在全科医疗中成功实施糖尿病视网膜病变筛查服务：证据告诉了我们什么？

Successfully implementing a diabetic retinopathy screening service in general practice: What does the evidence tell us?

作者信息

Crossland Lisa, Jackson Claire

机构信息

BA(Hons), MPH TM, PhD, is lecturer, School of Medicine, University of Queensland.

出版信息

Aust Fam Physician. 2017;46(7):529-535.

PMID:28697298

Abstract

BACKGROUND

We previously showed that general-practice based screening for diabetic retinopathy significantly improves recording of screening outcomes and follow-up for Australians with type 2 diabetes. In 2016, two Medicare Benefits Schedule item numbers were launched to support screening in general practice. However, there is little evidence-based information to guide practices in successfully implementing screening models for diabetic retinopathy. The objective of this study was to develop an evidence-based framework to guide successful general-practice based screening for diabetic retinopathy.

METHODS

Thematic analysis was used to identify and classify recurrent themes from qualitative and observational data gathered from general practices and staff undertaking successful screening for diabetic retinopathy.

RESULTS

Seven themes (a combination of enablers and potential risks) were identified as key components of successful screening for diabetic retinopathy in general practice.

摘要

背景

我们之前表明，基于全科医疗的糖尿病视网膜病变筛查显著改善了澳大利亚2型糖尿病患者筛查结果的记录和随访情况。2016年，推出了两个医疗保险福利计划项目编号以支持全科医疗中的筛查。然而，几乎没有基于证据的信息来指导实践成功实施糖尿病视网膜病变筛查模式。本研究的目的是制定一个基于证据的框架，以指导成功开展基于全科医疗的糖尿病视网膜病变筛查。