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Enhancing vision care integration: 2. Implementation of practice algorithms.

D David Persaud1, Steve Jreige, Raymond P LeBlanc

  • 1School of Health Services Administration, Dalhousie University, 5599 Fenwick St., Halifax NS B3H 1R2. d.persaud@dal.ca

Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|June 8, 2004
PubMed
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Ophthalmologists, optometrists, and general practitioners (GPs) are willing to use new vision care algorithms for diabetic retinopathy and red eye. Awareness and preferred implementation methods varied among the professional groups.

Area of Science:

  • Ophthalmology and Optometry
  • Primary Care Medicine

Background:

  • Optimizing vision care access requires appropriate professional, timely, and location-specific patient management.
  • Two patient-centered algorithms for multidisciplinary management of diabetic retinopathy and red eye were developed.
  • A survey assessed clinician familiarity and acceptance of these vision care algorithms.

Purpose of the Study:

  • To evaluate ophthalmologist, optometrist, and general practitioner (GP) awareness and acceptance of new vision care algorithms.
  • To determine preferred methods for education and dissemination of these algorithms.

Main Methods:

  • A questionnaire survey was distributed to all ophthalmologists, optometrists, and GPs in Nova Scotia in summer 2001.
  • The survey assessed knowledge and acceptance of diabetes mellitus and red eye algorithms.

Related Experiment Videos

  • Respondents indicated preferred education and dissemination strategies.
  • Main Results:

    • Response rates varied: GPs 25.4%, optometrists 73.6%, ophthalmologists 43.5%.
    • Awareness was high among optometrists (>80%) and ophthalmologists (>80%), but lower among GPs (<50%).
    • A significant majority (77-98%) of all clinician groups expressed comfort using the presented algorithms.

    Conclusions:

    • Ophthalmologists, optometrists, and GPs demonstrated understanding and willingness to adopt the diabetes and red eye algorithms.
    • Clinician consensus on implementation methods was not achieved.
    • Six distinct strategies for implementing the vision care algorithms are currently employed and detailed.