دورية أكاديمية
Glaucoma triage system: results of implementing a virtual clinic.
| العنوان: | Glaucoma triage system: results of implementing a virtual clinic. |
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| المؤلفون: | Matos DB; Centro Hospitalar Universitário Lisboa Norte - Hospital Santa Maria, Lisbon, Portugal. diogobernardomatos@edu.ulisboa.pt.; Centro de Estudos das Ciências da Visão, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal. diogobernardomatos@edu.ulisboa.pt.; Departamento de Oftalmologia, Hospital de Santa Maria, Av. Prof. Egas Moniz, 1649-035, Lisbon, Portugal. diogobernardomatos@edu.ulisboa.pt., Barão RC; Centro Hospitalar Universitário Lisboa Norte - Hospital Santa Maria, Lisbon, Portugal.; Centro de Estudos das Ciências da Visão, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal., José P; Centro Hospitalar Universitário Lisboa Norte - Hospital Santa Maria, Lisbon, Portugal.; Centro de Estudos das Ciências da Visão, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal., Cabrita A; Centro Hospitalar Universitário Lisboa Norte - Hospital Santa Maria, Lisbon, Portugal.; Centro de Estudos das Ciências da Visão, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal., Barata AD; Centro Hospitalar Universitário Lisboa Norte - Hospital Santa Maria, Lisbon, Portugal.; Centro de Estudos das Ciências da Visão, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal., Pinto LA; Centro Hospitalar Universitário Lisboa Norte - Hospital Santa Maria, Lisbon, Portugal.; Centro de Estudos das Ciências da Visão, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal. |
| المصدر: | Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie [Graefes Arch Clin Exp Ophthalmol] 2023 Aug; Vol. 261 (8), pp. 2367-2374. Date of Electronic Publication: 2023 Mar 30. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 8205248 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1435-702X (Electronic) Linking ISSN: 0721832X NLM ISO Abbreviation: Graefes Arch Clin Exp Ophthalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Berlin ; New York : Springer-Verlag, c1982- |
| مواضيع طبية MeSH: | Triage*/methods , Glaucoma*/diagnosis, Humans ; Retrospective Studies ; Delivery of Health Care ; Ambulatory Care Facilities |
| مستخلص: | Purpose: This study describes the virtual clinic triage system implementation process at Hospital Santa Maria-Centro Hospitalar Universitário Lisboa Norte (HSM-CHULN) and analyzes its results regarding healthcare outcomes for the patients and the system. Methods: A retrospective analysis was performed, comparing two cohorts (pre-virtual cohort; virtual triage cohort). Outcomes related to waiting time, number of hospital visits, decisions at first contact, and ancillary exam-based decisions were reported. Results: Two hundred and ninety-two charts were reviewed (pre-virtual cohort: 132; virtual cohort: 160). Mean waiting time between referral and the first medical contact with the glaucoma department decreased on average by 71.3 days (human contact: 286.6 days; virtual triage contact: 215.3 days). Triage system significantly decreased waiting time for glaucoma patients, with an average decrease of 326.8 days between referral and treatment decision. Triage staging allowed to label 107 (66.9; 95% confidence intervals (CI): 59.6%, 74.2%) as non-urgent; 30 (18.8%; 95% CI: 12.7%, 24.9%) as urgent, and 23 (14.3%; 95% CI: 8.9%, 19.7%) as immediate contact, with the scheduling of future appointments reflecting National Institute for Health and Care Excellence (NICE) guidelines in every patient. Moreover, the number of visits to perform the same exams and obtain the same clinical decisions was reduced by 63.6%. Conclusion: Our virtual screening strategy significantly decreased waiting time, number of hospital visits, and increased chances of data-assisted clinical decision. While results can be further improved, this system can add value in an overburdened healthcare system, where triage systems with remote decision-making may be valuable tools in optimizing glaucoma care, even without allocation of extra resources. (© 2023. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Glaucoma; Model of care; Service delivery; Triage service; Virtual clinic |
| تواريخ الأحداث: | Date Created: 20230330 Date Completed: 20230726 Latest Revision: 20230822 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10368548 |
| DOI: | 10.1007/s00417-023-06039-8 |
| PMID: | 36995440 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1435-702X |
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| DOI: | 10.1007/s00417-023-06039-8 |