Trobe J D, Kraft R E, Crandall L A, Marks R G, Krischer J P, Demaris A
Ophthalmology. 1982 Nov;89(11):53A-60A. doi: 10.1016/s0161-6420(82)34656-4.
We assessed the accuracy of ten ophthalmic technologist trainees (OTs) in commonly performed tasks of the ophthalmic examination. Results were derived from 224 patient examinations; 160 patients were examined both by OTs and ophthalmology residents, and an additional 64 were examined both by OTs, residents, and a faculty ophthalmologist. In measurement tasks, there was no significant difference in the results produced by the three types of providers. In identifying abnormalities of the globe and adnexae, and in history-taking, OT performance was nearly as accurate as that of the residents, when compared to the findings of the faculty ophthalmologist. In diagnosis and disposition, OT performance fell below the physician standard, especially in difficult cases. Patient acceptance of both formally trained and on-the-job trained ophthalmic medical assistants was very high. These results suggest that assistants with training comparable to that of the participants in this study may perform a large proportion of the routine ophthalmic examination without sacrificing quality or satisfaction with care.
我们评估了10名眼科技术学员（OT）在眼科检查常见操作任务中的准确性。结果来自224例患者检查；160例患者由OT和眼科住院医师共同检查，另外64例患者由OT、住院医师和眼科教员共同检查。在测量任务中，三种类型的检查者所产生的结果没有显著差异。与眼科教员的检查结果相比，在识别眼球和附属器异常以及问诊方面，OT的表现几乎与住院医师一样准确。在诊断和处置方面，OT的表现低于医师标准，尤其是在疑难病例中。患者对经过正规培训和在职培训的眼科医疗助理的接受度都非常高。这些结果表明，接受与本研究参与者相当培训的助理人员，在不牺牲医疗质量或护理满意度的情况下，可能完成大部分常规眼科检查。
