Comparison of the effectiveness of two enhanced glaucoma referral schemes

Autor:	David J. Parkins, David F Edgar
Rok vydání:	2011
Předmět:	Raised intraocular pressure genetic structures Referral business.industry Large population Ocular hypertension Glaucoma Primary care medicine.disease Sensory Systems Ophthalmology Perkins applanation tonometry medicine Optometry Cost benefit business
Zdroj:	Ophthalmic and Physiological Optics. 31:343-352
ISSN:	0275-5408 1475-1313
DOI:	10.1111/j.1475-1313.2011.00853.x
Popis:	Citation information: Parkins DJ & Edgar DF. Comparison of the effectiveness of two enhanced glaucoma referral schemes. Ophthalmic Physiol Opt 2011, 31, 343–352. doi: 10.1111/j.1475-1313.2011.00853.x Abstract Purpose: To compare the clinical and financial effectiveness of two optometric-led enhanced glaucoma referral schemes in the Bexley Care Trust area. Methods: Over a 12-month period all suspect glaucoma/Ocular Hypertension (OHT) referrals from optometrists relating to patients registered with Bexley GPs were analysed. All these patients were examined under one of two schemes. One was an enhanced glaucoma repeat measurement (EGRM) scheme in which the referring optometrist conducted the repeated tests him/herself prior to referral or non-referral. The alternative was a refinement pathway (RCAS) using a small team of accredited community optometrists. Results: During the full year commencing April 2007, repeat measures using the EGRM scheme resulted in 76% of patients not being referred. In 44.5% of all EGRM patients, where raised intraocular pressure (IOP) was found by non-contact tonometry (NCT), repeated measurement by Goldmann/Perkins applanation tonometry resulted in readings that were
Databáze:	OpenAIRE
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