Revicki D A, Poe M L
Battelle Centers for Public Health Research and Evaluation, Arlington, VA, USA.
J Am Optom Assoc. 1995 May;66(5):268-73.
The quality of co-managed services and the ability of community optometrists to diagnose complications following cataract surgery were investigated in a previous study of 2,458 cases. Questions were raised about the quality of co-managed care in 50 of the cases; this study evaluates the care received by these patients.
Medical records for 44 cases (6 cases could not located) were reviewed to determine whether community optometrists diagnosed post-surgical complications and whether cases were effectively managed. All reviews were performed by two optometrists and an ophthalmologist. Six cases were excluded because of no complication or attribution to underlying disease.
In 34 of the 38 remaining cases (89.5%), co-management was successful in diagnosing complications and in managing the patient to maximize vision function. 99.8% (2,454 of 2,458) of co-managed cases contained evidence that the optometrists provided high quality post-operative care and were able to diagnose complications. Using physician evaluations as the standard, the sensitivity of detection of complications by optometrists was 95.9% and the specificity was 99.5%.
Co-managing optometrists provide quality care and can diagnose post-operative complications.
在之前一项涉及2458例病例的研究中，对共同管理服务的质量以及社区验光师诊断白内障手术后并发症的能力进行了调查。在其中50例病例中，对共同管理护理的质量提出了疑问；本研究评估了这些患者所接受的护理情况。
查阅了44例病例的医疗记录（6例无法找到），以确定社区验光师是否诊断出术后并发症以及病例是否得到有效管理。所有审查均由两名验光师和一名眼科医生进行。由于无并发症或归因于基础疾病，排除了6例病例。
在其余38例病例中的34例（89.5%）中，共同管理在诊断并发症以及管理患者以最大化视功能方面取得成功。99.8%（2458例中的2454例）的共同管理病例有证据表明验光师提供了高质量的术后护理并且能够诊断并发症。以医生评估为标准，验光师检测并发症的敏感性为95.9%，特异性为99.5%。
共同管理的验光师提供了优质护理并且能够诊断术后并发症。
