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患者导航器在随机临床试验中改善了社区眼部查后办公室眼部检查的坚持:纽约市SIGHT研究

Lisa A Hark¹, Prakash Gorroochurn², Laura T Pizzi³

¹From the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA..

American journal of ophthalmology

|February 27, 2025

概括

患者导航器在社区查后显著改善了服务不足人群对初始眼科检查的坚持. 这种干预也被证明是具有成本效益的,与通常的护理相比,每位参与者节省了8.78美元.

科学领域:

眼科和公共卫生.
医疗保健服务研究医疗服务研究
卫生经济学卫生经济学

背景情况:

在社区查后,缺乏服务的人群面临着进入后续眼科护理的障碍.
遵守推的眼科预约对于早期发现和治疗眼病至关重要.

研究的目的:

评估患者导航员在提高初始办公室内眼科检查的遵守率方面的有效性和成本效益.
评估患者导航员对缺少服务群体的眼科护理准入的影响.

主要方法:

一个为期5年的前性,集群随机临床试验,涉及40岁以上的成人,来自负担得起的住房和老年中心.
基于社区的眼科健康检查,然后转诊,与导航员干预 (预约安排支持) 相比,通常的护理.
分析包括遵守率,相关因素的后勤回归和成本效益分析.

主要成果:

患者导航者对初始眼科检查的坚持率为51.8%,而通常护理组的坚持率为38.1%.
导航干预增加了坚持的几率 (OR = 1.529),英语主要语言也对坚持产生了积极的影响 (OR = 1.815).
导航员干预的结果是节省了成本,每位参与者增加的成本效益差异减少了8.78美元.

结论:

患者导航器有效地提高了服务不足的人群在办公室内眼科检查的遵守率.
导航器模型提供了一种具有成本效益的策略,用于提高后续眼科护理的遵守性.
实施患者导航程序可以弥合弱势社区眼科护理获取的差距.

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