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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 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 • Intra-team communication and professional flexibility
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
Service Delivery Models in Low Vision Care Scandinavia Canada Europe USA Western Pacific Developing Countries South America
Model in Canada • Vision rehabilitation workers • CNIB • Provincial assistive devices program of Ministry of Health
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
Model in Scandinavia • Highly developed services • Teacher / psychologist led • Low vision therapists • Multidisciplinary approach • Devices given to the patients
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
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
Model in Australia • Specially aggressive in promoting LV care • Public and private low vision services • Government funds through Medicare • Optometry led • Multidisciplinary team
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
Human Resources Large Team Teachers Optometrists Positioning Technology Advocacy Rehabilitation Education Eye Care Sophisticated Affordable En masse Infrastructure Centres of Excellence Tiered service
Issues in service delivery • Cost • Coverage • Quality • Equity • Accessibility • Acceptability