Dunbar M T
Optometric Services, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida.
Optom Clin. 1994;4(2):43-62.
Co-management of the diabetic patient emphasizes interdisciplinary care between optometry and ophthalmology, and between optometry and the patient's primary physician. For the optometrist and the patient's primary physician, the emphasis is on written communication with regard to the ocular health of the patient's eyes. The optometrist also participates in educating patients about the complications related to diabetes mellitus, as well as reinforcing medical compliance and encouraging lifestyle changes for better health. By providing this scope of care, optometry becomes an integral part of the health care team. Between ophthalmology and optometry, the success of co-managing diabetic patients will be dependent on several factors, including demonstrating expertise in managing diabetic retinopathy, making timely and appropriate referrals based on results from national clinical trials, and developing a trusting relationship built over time. This paper emphasizes the multi-dimensional role the optometrist plays in the co-management of the diabetic patient with the patient's primary physician and with the ophthalmologist in treating and managing diabetic retinopathy.
糖尿病患者的共同管理强调验光师与眼科医生之间以及验光师与患者的初级保健医生之间的跨学科护理。对于验光师和患者的初级保健医生而言，重点在于就患者眼部的眼部健康进行书面沟通。验光师还参与对患者进行有关糖尿病并发症的教育，强化医疗依从性并鼓励改变生活方式以改善健康状况。通过提供这种护理范围，验光成为医疗团队不可或缺的一部分。在眼科和验光之间，共同管理糖尿病患者的成功将取决于几个因素，包括展示管理糖尿病视网膜病变的专业知识、根据国家临床试验结果及时进行适当转诊，以及建立长期信任关系。本文强调了验光师在与患者的初级保健医生以及眼科医生共同管理糖尿病患者以治疗和管理糖尿病视网膜病变中所扮演的多维度角色。
