE could not be carried out due to medical reasons. Eye Camps The eye camps were the most important means through which Aravind was able to reach the masses. These camps were conducted in rural and semi-urban areas with the help of the local community with either a local business enterprise or a social service organization taking the lead role in organizing the event. Public announcements, newspaper advertisements, and other material were distributed to publicize the camp and increase participation in and around the town in which the camp was being held 2-3 weeks in advance.
“Hospitals today are growing into mighty edifices in brick, stone, glass and marble. Many of them maintain large staffs, they use the best equipment that science can devise, they utilize the most modern methods in devoting themselves to the noblest purpose of man, that of helping’s one’s stricken brother. But they do all this on a business basis, submitting invoices for services rendered.”
The intersection of health policy to the case of Senora Benitez is brought by social, political and environmental factors. First social, Senora Benitez with no children, husband who got laid off from work and a life in a trailer truck added in worsening the health condition of Senora. I think if only the husband can have work and if they have children who can support their needs it will be easier for the family to support the treatment needed by the patient. Political wise because of the surgeon who’s been wanting to have his own vascular surgery clinic and did a wrong surgery. Also it is stated that he started the patient on additional antibiotic, which makes the kidney of the patient to diffuse. I think because of the dream of the doctor the budget allotted to the patient was consumed and the hospital administrators became worried. I also want to assume that educational background was also not tackled, it is important to know that the patient is understanding the teaching well and know the importance of the treatment and possible outcome if not followed. Also, social isolation when the author described Mrs. Benitez not attending church and the only option for her would be her neighbor who barely let them borrow the car to drive for 12 miles. The distance of the health care center is also a factor and the reason why can’t do follow up
Miguel, Maria Fernanda, ProfessorH. Kent Bowen. Ophthalmic Consultants of Boston and Dr. Bradford J. Shingleton. Harvard Business School. Rev. May 20, 1997.
Optometrists have accepted vision therapy, which is a medical treatment for optical muscle disabilities, as a feasible treatment used for eye related problems; claiming the treatment can strengthen vision and give the patient the opportunity to understand visuals quicker and clearer (Press). Vision therapy originated in the 1950s and over the past 25 years, has gained popularity, mainly because of new technological innovations in the field of treatment. Generally, vision therapy is prescribed as a measure mainly for people between the ages of 3 and 18. With the results from a comprehensive series of eye tests, the optometrist can work with the patient using special instruments—prisms, filters, occluders, and eye lenses—and strengthen the eye muscles, thus improving sight. According to optometrists in favor of vision therapy, these methods of treatment using these instruments function as safer routes to repair eye disabilities. Although vision therapy can yield favorable results, the practice as a treatment for innate eye disabilities has been in hot debate lately; as it can exceed $8000 and insurance companies do not cover the treatment. For decades, insurance companies have refused to accept vision therapy as a legitimate method for repairing eyesight (Boink). Concomitant with lack of insurance, the cost for a full treatment can exceed $8000, and doctors cannot guarantee a successful outcome. Recently, parents of children with eye related disabilities, such as amblyopia (lazy eye) and strabismus (cross-eye), and doctors have attempted to cooperate with public schools to allow families access to school-funded doctors to practice vision therapy. With a tight budget, most schools cannot afford to supply vision therapy, and a...
Hospital A before the merger was a for-profit hospital, relatively new facility, in east side of town. It consisted of 110 hospital beds, 8 of which were reserved for transitional care. Services provided were: general surgery and same day surgery, full-service rehabilitation department and radiology department. Other services included kidney dialysis center, on-site retail pharmacy, blood bank, women’s center e...
St. Michael’s is a Catholic teaching and research hospital that was founded in 1892 by the Sisters of St. Joseph. While analyzing their website, I found that the content reflect and upholds their mission statement. Their Website is very transparent and includes information on their Mission and Vision, their Values, a Patient Declaration and an Affirmation.
Frederick Cossom or “Fred” Hollows was an eye doctor, who sought to be of assistance to others. He spent his life aiding those who weren’t capable of affording, or accessing, basic eye care. He was someone who strived to end avoidable blindness and improve the wellbeing of Aboriginal Australians who were suffering from some of the worse eye diseases that he had ever seen. Due his great desire to lend a hand to others, he did just that. He raised money to build lens factories in Eritrea and Nepal, to reduce the cost of cataract operations from hundreds of dollars to just $25. He was also entitled “Australian of the Year” in 1990 for the lengths he would go to simply just to help another.
