糖尿病视网膜病变——澳大利亚全科医生的筛查与管理
Diabetic retinopathy--screening and management by Australian GPs.
作者信息
Ting Daniel, Ng Jonathon, Morlet Nigel, Yuen Joshua, Clark Antony, Taylor Hugh, Keefe Jill, Preen David
机构信息
University of Western Australia and Centre of Ophthalmology and Visual Science, Lions Eye Institute, Perth, Western Australia.
出版信息
Aust Fam Physician. 2011 Apr;40(4):233-8.
AIM
To describe current diabetic retinopathy (DR) screening and management practices among Australian general practitioners.
METHODS
A self administered questionnaire on DR management was mailed to 2000 rural and urban GPs across Australia in 2007-2008.
RESULTS
Only 29% of the GP respondents had read the National Health and Research Council guidelines at least once and 41% had a 'moderate' to 'strong' desire to screen for DR. A majority of GPs (74%) reported not routinely examining their diabetic patients for DR. Lack of confidence in detecting DR changes (86.4%) and time constraints (73.4%) were the two major barriers to GPs performing dilated fundoscopy on diabetic patients.
DISCUSSION
Given that access to optometry is not evenly distributed across the country, and that ophthalmology is underresourced, GPs are the healthcare providers most able to manage and screen for DR in the community.
目的
描述澳大利亚全科医生目前对糖尿病视网膜病变（DR）的筛查及管理实践。
方法
2007 - 2008年，一份关于DR管理的自填式问卷被邮寄给澳大利亚各地2000名城乡全科医生。
结果
仅有29%的全科医生受访者至少阅读过一次国家卫生与研究委员会的指南，41%的人有“中度”至“强烈”意愿筛查DR。大多数全科医生（74%）报告未对糖尿病患者进行DR的常规检查。对检测DR病变缺乏信心（86.4%）和时间限制（73.4%）是全科医生对糖尿病患者进行散瞳眼底检查的两大主要障碍。
讨论
鉴于验光服务在全国分布不均，且眼科资源不足，全科医生是社区中最有能力管理和筛查DR的医疗服务提供者。
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