Capacity to Treat Retinoblastoma in the Philippines
Objective: This study determined the capacity to treat retinoblastoma (RB) in the Philippines. Method: This was a cross-sectional study which included all Department of Health (DOH) hospitals and all government and private tertiary hospitals in the Philippines. An online modified questionnaire ta...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Philippine Academy of Ophthalmology
2023-12-01
|
| Series: | Philippine Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://paojournal.com/index.php/pjo/article/view/26 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850029995930419200 |
|---|---|
| author | Sandra Joan Worak-Tan MD Ma. Theresa B. Sampang MD Maria Victoria A. Rondaris MD |
| author_facet | Sandra Joan Worak-Tan MD Ma. Theresa B. Sampang MD Maria Victoria A. Rondaris MD |
| author_sort | Sandra Joan Worak-Tan MD |
| collection | DOAJ |
| description | Objective: This study determined the capacity to treat retinoblastoma (RB) in the Philippines.
Method: This was a cross-sectional study which included all Department of Health (DOH) hospitals and all government and private tertiary hospitals in the Philippines. An online modified questionnaire taken from the St. Jude Children’s Research Hospital study on RB assessment was emailed to 143 hospitals in all 17 regions. Primary outcome measures were human resources capacity, treatment capacity and education and network capacity. Availability, frequency and confidence of use were assessed for treatment capacity. An asset-based tier classification of hospitals was created based on the human resources capacity and treatment capacity.
Results: This assessment survey had a 49% response rate. There were 3 regions that had zero correspondence. A general ophthalmologist, a subspecialized ophthalmologist, and a general pathologist were the most available physicians in the management of RB. Almost all respondents had the necessary diagnostic technology in their hospitals, but frequency and confidence of use were low. A quarter of the respondents (23%) used a standardized treatment protocol, while only 26% had established a referral network in their area. Tier classification was able to differentiate capacities for particular resources only. Only 23% of the participating hospitals have the capacity to treat RB through its trained human resources, available diagnostic and treatment technology, and education and network programs. Distribution of hospitals identified as tier I, II and III were 18%, 8%, and 41%, respectively.
Conclusion: Capacity to treat RB in the Philippines is evident only in a few hospitals, majority of which are located in the National Capital Region. However, tier 3 hospitals were identified in 10 other regions, making accessibility to RB care possible to patients in the provinces. Although human resource and technology are made available, utilization of these resources is low in many hospitals for the management of RB. Clinical practice guidelines for RB is still lacking. Connecting the different tiers in each region as a form of referral network can improve capacity and management of RB. |
| format | Article |
| id | doaj-art-3f089ee3e7384253a063a58fbd10995c |
| institution | DOAJ |
| issn | 0031-7659 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Philippine Academy of Ophthalmology |
| record_format | Article |
| series | Philippine Journal of Ophthalmology |
| spelling | doaj-art-3f089ee3e7384253a063a58fbd10995c2025-08-20T02:59:20ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592023-12-01482576626Capacity to Treat Retinoblastoma in the PhilippinesSandra Joan Worak-Tan MD0Ma. Theresa B. Sampang MD1Maria Victoria A. Rondaris MD2Department of Health Eye Center, East Avenue Medical Center, Quezon CityDepartment of Health Eye Center, East Avenue Medical Center, Quezon CityUniversity of Santo Tomas Hospital, ManilaObjective: This study determined the capacity to treat retinoblastoma (RB) in the Philippines. Method: This was a cross-sectional study which included all Department of Health (DOH) hospitals and all government and private tertiary hospitals in the Philippines. An online modified questionnaire taken from the St. Jude Children’s Research Hospital study on RB assessment was emailed to 143 hospitals in all 17 regions. Primary outcome measures were human resources capacity, treatment capacity and education and network capacity. Availability, frequency and confidence of use were assessed for treatment capacity. An asset-based tier classification of hospitals was created based on the human resources capacity and treatment capacity. Results: This assessment survey had a 49% response rate. There were 3 regions that had zero correspondence. A general ophthalmologist, a subspecialized ophthalmologist, and a general pathologist were the most available physicians in the management of RB. Almost all respondents had the necessary diagnostic technology in their hospitals, but frequency and confidence of use were low. A quarter of the respondents (23%) used a standardized treatment protocol, while only 26% had established a referral network in their area. Tier classification was able to differentiate capacities for particular resources only. Only 23% of the participating hospitals have the capacity to treat RB through its trained human resources, available diagnostic and treatment technology, and education and network programs. Distribution of hospitals identified as tier I, II and III were 18%, 8%, and 41%, respectively. Conclusion: Capacity to treat RB in the Philippines is evident only in a few hospitals, majority of which are located in the National Capital Region. However, tier 3 hospitals were identified in 10 other regions, making accessibility to RB care possible to patients in the provinces. Although human resource and technology are made available, utilization of these resources is low in many hospitals for the management of RB. Clinical practice guidelines for RB is still lacking. Connecting the different tiers in each region as a form of referral network can improve capacity and management of RB.https://paojournal.com/index.php/pjo/article/view/26retinoblastomatreatmentcapacitysurveyassessment |
| spellingShingle | Sandra Joan Worak-Tan MD Ma. Theresa B. Sampang MD Maria Victoria A. Rondaris MD Capacity to Treat Retinoblastoma in the Philippines Philippine Journal of Ophthalmology retinoblastoma treatment capacity survey assessment |
| title | Capacity to Treat Retinoblastoma in the Philippines |
| title_full | Capacity to Treat Retinoblastoma in the Philippines |
| title_fullStr | Capacity to Treat Retinoblastoma in the Philippines |
| title_full_unstemmed | Capacity to Treat Retinoblastoma in the Philippines |
| title_short | Capacity to Treat Retinoblastoma in the Philippines |
| title_sort | capacity to treat retinoblastoma in the philippines |
| topic | retinoblastoma treatment capacity survey assessment |
| url | https://paojournal.com/index.php/pjo/article/view/26 |
| work_keys_str_mv | AT sandrajoanworaktanmd capacitytotreatretinoblastomainthephilippines AT matheresabsampangmd capacitytotreatretinoblastomainthephilippines AT mariavictoriaarondarismd capacitytotreatretinoblastomainthephilippines |