Brinks Mitch, Zaback Tosha, Park Dong-Wouk, Joan Randall, Cramer Stephanie K, Chiang Michael F
Casey Eye Institute, Oregon Health & Science University, 3375 SW Terwilliger Blvd, Portland, OR 97239, USA.
Casey Eye Institute, Oregon Health & Science University, 2055 Exchange Street, Suite 230, Astoria, OR 97103, USA.
Cogent Med. 2018;5. doi: 10.1080/2331205X.2018.1560641. Epub 2018 Dec 18.
In the U.S., the prevalence of blindness is expected to double by 2050 and as many half of those with blinding eye disease are unaware of their diagnosis. Screening for vision health in the community setting may offer a key strategy to address the rising trend avoidable vision loss. However, problems with excessive referrals and low compliance with these referrals (often <50%) undermine the effectiveness of vision screening programs. We investigated the outcomes of a modified vision screening program design. Key modifications were 1) incorporating an on-site ophthalmologist during screening events; and 2) leveraging community partner resources to maximizing benefit to participants. A review of screening outcomes of 4349 particpant examinations from the Casey Eye Institute Outreach Program (CEIO program) from 01/04/2012 to 10/3½016 were analyzed for demographics and disease findings. The burden on participants to comply with referrals was lessened as 97% of participants completed definitive exams. Clinical care was recommended for 924 (21.2%) participants. Nearly four out of five participants (78.8%) were provided care for all of their immediate vision health needs (full exams, refractions, and spectacle ordering). Modifications to vision screening program design may improve their effectiveness.
在美国，预计到2050年失明患病率将翻倍，而且有多达一半的致盲眼病患者并未意识到自己的病情诊断。在社区环境中开展视力健康筛查可能是应对可避免视力丧失上升趋势的一项关键策略。然而，过度转诊以及对这些转诊的低依从性（通常<50%）问题削弱了视力筛查项目的有效性。我们调查了一种改进后的视力筛查项目设计的效果。关键改进措施包括：1）在筛查活动期间配备一名现场眼科医生；2）利用社区合作伙伴资源，以使参与者获得最大益处。对凯西眼科研究所外展项目（CEIO项目）在2012年1月4日至2016年10月31日期间4349名参与者检查的筛查结果进行了分析，以了解人口统计学和疾病发现情况。由于97%的参与者完成了最终检查，参与者遵守转诊要求的负担减轻了。建议对924名（21.2%）参与者进行临床护理。近五分之四的参与者（78.8%）获得了满足其所有即时视力健康需求的护理（全面检查、验光和配镜）。对视力筛查项目设计的改进可能会提高其有效性。
