在视网膜患者护理的统一决策框架上建立专家共识
Javier Zarranz-Ventura1, Aude Ambresin2, Andrew Chang3
1Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain. ZARRANZ@clinic.cat.
Ophthalmology and therapy
|November 14, 2025
概括
全球专家支持制定一个统一的视网膜护理决策框架. 该框架旨在改善患者护理,并解决在管理视网膜疾病方面的能力问题.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健管理的管理
- 临床决策支持 临床决策支持
背景情况:
- 全球视网膜疾病的负担是相当大的,并且在不断增长.
- 现有的视网膜护理国家指南各不相同,需要采用统一的方法.
- 医疗保健专业人员在提供最佳视网膜护理方面面临能力挑战.
研究的目的:
- 探索开发一个统一的视网膜护理决策框架.
- 在视网膜护理专家之间就关键原则和标准建立共识.
- 为实施标准化框架提供建议.
主要方法:
- 修改后的Delphi方法与专家眼科医生一起使用.
- 董事会会议和在线调查,使用4点的利克特等级.
- 达成共识的门设定为75%,使用匿名回复和独立分析.
主要成果:
- 来自全球六个地区的188个回复.
- 在三个主题的27个声明中达成了高度共识 (≥75%):访问,原则和基准测试.
- 亚组分析发现,在经验较少的临床医生中,在静脉内注射前的OCT扫描方面存在知识差距.
结论:
- 视网膜护理专家强烈支持制定统一的决策框架.
- 达成共识的建议将指导该框架的创建和实施.
- 该框架有可能提高效率,并在全球范围内标准化高质量的视网膜护理.
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