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Improving quality of care in outpatient surgery - prems and proms as vectors of value-based healthcare

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Purpose: This work focuses on the quality of care provided and will assess the PREMs and PROMs indicators in the area of Ophthalmology Outpatient Surgery, with the aim of understanding from the patients' perspective: What are the gains in visual health acquired in cataract surgery; To what extent these gains have had an impact on patients' activities of daily living; What their opinion is of the experience and involvement in their health process. Setting: The project to improve quality in cataract outpatient surgery is being designed so that it can be applied across the board in ophthalmology outpatient surgery units. Methods: The methodology used is based on the application of the Catquest 9SF and AIVD scales in the preoperative period and the Catquest 9SF and OEQ scales in the postoperative period. Results: As PROMs, the aim is to understand what visual gains were made as a result of cataract surgery and what impact these had on performing instrumental activities of daily living. As PREMS outcomes, the aim is to understand the patient's satisfaction with the health gains made, their involvement in the treatment process and the experience they had. Conclusions: This project will make it possible to collect data by showing what is really important to the patient, enabling an improvement in the quality of care centered on their real needs. It will also make it possible to measure the real gains in visual health and quality of daily life.

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