Directly following a motor vehicle accident in or around Miami Beach, Fl., an individual is traumatized, which leads to the release of adrenaline. Adrenaline is the body’s natural painkiller. This release of adrenaline can dull an individual’s pain. Therefore, the individual may not be aware of his or her injuries, or the severity of the injuries until the effects of the adrenaline wear off. Once some time has passed, the adrenaline fades, the shock levels subside and the true nature of an individual’s injuries may be realized.
Myopia, or nearsightedness, is the most common ocular disorder in the world and affects people of all ages. Nearly 30 percent of the US population is currently affected by myopia and based on the National Eye Institute’s latest projections, 39 million Americans will be affected by 2030 and over 44 million by 2050.
The 19th century was a big turn for the modernization of hospitals. During the 19th century hospitals focus came to medical care, rather than the place for charity and the care for the poor. The hospital became a place where medical training was performed, and the profession of nursing was established. The structure and how the organization of hospitals changed as well, the issues with lighting and sanitation were beginning to be addressed and changed. Medical theory and research became the focus of treatment in hospitals, rather than religion being the dominant influence in the establishment of hospitals. The modernization of hospitals made it into an establishment devoted to recovery and healing, rather than a place where the sick would go to die. In this paper I will talk about a nurse named
As the religious orders began to be unable to maintain the hospitals due to changes in regulations and a decline in their membership hospitals in the twentieth century then began to be taken over by business interests. That in turn changed hospitals into businesses that were responsible to boardrooms and shareholders. At that time the practices of spirituality and compassion were replaced by the move toward financial gain. We now hav...
Historically (before 1880s), only few hospitals were originated in some big cities of U.S. Initially, the hospital system mainly run by religious organization and it served a primary purpose of palliation. According to Shi and Singh (2010), the function of hospitals at that time was more of “social welfare” (such as taking care of homeless people and helping those without families) than practicing medicine (p.56). Over the years, the functionality and the services offered by the hospitals has changed dramatically. However, it’s primary function to treat sick individuals has remained the same. Nowadays, hospitals also function as a research center, a medical educational institution, and is a major source of employment in the community (Sultz
Dr. Anderson was successfully able to see a large number of patients per day, largely in part due to the help of staff members. Technicians perform pretesting on patients (including visual acuity testing and Optos imaging) and then direct patients to seats in the hall. This patient flow opens more chairs in the waiting room/dispensary and ensures that patients are ready to be seen by the doctor at the time of their appointment. Unfortunately, these chairs are immediately outside of the exam room, which necessitates exam room doors be completely shut for privacy. Overall, this process was a creative way of increasing the number of exams per day without increasing the number of exam lanes needed. Additional practice management advice gained was Dr. Anderson’s opinion on instrument importance and productivity. New optometry graduates must prioritize purchases due to large amounts of student debt and limited funding. Interestingly, Dr. Anderson advocated that the Optos retinal imaging instrument was his favorite and most profitable instrument. He explained that this technology provides a wow factor for patients, while also cutting down on exam time. For non-medical, routine exams, the retinal imaging allows for a complete exam without dilation (an added bonus for patients as well!). Furthermore, the advanced technology allows for sustained viewing of the retina and provides an opportunity for
However, the country has numerous medical centres both private and government-owned within the country. Furtherance, to this with the diversity of both the private and governmental health sector within the kingdom there is various practices of administering the differential health sector and various policies governing them.
Some good hospitals could help reduce complications after surgery operation, but not as much as the surgeon, When the patient agrees to surgical work must decide to choose an excellent surgeon in a distinct hospital. The surgeon works the process through of an hour or two or more to treat the patient while the rest of doctors remain for many years to treat the patients. There is not difficult for him, there is not a distant place for him, prescribed treatment to the patient may be followed by a doctor, but in surgery, it is left to the talent of the surgeon. When the patient gives his approval on the process, at the same time give the surgeon open decision to do what he wants. In fact, the most painful for surgeon of losing the