Devanathan Nirupama, Scheive Melanie, Selvam Amrish, Nawash Baraa S, Murphy Alec, Morrow McKenna, Anant Shruti, Kruger Jessica S, Yung Chi-Wah Rudy, Johnson Thomas V
Department of Ophthalmology, Eugene and Marilyn Glick Eye Institute, Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
BMC Med Educ. 2024 Dec 18;24(1):1432. doi: 10.1186/s12909-024-06396-w.
To report the summary characteristics of operational models associated with Student Led Free Vision Screening Programs (SLFVSP) and to identify opportunities for program optimization.
An 81-question mixed methods survey was distributed to SLFVSP leaders nationwide and Medical Student Educators within the American University Ophthalmology Professors (AUPO) Association. Survey responses were analyzed using Mann Whitney U and Fisher's Exact tests. Themes considering the assets and liabilities of SLFVSPs were summarized using self-reported qualitative data from survey responses. Qualitative and quantitative themes considering were then synthesized into a Strengths, Weaknesses, Opportunities, & Threats (SWOT) analysis for a collective appraisal of SLFVSP operations. Finally, drivers were identified to generate change ideas to improve SLFVP operations through a collaborative, quality improvement model.
A total of 16 survey responses were included from programs operational for a median of 6 years. Most respondent programs (n = 9) reported year-long operations; no preference between weekday (n = 8) and weekend (n = 7) screening activities was identified. Programs obtained funding from a diverse array of internal and external sources. There was no significant difference in wait time for scheduled appointments compared to a walk-in strategy; overall door-to-door visit times ranged from 15 min to 120 min. Screenings were held in several locations, most commonly in Federally Qualified Health Centers (n = 8) and religious centers (n = 6). Most screening event volunteers were first- and second-year medical students. The qualitative thematic analysis demonstrated that the most commonly self-reported asset was improving access to scarce vision screening services (n = 7) while the most commonly self-reported liability was difficulty recruiting faculty and/or resident for oversight (n = 5). The SWOT analysis revealed while the participant SLFVSPs were bolstered by site experience, community and corporate partnerships for glasses and space to hold vision screening, and institutional support from academic ophthalmology departments, limitations included difficulty with recruitment, space limitations, and poor follow-up care infrastructure.
Collaborative standardization of SLFVSP operations can promote targeted staff training, organizational stewardship, and consensus building to ensure SLFVSP can offer sustainable vision screening programs that build vision equity at the community level.
报告与学生主导的免费视力筛查项目（SLFVSP）相关的运营模式的总结特征，并确定项目优化的机会。
向全国范围内的SLFVSP负责人以及美国大学眼科教授（AUPO）协会内的医学生教育工作者发放了一份包含81个问题的混合方法调查问卷。使用曼-惠特尼U检验和费舍尔精确检验对调查回复进行分析。利用调查回复中的自我报告定性数据，总结了有关SLFVSP资产和负债的主题。然后将定性和定量主题综合到优势、劣势、机会和威胁（SWOT）分析中，以对SLFVSP运营进行综合评估。最后，通过协作式质量改进模型确定驱动因素，以产生改进SLFVP运营的变革想法。
共纳入了16份调查回复，这些项目的运营时长中位数为6年。大多数回复项目（n = 9）报告全年运营；未发现工作日（n = 8）和周末（n = 7）筛查活动之间存在偏好差异。项目从各种内部和外部来源获得资金。与即到即筛策略相比，预约等待时间没有显著差异；总体上门访问时间从15分钟到120分钟不等。筛查在多个地点进行，最常见的是在联邦合格健康中心（n = 8）和宗教中心（n = 6）。大多数筛查活动志愿者是一、二年级医学生。定性主题分析表明，最常自我报告的资产是改善了对稀缺视力筛查服务的获取（n = 7），而最常自我报告的负债是难以招募教员和/或住院医师进行监督（n = 5）。SWOT分析显示，虽然参与的SLFVSP因现场经验、眼镜和视力筛查场地的社区及企业合作伙伴关系以及学术眼科部门的机构支持而得到加强，但限制因素包括招募困难、空间限制和后续护理基础设施薄弱。
SLFVSP运营的协作标准化可以促进有针对性的员工培训、组织管理和共识建立，以确保SLFVSP能够提供可持续的视力筛查项目，在社区层面建立视力公平。
