Organization in ophthalmic health care: example of an italian experience

Raffaele Nuzzi., Carlo Lavia and Laura Dallorto

Lack of organization in ophthalmic care drives to inappropriate visits, long waiting lists and waste of resources.As in all fields of medicine, the impact of aging-associated diseases has increased exponentially due to the known factors of longer life expectancy, greater demands for a good quality of life and increased availability of diagnostic and treatment options. We report our experience in applying a “hub and spoke” model in the reorganization of the ophthalmological services of Turin, the biggest city in Piedmont (North-Western Italy). This model provides a limited number of hospitals for the management of complex cases, and more peripheral centres which provide assistance for cases with less complexity. The reorganisation of ophthalmological care has proved to optimise human and technological resources and to improve quality, delivery times and equity in accessing treatment.

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