Manchester Royal Eye Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Eye (Lond). 2022 Jan;36(1):209-218. doi: 10.1038/s41433-021-01467-4. Epub 2021 Mar 8.
The role of glaucoma virtual clinics has developed to help meet demand for capacity within busy glaucoma services. There is limited research of patient and clinician experiences and perceptions of these clinics and the aim of this study is to provide further information to help improve patient experience and guide service delivery.
A mixed methods research design was employed comprising of a patient satisfaction survey, and patient and clinician interviews. Consultant ophthalmologists were recruited from throughout the UK, and patients and data gathering clinical staff recruited from the Manchester Royal Eye Hospital and Bristol Eye Hospital.
We received a total of 148 patient satisfaction questionnaires with an overall response rate of 55.4%. Most respondents were diagnosed with primary open angle glaucoma (33.9%) at Manchester and glaucoma suspect status at Bristol (50.6%). Patients had high levels of confidence in the person conducting the tests (94.8% Manchester, 98.8% Bristol), and most were likely to recommend the service to family or friends (94.8% Manchester, 92.6% Bristol). We interviewed 10 consultant ophthalmologists, 10 data gathering staff and 20 patients. A number of key themes emerged from the transcribed interviews including: patient experience, clinician perception of patient experience, service delivery, staffing and staff experience, and patient safety.
Glaucoma virtual clinics can be acceptable to both clinicians and patients, including those with a varied complexity of glaucoma and glaucoma-related disease. Dissatisfaction seemed to relate to poor communication or processes and systems within the service rather than complexity of disease.
青光眼虚拟诊所的作用已经发展到帮助满足繁忙的青光眼服务需求。对于这些诊所的患者和临床医生的体验和看法，研究有限，本研究的目的是提供进一步的信息，以帮助改善患者体验并指导服务提供。
采用混合方法研究设计，包括患者满意度调查以及患者和临床医生访谈。顾问眼科医生从英国各地招募，患者和数据收集临床工作人员从曼彻斯特皇家眼科医院和布里斯托尔眼科医院招募。
我们共收到 148 份患者满意度问卷，总体回复率为 55.4%。大多数受访者在曼彻斯特被诊断为原发性开角型青光眼（33.9%），而在布里斯托尔则为青光眼疑似状态（50.6%）。患者对进行测试的人的信心水平很高（曼彻斯特为 94.8%，布里斯托尔为 98.8%），大多数人可能会向家人或朋友推荐该服务（曼彻斯特为 94.8%，布里斯托尔为 92.6%）。我们采访了 10 名顾问眼科医生、10 名数据收集人员和 20 名患者。从转录的访谈中出现了一些关键主题，包括：患者体验、临床医生对患者体验的看法、服务提供、人员配备和员工体验以及患者安全。
青光眼虚拟诊所可以被临床医生和患者接受，包括那些患有各种复杂青光眼和青光眼相关疾病的患者。不满似乎与服务内的沟通不畅或流程和系统有关，而不是疾病的复杂性。
