Electronic Resource
Balancing Patient Access to Fetoscopic Laser Photocoagulation for Twin-to-Twin Transfusion Syndrome with Maintaining Procedural Competence: Are Collaborative Services Part of the Solution?.
| العنوان: | Balancing Patient Access to Fetoscopic Laser Photocoagulation for Twin-to-Twin Transfusion Syndrome with Maintaining Procedural Competence: Are Collaborative Services Part of the Solution?. |
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| المؤلفون: | Fung A.M., Teoh M., Hodges R.J., Palma-Dias R., Cole S.A., Walker S.P., Edwards A.G. |
| بيانات النشر: | Cambridge University Press (E-mail: Journals_subscriptions@cup.cam.ac.uk) United Kingdom 2016-06-04 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | The benefits of fetoscopic laser photocoagulation (FLP) for treatment of twin-to-twin transfusion syndrome (TTTS) have been recognized for over a decade, yet access to FLP remains limited in many settings. This means at a population level, the potential benefits of FLP for TTTS are far from being fully realized. In part, this is because there are many centers where the case volume is relatively low. This creates an inevitable tension; on one hand, wanting FLP to be readily accessible to all women who may need it, yet on the other, needing to ensure that a high degree of procedural competence is maintained. Some of the solutions to these apparently competing priorities may be found in novel training solutions to achieve, and maintain, procedural proficiency, and with the increased utilization of 'competence based' assessment and credentialing frameworks. We suggest an under-utilized approach is the development of collaborative surgical services, where pooling of personnel and resources can improve timely access to surgery, improve standardized assessment and management of TTTS, minimize the impact of the surgical learning curve, and facilitate audit, education, and research. When deciding which centers should offer laser for TTTS and how we decide, we propose some solutions from a collaborative model.Copyright © The Author(s) 2016. |
| مصطلحات الفهرس: | fetus surgery, health care access, health care quality, human, interdisciplinary communication, laser coagulation, medical audit, medical education, medical research, patient safety, priority journal, twin twin transfusion syndrome/su [Surgery], fetoscopic laser photocoagulation, article, accreditation, Article |
| URL: | Twin Research and Human Genetics Click here for full text options LibKey Link |
| الاتاحة: | Open access content. Open access content Copyright 2017 Elsevier B.V., All rights reserved. |
| Other Numbers: | AUSHL oai:repository.monashhealth.org:1/39582 Twin Research and Human Genetics. 19 (3) (pp 276-284), 2016. Date of Publication: 01 Jun 2016. 1832-4274 https://repository.monashhealth.org/monashhealthjspui/handle/1/39582 27087260 [http://www.ncbi.nlm.nih.gov/pubmed/?term=27087260] 610055943 (Edwards, Teoh, Hodges) Fetal Diagnostic Unit, Monash Medical Centre, Level 5, 246 Clayton Road, Melbourne, Clayton, VIC 3168, Australia (Edwards, Hodges) Department of Obstetrics and Gynaecology, Monash University, Melbourne, VIC, Australia (Palma-Dias, Cole) Royal Women's Hospital, Melbourne, VIC, Australia (Palma-Dias, Walker) Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, VIC, Australia (Fung, Walker) Department of Perinatal Medicine, Mercy Hospital for Women, Melbourne, VIC, Australia Edwards A.G.; andrew.edwards@monashhealth.org 1305136733 |
| المصدر المساهم: | MONASH HEALTH LIBRS From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1305136733 |
| قاعدة البيانات: | OAIster |
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