Smith A F
Department of Preventive Ophthalmology, University of London, England.
Ophthalmic Epidemiol. 1995 Dec;2(3):129-35. doi: 10.3109/09286589509057094.
To investigate the relationship between the number of general practitioners in a GP practice and screening for diabetic retinopathy in order to evaluate the viability of increased GP involvement in screening for blinding diabetic eye disease.
A ten point questionnaire was developed and sent to 50 randomly selected general practitioner practices throughout Oxfordshire. 41 (82%) of the general practitioner practices returned completed questionnaires.
The mean number of GP's per GP practice was 4, with a standard deviation of 4 GP's while GP practice sizes ranged from 1 to 9 GP's per practice. Overall, 66% (n = 27) of GP practices indicated that they referred their diabetic patients for screening, even though 83% (n = 34) of GP practices performed funduscopy. 76% (n = 31) of GP practices ran diabetic clinics, and 66% (n = 27) of GP practices indicated that they wanted more training in the use of the ophthalmoscope and detecting diabetic retinopathy, despite the fact that 78% (n = 32) of this same group had received some form of postgraduate medical training in diabetes in the last five years. Lastly, only 27% (n = 11) of GP practices would alter their attitude to screening for diabetic retinopathy if they were paid substantially more to do so.
Most GP practices referred their diabetic patients for screening, even though the majority of GP practices performed some form of funduscopy and that amongst the largest GP practice sizes all performed dilated funduscopy and did not refer for screening. Given sufficient remedial training in the use of the ophthalmoscope and practical sessions on detecting diabetic retinopathy, it is likely that smaller GP practice sizes would be encouraged to screen for sight-threatening diabetic retinopathy.
研究全科医生诊所中全科医生的数量与糖尿病视网膜病变筛查之间的关系，以评估增加全科医生参与致盲性糖尿病眼病筛查的可行性。
设计了一份包含十个问题的问卷，并发送给牛津郡随机选取的50家全科医生诊所。41家（82%）全科医生诊所返回了完整的问卷。
每个全科医生诊所的全科医生平均数量为4名，标准差为4名，而每个诊所的全科医生规模从1名到9名不等。总体而言，66%（n = 27）的全科医生诊所表示他们会将糖尿病患者转诊进行筛查，尽管83%（n = 34）的全科医生诊所进行眼底镜检查。76%（n = 31）的全科医生诊所开设糖尿病诊所，66%（n = 27）的全科医生诊所表示他们希望接受更多关于检眼镜使用和糖尿病视网膜病变检测的培训，尽管在同一组中78%（n = 32）的人在过去五年中接受了某种形式的糖尿病研究生医学培训。最后，如果给予更多报酬，只有27%（n = 11）的全科医生诊所会改变他们对糖尿病视网膜病变筛查的态度。
大多数全科医生诊所会将糖尿病患者转诊进行筛查，尽管大多数全科医生诊所进行了某种形式的眼底镜检查，而且在规模最大的全科医生诊所中，所有诊所都进行了散瞳眼底镜检查且不转诊进行筛查。如果在检眼镜使用方面给予足够的补救培训以及关于糖尿病视网膜病变检测的实践课程，较小规模的全科医生诊所可能会被鼓励对威胁视力的糖尿病视网膜病变进行筛查。
