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Service Delivery Models in Low Vision Care

Service Delivery Models in Low Vision Care. Hasan Minto. What is LV service delivery. Meets the widely varying needs of low vision persons in a variety of situations Flexibility in delivering service is essential Impossible to find one model / scheme of care that will meet the needs of all

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Service Delivery Models in Low Vision Care

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  1. Service Delivery Models in Low Vision Care Hasan Minto

  2. What is LV service delivery • Meets the widely varying needs of low vision persons in a variety of situations • Flexibility in delivering service is essential • Impossible to find one model / scheme of care that will meet the needs of all • Intra-team communication and professional flexibility

  3. Service delivery models in developed countries • Represent wide spectrum of options • Practised in • Hospitals • Community clinics • Colleges of optometry • Centres for Blind and VI • Educational facilities • Pre-school programmes (early intervention) • Homes for the elderly

  4. Service Delivery Models in Low Vision Care Scandinavia Canada Europe USA Western Pacific Developing Countries South America

  5. Model in Canada • Vision rehabilitation workers • CNIB • Provincial assistive devices program of Ministry of Health

  6. Model in USA • Optometry led • Colleges of Optometry • Private clinics • Institutions offering specialized care in low vision – Lighthouse • Devices – purchased or partly through insurance program

  7. Model in Scandinavia • Highly developed services • Teacher / psychologist led • Low vision therapists • Multidisciplinary approach • Devices given to the patients

  8. Model in UK • Optometrist led service • Hospital based • Devices provided on loan through NHS • Private low vision services available • Integrated education • Specialized institutions – RNIB, Guide Dogs Association

  9. Model in Europe • Scattered services from highly developed to non-existent • Mostly ophthalmologist led • Large organizations of the blind involved in rehabilitation of low vision persons e.g. ONCE

  10. Model in Australia • Specially aggressive in promoting LV care • Public and private low vision services • Government funds through Medicare • Optometry led • Multidisciplinary team

  11. Service delivery models in developing countries • Scattered and unavailable in most countries • 5 patterns of service • Hospital based • School based • University based • NGO based • Independent

  12. Human Resources Large Team Teachers Optometrists Positioning Technology Advocacy Rehabilitation Education Eye Care Sophisticated Affordable En masse Infrastructure Centres of Excellence Tiered service

  13. Issues in service delivery • Cost • Coverage • Quality • Equity • Accessibility • Acceptability

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