دورية أكاديمية
Impact of Community Eye Clinics (CEC) on Specialist Eye Clinic Referrals.
| العنوان: | Impact of Community Eye Clinics (CEC) on Specialist Eye Clinic Referrals. |
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| المؤلفون: | Yunqi K; Department of Ophthalmology, Tan Tock Seng Hospital, National Healthcare Group, Singapore, Singapore., Kelvin LZ; Department of Ophthalmology, Tan Tock Seng Hospital, National Healthcare Group, Singapore, Singapore., Lian YS; Department of Ophthalmology, Tan Tock Seng Hospital, National Healthcare Group, Singapore, Singapore., Min QH, Sheryl TH, Min MC, Fang TY, Wai KL, Hau CC, Cherng Hui YV; Department of Ophthalmology, Tan Tock Seng Hospital, National Healthcare Group, Singapore, Singapore., Yong Khet Yau V; Department of Ophthalmology, Tan Tock Seng Hospital, National Healthcare Group, Singapore, Singapore.; Lee Kong Chian School of Medicine, National Technological University, Singapore, Singapore., Tym WH; Department of Ophthalmology, Tan Tock Seng Hospital, National Healthcare Group, Singapore, Singapore.; Centre for Healthcare Innovation, Singapore, Singapore. |
| المصدر: | Ophthalmic epidemiology [Ophthalmic Epidemiol] 2024 Aug; Vol. 31 (4), pp. 315-320. Date of Electronic Publication: 2023 Oct 10. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9435674 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-5086 (Electronic) Linking ISSN: 09286586 NLM ISO Abbreviation: Ophthalmic Epidemiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Buren, The Netherlands : Aeolus Press, c1994- |
| مواضيع طبية MeSH: | Referral and Consultation*/statistics & numerical data , Ophthalmology*/statistics & numerical data , Eye Diseases*/diagnosis , Eye Diseases*/therapy , Eye Diseases*/epidemiology, Humans ; Retrospective Studies ; Male ; Female ; Middle Aged ; Adult ; Aged ; Health Services Accessibility/statistics & numerical data ; Ambulatory Care Facilities/statistics & numerical data ; Adolescent ; Young Adult ; Community Health Services/statistics & numerical data ; Child ; Aged, 80 and over |
| مستخلص: | Purpose: Community Eye Clinics (CEC) increase accessibility of specialist ophthalmic services in the community, reducing demand for tertiary eye services. This paper aims to evaluate the impact of CEC on first-visit referrals from Hougang Polyclinic (HOU) to Tan Tock Seng Hospital Ophthalmology Specialist Outpatient Clinic (SOC). Methods: A retrospective analysis was performed on first-visit referrals from Hougang Polyclinic (HOU) to Tan Tock Seng Hospital Ophthalmology Specialist Outpatient Clinic (SOC) over a similar 3-months period before and after the introduction of CEC in August 2018 (1 January to 31 March in 2018 and 2019, respectively). Data pertaining to patients' presenting complaints, referral reasons, final diagnoses, follow-up plans, and need for ophthalmic intervention were obtained. Results: We included 978 patients in our study. There was a 27.5% reduction in the number of first-visit referrals seen at SOC after the establishment of CEC. Patients were more likely to be referred on to sub-specialty eye clinics (10.8% vs. 12.9%, p = p = .304) and receive more ophthalmic interventions (15% vs. 16.3%, p = .066) than prior to CEC. Conclusion: The CEC provides greater accessibility to eye care within the community. Optometrists are upskilled to manage patients with stable eye conditions, whilst eye specialists can provide timely care to the SOC for patients with more severe eye conditions. |
| فهرسة مساهمة: | Keywords: Access; Asia; community eye service; primary eye care; shared care |
| تواريخ الأحداث: | Date Created: 20231011 Date Completed: 20240705 Latest Revision: 20240705 |
| رمز التحديث: | 20240706 |
| DOI: | 10.1080/09286586.2023.2261528 |
| PMID: | 37817451 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1744-5086 |
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| DOI: | 10.1080/09286586.2023.2261528 |