Development of Integrated Cataract Care System in Seka Hospital

Abstract

The purposes of this research were to study to initiate appropriate process of the management for cataract patients to conform to the context of community hospitals in Seka Hospital. Methods: This research was an action research study in 2 sample groups. First group was service providers which consisted of 4 screening nurses, 10 in patients nurses and 10 operation nurses. Second group was 202 patients, randomized from patients had appointment for cataract surgery. This research was studied during 1October 2015 - 30 September 2016 Results: The results were separated into two issues. In service providers’ aspect, healthcare personals had more knowledge and skill to look after the cataract patients. The management system was developed by focused on achievement, multidisciplinary team work which leading to the convenient and continuous of service. Base on concept of service plan; personnel, equipment and workplace were shared, leading to the successful of standard management system. Influencing factors on development were the supportive policy, budgets, management system, and recommendation from the higher administrators, including to the equipment and building from the budget of local organization. In patients aspect found the 4 topics about efficacy of development; 1) efficiency of planning was 4.12 (S.D. 0.52) 2) efficiency of procedure was 3.87 (S.D. 0.34) 3) efficiency of workers’ practice was 4.31 (S.D.0.32) 4) efficiency of facility was 2.93 (S.D.0.51). The average overall score was 3.80 (S.D.0.42). In dimension of safety indicators; there was no incident of operative error and no incident of post-operative infection.