Shared Care and Virtual Clinics for Glaucoma in a Hospital Setting

• Tipo: Artigo em Revista Científica Internacional
• Data: 2021

Autores

Simons, AS (Autor) Outra; Vercauteren, J (Autor) Outra; Barbosa Breda, J (Autor) FMUP; Stalmans, I (Autor) Outra

Revista

Título: Journal of Clinical Medicine

Página Final: 4785

ISSN: 2077-0383

Editora: MDPI

Indexação

ISI Web of Knowledge - 4 Citações

Scopus - 5 Citações

Outras Informações

ID Authenticus: P-00V-JST

DOI: 10.3390/jcm10204785

Abstract (EN): Glaucoma patients require lifelong management, and the prevalence of glaucoma is expected to increase, resulting in capacity problems in many hospital eye departments. New models of care delivery are needed to offer requisite capacity. This review evaluates two alternative schemes for glaucoma care within a hospital, i.e., shared care (SC) and virtual clinics (VCs), whereby non-medical staff are entrusted with more responsibilities, and compares these schemes with the "traditional " ophthalmologist-led outpatient service (standard care). A literature search was conducted in three large bibliographic databases (PubMed, Embase, and Trip), and the abstracts from the prior five annual meetings of the Association for Research in Vision and Ophthalmology were consulted. Twenty-nine were included in the review (14 on SC and 15 on VCs). Patients with low risk of vision loss were considered suitable for these approaches. Among the non-medical staff, optometrists were the most frequently involved. The quality of both schemes was good and improved with the non-medical staff being trained in glaucoma care. No evidence was found on patients feeling disadvantaged by the lack of a doctor visit. Both schemes increased the hospital's efficiency. Both SC and VCs are promising approaches to tackle the upcoming capacity problems of hospital-based glaucoma care.</p>

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 24