Banes M J, Culham L E, Crowston J G, Bunce C, Khaw P T
Moorfields Eye Hospital NHS Trust, London, UK.
Ophthalmic Physiol Opt. 2000 Sep;20(5):351-9.
In recent years, optometrists have started to work in some clinical roles in hospital medical clinics. This paper outlines the current working practice in a typical glaucoma clinic at Moorfields Eye Hospital NHS Trust and goes on to establish the ability of an optometrist working with a team of ophthalmologists. In this study, 54 patients (n = 108 eyes) were recruited and clinically assessed by an optometrist. Subsequently, a research fellow (i.e. ophthalmologist) assessed the same patients independently. The results were compared in order to determine the accuracy of the optometrist's evaluation and proposed management. This paper considers the costs of employing personnel by reviewing the salaries of optometrists and medical assistants. Although nurses have started to work alongside ophthalmologists, and orthoptists may be considering such work, it is not within the scope of this paper to consider either of these groups. If optometrists are to become an accepted part of a glaucoma clinical team, consideration needs to be given to the training and experience they receive.
近年来，验光师开始在医院医疗诊所承担一些临床工作。本文概述了摩尔菲尔兹眼科医院国民保健服务信托基金典型青光眼诊所的当前工作实践，并进而确定验光师与眼科医生团队合作的能力。在本研究中，招募了54名患者（n = 108只眼），并由一名验光师进行临床评估。随后，一名研究员（即眼科医生）独立评估了相同的患者。对结果进行比较，以确定验光师评估和建议治疗方案的准确性。本文通过审查验光师和医疗助理的薪资来考量人员聘用成本。尽管护士已开始与眼科医生并肩工作，且斜视矫正师可能也在考虑此类工作，但本文范围不涉及这两类人员。如果验光师要成为青光眼临床团队中被认可的一部分，就需要考虑他们所接受的培训和经验。
