视觉现场测试和澳大利亚格劳科马药物处方模式
Catherine L Jan1,2,3, Algis Vingrys1,2,4, Randall S Stafford5
1Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.
概括
目光学家现在比澳大利亚的眼科医生进行更多的视觉实地测试,并开出更多的青光眼药物. 这反映了它们在治疗青光眼中的作用不断扩大,特别是在未被诊断的患者中.
科学领域:
- 眼科和眼镜检查的眼科和眼镜检查.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 玻璃眼是全球不可逆转失明的主要原因.
- 有效的玻璃眼管理依赖于定期监测和及时治疗.
- 了解实践模式对于优化眼科护理提供至关重要.
研究的目的:
- 分析澳大利亚视觉场测试和抗葡萄糖瘤药物处方的趋势.
- 为了比较光学家和眼科医生的眼科护理中的角色.
- 评估政策变化对处方模式的影响.
主要方法:
- 使用医疗保险福利计划 (MBS) 和制药福利计划 (PBS) 数据进行的连续横截面研究.
- 对视觉实地测试 (2003-2022) 和抗白内障药物处方 (2008-2022) 报销的分析.
- 随着时间的推移,光学和眼科实践模式的比较.
主要成果:
- 视觉现场测试率整体上升,光学在2009年超过了眼科.
- 自2009年以来,抗白血病药物处方显著增加,特别是在光学PBS中纳入后.
- 前列腺素类似物是最常被处方的抗白血病药物.
结论:
- 眼科医生在澳大利亚绿眼病管理中发挥着不断扩大和重要的作用.
- 视野测试和处方中的光度学活动增加并没有减少眼科的作用.
- 光学学的扩大范围提高了患者获得青光眼护理的机会,解决了未被诊断的青光眼的挑战.
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