Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK.
Centre for Public Health, Queen's University Belfast, Belfast, UK.
BMJ Open. 2024 Nov 18;14(11):e080873. doi: 10.1136/bmjopen-2023-080873.
To identify suitable patients for glaucoma home monitoring and explore clinicians' perceptions of the possible benefits and risks of home monitoring within the National Health Service.
An online survey composed of open-ended and closed-ended questions.
Secondary care.
Glaucoma specialists registered with the UK and Eire Glaucoma Society.
Agreement with clinical scenarios.
The estimated response rate was 68% (n=49). Of 49 participants, 92% (n=45) were consultant ophthalmologists and 71% (n=35) had over 10-year experience. There was a poor agreement regarding an ideal glaucoma patient for home monitoring, with only one scenario achieving over 60% agreement. Most participants believed that home monitoring would be most suitable for low-risk scenarios, rather than high-risk, due to fear of missing progression. In relation to acceptability, key facilitators included the potential to increase healthcare capacity and promote patient safety. However, low clinician trust in equipment reliability and fear of patient harm were reported as concerns.
There was no clear consensus on which patients would benefit most from glaucoma home monitoring. While many clinicians believe home monitoring may enhance healthcare, there were also many concerns about the technologies themselves. Further work to address clinician concerns is warranted.
确定适合进行青光眼家庭监测的患者，并探讨临床医生对国家卫生服务体系中家庭监测可能带来的益处和风险的看法。
由开放式和封闭式问题组成的在线调查。
二级保健。
在英国和爱尔兰青光眼协会注册的青光眼专家。
对临床情况的认同程度。
估计的回复率为 68%（n=49）。在 49 名参与者中，92%（n=45）是顾问眼科医生，71%（n=35）有超过 10 年的经验。对于适合家庭监测的理想青光眼患者，只有一种情况的认同度超过 60%，这方面的意见存在分歧。大多数参与者认为，由于担心错过进展，家庭监测最适合低风险情况，而不是高风险情况。在可接受性方面，关键的促进因素包括增加医疗保健能力和促进患者安全的潜力。然而，报告称，临床医生对设备可靠性的信任度低，以及担心患者受到伤害，是关注的问题。
对于哪些患者将从青光眼家庭监测中获益最大，没有明确的共识。尽管许多临床医生认为家庭监测可能会改善医疗保健，但他们也对这些技术本身存在许多担忧。有必要进一步开展工作，以解决临床医生的担忧。
6213。
