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非医生提供的静脉注射服务:对安全性,实施,培训和患者经验的系统审查
Trang Truong Laursen1,2, Haris Bralic2, Jakob Grauslund1,3,4
1Department of Ophthalmology, Odense University Hospital, Odense, Denmark.
Acta ophthalmologica
|February 11, 2026
概括
向非医生转移用于静脉内抗VEGF注射的任务是安全有效的. 这种方法扩大了眼科容量,减少了等待时间,并保持了高的患者满意度,满足了全球需求.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健管理的管理
背景情况:
- 全球对静脉内抗血管内皮生长因子 (抗VEGF) 治疗的需求正在增加.
- 全球眼科容量紧张,需要创新的服务提供模式.
研究的目的:
- 系统地审查关于非医生提供的静脉注射服务的安全性,实施,培训和患者经验的证据.
- 评估任务转移在抗VEGF治疗中的可行性和影响.
主要方法:
- 在13个数据库中进行系统的文献搜索,寻找非医生注射的抗VEGF注射的研究.
- 从16项纳入研究 (100,150次注射) 中提取的关于安全性,实施,培训,监督和患者报告结果的数据的定性审查.
主要成果:
- 非医生注射者在眼科医生的监督下完成了结构化培训.
- 复发率,包括内眼炎 (0.015% - 0.07%),与医生基准值相当.
- 服务增加了临床能力 (25%-85%),减少了等待时间和成本,患者满意度和接受度很高.
结论:
- 非医生提供的静脉注射是安全的,可行的,并且在培训和治理的支持下得到良好接受.
- 任务转移提供了一个可扩展的解决方案,以满足全球对抗VEGF治疗需求的不断增长.
- 标准化的国际培训和认证可以进一步提高安全和可持续性.
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