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Glaucoma Community Care: Does Ongoing Shared Care Work?
- Source :
- International Journal of Integrated Care; Vol 20: July-September 2020; 5, International Journal of Integrated Care, International Journal of Integrated Care, Vol 20, Iss 3 (2020)
- Publication Year :
- 2020
- Publisher :
- Ubiquity Press, 2020.
-
Abstract
- Purpose: We assessed a novel, public, vertical integrated care model for glaucoma management in the community. Methods: This study was a retrospective, longitudinal study of 266 patients diagnosed or suspected of glaucoma. Patients were stratified to either ongoing ophthalmology-led (n = 81) or optometry-led shared care (n = 185). Demographics and clinical characteristics, including the re-referral rate and timeliness of follow up were analysed. Results: Just under half (565/1224, 46%) of all follow up consultations over the total study period of 45 months were seen in optometry-led care, with a re-referral rate to ophthalmology of 21%. Treated patients showed a median intraocular pressure reduction of 20% and a median time delay of just two days between the actual and recommended review period. Conclusions: Shared care provides an effective option for managing the ongoing care burden in chronic stable glaucoma cases at low risk of vision loss.
- Subjects :
- medicine.medical_specialty
Longitudinal study
Intraocular pressure
Telemedicine
Health (social science)
Sociology and Political Science
Demographics
Glaucoma
Collaborative Care
03 medical and health sciences
0302 clinical medicine
collaborative care
Medicine
030212 general & internal medicine
lcsh:R5-920
Shared care
Research and Theory
business.industry
Health Policy
chronic eye disease
telemedicine
task-shifting
medicine.disease
Integrated care
Emergency medicine
030221 ophthalmology & optometry
business
lcsh:Medicine (General)
Subjects
Details
- Language :
- English
- ISSN :
- 15684156
- Database :
- OpenAIRE
- Journal :
- International Journal of Integrated Care (IJIC)
- Accession number :
- edsair.doi.dedup.....6ee85af499c2f2542d06f8360051c2ae