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Building optometry integrated eye care pathways for Queensland: the case for action.

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Building and maintaining interprofessional collaborative practice in eyecare: Learnings from the Queensland

Ann L Webber1,2, Melinda Toomey2, Lisa Keay2

  • 1School of Optometry and Vision Science, Queensland University of Queensland, Brisbane, Queensland, Australia.

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
|November 27, 2023
PubMed
Summary
This summary is machine-generated.

The Paediatric Optometry Alignment Program improved community paediatric eyecare by fostering collaboration, though clinical information transfer challenges remain. Optometrists reported increased satisfaction and confidence in delivering paediatric eyecare.

Keywords:
collaborativeeyecareinterprofessionalophthalmologyoptometrypaediatric

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Area of Science:

  • Ophthalmology
  • Healthcare Management
  • Public Health

Background:

  • The Queensland Children's Hospital Paediatric Optometry Alignment Program aimed to enhance paediatric eyecare delivery.
  • A pilot phase was conducted to evaluate the program's feasibility, effectiveness, and acceptability.
  • Understanding interprofessional collaboration barriers and facilitators is crucial for program success.

Purpose of the Study:

  • To assess the feasibility, effectiveness, and acceptability of the Paediatric Optometry Alignment Program.
  • To identify barriers and facilitators of interprofessional collaboration within the program.
  • To evaluate changes in optometrist satisfaction with the collaborative care program since its pilot phase.

Main Methods:

  • Qualitative content analysis of optometrist survey responses from 2018 using the Theoretical Domains Framework (TDF).
  • Behavioral determinants mapped to the COM-B model to identify intervention strategies.
  • Longitudinal comparative analysis of 2018 and 2023 survey data to assess changes in optometrist satisfaction and engagement.

Main Results:

  • Facilitators (240 comments) significantly outnumbered barriers (65 comments) in the pilot phase.
  • Key facilitators included accessible care, professional development, and confidence; barriers involved communication and information handover.
  • Optometrists in 2023 reported higher satisfaction, confidence, and engagement, but persistent challenges in clinical information transfer were noted.

Conclusions:

  • The collaborative model enhanced health system efficiencies by building community paediatric eyecare capacity.
  • The program fostered professional credibility and interdisciplinary trust among optometrists.
  • Findings offer valuable insights for other hospital-to-community paediatric eyecare models.