Spencer I C, Spry P G, Gray S F, Baker I A, Menage M J, Easty D L, Sparrow J M
Department of Ophthalmology, University of Bristol, UK.
Ophthalmic Physiol Opt. 1995 Sep;15(5):391-4.
The purpose of this study was the evaluation of community based optometric monitoring of stable glaucoma patients and glaucoma suspects compared to the routine Hospital Eye Services (HES) monitoring. Four hundred and five subjects were recruited from routine outpatient clinics at the Bristol Eye Hospital. All eligible participants were seen in the routine hospital clinic and then within two months were given a 'Gold Standard Assessment' (GSA) by an independent research team. Participants then visited one of 12 glaucoma-trained optometrists, for a standard battery of tests. Randomisation resulted in 204 subjects being allocated to community care, with reviews on a six monthly basis, with 201 who remained a control group within the hospital. Referral criteria were established to enable optometric detection of apparent glaucomatous progression. A questionnaire was used to assess patient satisfaction with both care types. Additionally a cost analysis exercise was performed.
本研究的目的是评估与常规医院眼科服务（HES）监测相比，基于社区的稳定青光眼患者和青光眼疑似患者的验光监测情况。从布里斯托尔眼科医院的常规门诊招募了405名受试者。所有符合条件的参与者均在医院常规诊所就诊，然后在两个月内由一个独立的研究团队进行“金标准评估”（GSA）。参与者随后拜访了12名经过青光眼培训的验光师之一，进行一系列标准测试。随机分组后，204名受试者被分配到社区护理组，每六个月复查一次，201名受试者留在医院作为对照组。建立了转诊标准，以便通过验光检测明显的青光眼进展情况。使用一份问卷来评估患者对两种护理方式的满意度。此外，还进行了成本分析。
