Suppr超能文献

中心眼科临床结果:澳大利亚专业视光主导的协作眼科保健诊所。

Clinical outcomes of the Centre for Eye Health: an intra-professional optometry-led collaborative eye care clinic in Australia.

机构信息

Centre for Eye Health, Sydney, Australia.

School of Optometry and Vision Science, University of New South Wales, Sydney, Australia.

出版信息

Clin Exp Optom. 2021 Sep;104(7):795-804. doi: 10.1080/08164622.2021.1878821. Epub 2021 Feb 25.

Abstract

: This novel clinical model is the first of its kind in Australia and was designed to help reduce unnecessary referrals into overburdened public systems by utilising pre-existing community-based resources.: The Centre for Eye Health (CFEH) is an intra-professional optometry-led care clinic offering an alternative pathway to traditional ophthalmology-based pathways (public hospital clinics or private practices) for 'at-risk' patients requiring ocular imaging, diagnostic and management services. This study evaluates the CFEH integrated eye-care model in the identification of chronic eye diseases within the community.: A retrospective random clinical audit of over 750 medical records of patients referred to the CFEH between July 2016 and June 2019 was conducted. Demographics of patients, referral type, final diagnosis and recommended management plans were extracted from this subset. Clinic key performance indicators (referral turnaround time, and net cost per patient appointment) were also extracted.: Of the 755 referrals associated with the audited records, 77.4% resulted in the identification of patients with or at-risk of developing eye diseases with 73.5% of this cohort requiring ongoing monitoring at CFEH or referral to ophthalmology. Although the CFEH model is not designed to diagnose or manage acute conditions, 1.5% of patients in this pathway required same day ophthalmological or medical intervention. The cost per patient was equivalent to hospital eye departments costs.: This integrated care pathway has the potential to reduce unnecessary referrals from optometrists to hospital ophthalmological service by offering a safe and effective alternate pathway. The majority of patients seen within this pathway were able to be monitored within optometry-led services. This is a unique clinical model utilising inter-professional referrals within optometry which has the potential to reduce preventable blindness within the community through the early detection of eye diseases.

摘要

这是一种新型临床模式,在澳大利亚尚属首例,旨在通过利用现有的社区资源,减少不必要的转诊到负担过重的公共系统。眼保健中心(CFEH)是一个由专业视光师领导的跨专业护理诊所,为需要眼部成像、诊断和管理服务的“高危”患者提供了一种替代传统基于眼科的途径(公立医院诊所或私人诊所)。本研究评估了 CFEH 综合眼科护理模式在社区内识别慢性眼病的效果。对 2016 年 7 月至 2019 年 6 月转诊至 CFEH 的 750 多例患者的医疗记录进行了回顾性随机临床审计。从该亚组中提取患者的人口统计学信息、转诊类型、最终诊断和推荐的管理计划。还提取了诊所关键绩效指标(转诊周转时间和每位患者就诊的净成本)。在与审核记录相关的 755 次转诊中,77.4%的患者被诊断出患有或有患眼病的风险,其中 73.5%的患者需要在 CFEH 进行持续监测或转至眼科。尽管 CFEH 模式不是为了诊断或管理急性疾病而设计的,但该途径中有 1.5%的患者需要当天进行眼科或医学干预。每位患者的成本与医院眼科部门的成本相当。这种综合护理途径有可能通过提供安全有效的替代途径,减少视光师向医院眼科服务的不必要转诊。在该途径中看到的大多数患者都能够在视光师主导的服务中得到监测。这是一种利用视光专业间转诊的独特临床模式,有可能通过早期发现眼病,减少社区内可预防的失明。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验