Baughman Brittanie D, Hansemann Beth K, Shah Manjool M, Weizer Jennifer S
University of Michigan Medical School.
Kellogg Eye Center, University of Michigan, Ann Arbor, MI.
J Glaucoma. 2021 Mar 1;30(3):223-226. doi: 10.1097/IJG.0000000000001748.
A drive-through clinic was created to obtain intraocular pressure measurements before a virtual visit with their provider, in order to provide care for patients in the Kellogg Glaucoma Clinic while minimizing risk of COVID-19 transmission.
The aim of this study was to establish a drive-through clinic model to provide glaucoma care for patients while minimizing the risk of COVID-19 transmission.
A drive-through clinic was created by adapting a 1-lane, 1-way driveway adjacent to the Kellogg Eye Center building entrance. Patients were physicianselected from the Glaucoma Clinic at Kellogg Eye Center as existing patients who required intraocular pressure (IOP) checks and therapeutic management and were chosen based on their ability to be managed with an IOP measurement primarily. The entrance was otherwise closed to the public, allowing staff to utilize an adjacent vestibule with glass walls and sliding doors as a staffroom. Patients were instructed to arrive within a 15-minute time window at which time they would drive through the lane and stop their cars under an awning over the driveway. Ophthalmic technicians wearing appropriate personal protective equipment then approached each car, confirmed patient information, and measured IOP. Once the data were recorded using a mobile workstation, the physician was able to complete each visit by discussing the findings and therapeutic plan with the patient, either in-person in real time or virtually by phone or video visit at a later time.
A total of 241 visits were completed over 14 half day clinic sessions, with number of drive-through visits ranging from 5 to 45 per session.
It is possible to institute a drive-through model of IOP checks for glaucoma patients which is efficient and minimizes the risk of exposure to COVID-19 for patients and staff.
设立了一个免下车诊所，以便在患者与医疗服务提供者进行虚拟就诊前测量眼压，从而在为凯洛格青光眼诊所的患者提供护理的同时，将新冠病毒传播风险降至最低。
本研究的目的是建立一个免下车诊所模式，为患者提供青光眼护理，同时将新冠病毒传播风险降至最低。
通过改造凯洛格眼科中心大楼入口附近的单车道单行道创建了一个免下车诊所。从凯洛格眼科中心青光眼诊所的现有患者中由医生挑选出需要测量眼压（IOP）检查和治疗管理的患者，主要根据他们进行眼压测量的管理能力来选择。入口处对公众关闭，工作人员可使用带有玻璃墙和滑动门的相邻前厅作为员工室。患者被要求在15分钟的时间窗口内到达，届时他们将驾车通过车道，把车停在车道上方的遮阳篷下。佩戴适当个人防护装备的眼科技术人员随后走近每辆车，确认患者信息并测量眼压。一旦使用移动工作站记录数据，医生就能通过与患者当面实时讨论检查结果和治疗方案，或者稍后通过电话或视频虚拟就诊来完成每次就诊。
在14个半天的诊所时段内共完成了241次就诊，每次免下车就诊的数量在5至45次之间。
为青光眼患者建立一种免下车眼压检查模式是可行的，这种模式高效且能将患者和工作人员接触新冠病毒的风险降至最低。
