Document Detail


Coordination of outreach eye services in remote Australia.
MedLine Citation:
PMID:  21105975     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background:  This paper aims to describe models for service integration between ophthalmology and optometry when conducting outreach eye services. The effect of good coordination on clinical activity and cost-effectiveness is examined. Design:  Cross-sectional case study based on remote outreach ophthalmology services in Australia. Participants:  Key stake-holders from eye services in nine outreach regions participated in the study. Methods:  Semistructured interviews were conducted to perform a qualitative assessment of outreach eye services' levels of coordination. Records of clinical activity were used to statistically compare the effects of good coordination. Main Outcome Measures:  Clinical activity (surgery and clinic consultation rates), waiting times and costs per attendance. Surgical case rate being the proportion of surgery that results from a clinic. Results:  Service integration between optometry and ophthalmology resulted in an increased surgical case rate for ophthalmology clinics (R(2)  = 0.57). There were trends towards increased clinical activity and reduced waiting times, and costs/attendance were stable. Conclusions:  Coordination of eye services with better integration of ophthalmology and optometry roles may improve efficiency of services for patients. Coordination of eye services has multiple facets including facilitating engagement with the local community, eye professions and health facilities. The varied roles of eye health coordination require further definition and appropriate funding.
Authors:
Angus W Turner; Will J Mulholland; Hugh R Taylor
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Publication Detail:
Type:  Journal Article     Date:  2011-02-01
Journal Detail:
Title:  Clinical & experimental ophthalmology     Volume:  39     ISSN:  1442-9071     ISO Abbreviation:  Clin. Experiment. Ophthalmol.     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-06-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896531     Medline TA:  Clin Experiment Ophthalmol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  344-9     Citation Subset:  IM    
Copyright Information:
© 2011 The Authors. Clinical and Experimental Ophthalmology © 2011 Royal Australian and New Zealand College of Ophthalmologists.
Affiliation:
Indigenous Eye Health Unit, Melbourne School of Population Health, University of Melbourne McKinsey and Co., Melbourne, Victoria, Australia.
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