Improving eye care follow-up adherence in diabetic patients with ocular abnormalities: the effectiveness of patient contracts in a free, pharmacy-based eye screening

Aleo, Chelsea L; Murchison, Ann P.; Dai, Yang; Hark, Lisa A; Mayro, Eileen L.; Collymore, Bianca; Haller, Julia A.

doi:10.1016/j.puhe.2015.05.012

Cited by 19 publications

(17 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One study tested the utility of establishing patient contracts for appointment attendance 37 . Participants who initially received a free eye screening were non‐randomly assigned to either a patient contract or non‐contract group.…”

Section: Resultsmentioning

confidence: 99%

Interventions to increase appointment attendance in safety net health centers: A systematic review and meta‐analysis

Crable

Biancarelli

Aurora

et al. 2020

Evaluation Clinical Practice

View full text Add to dashboard Cite

Rationale, aims and objectives Missed appointments are a persistent problem across healthcare settings, and result in negative outcomes for providers and patients. We aimed to review and evaluate the effectiveness of interventions designed to reduce missed appointments in safety net settings. Methods We conducted a systematic review of interventions reported in three electronic databases. Data extraction and quality assessment were conducted according to PRISMA guidelines. Eligible studies were analyzed qualitatively to describe intervention types. A random effects model was used to measure the pooled relative risk of appointment adherence across interventions in the meta‐analysis. Results Thirty‐four studies met inclusion criteria for the qualitative synthesis, and 21 studies reported sufficient outcome data for inclusion in the meta‐analysis. Qualitative analysis classified nine types of interventions used to increase attendance; however, application of each intervention type varied widely between studies. Across all study types (N = 12 000), RR was 1.08, (95% CI 1.03, 1.13) for any intervention used to increase appointment attendance. No single intervention was clearly effective: facilitated appointment scheduling [RR = 3.31 (95% CI: 0.30, 37.13)], financial incentives [RR = 1.88 (0.73, 4.82)] case management/patient navigator [RR = 1.09, (0.96, 1.24)], text messages [RR = 1.02 (0.96, 1.08)], transportation, [RR = 1.05 (0.98, 1.13)], telephone reminder calls [RR 1.12, (0.87, 1.45)], in‐person referrals, [RR = 1.01 (0.90, 1.13)], patient contracts [RR = 0.87 (0.52, 1.46)] or combined strategies, [RR = 1.16 (1.03, 1.32)]. No strategy was clearly superior to others, p interaction = .50. Conclusions Strategies to improve appointment adherence in safety net hospitals varied widely and were only modestly effective. Further research harmonizing intervention delivery within each strategy and comparing strategies with the most potential for success is needed.

show abstract

Section: Resultsmentioning

confidence: 99%

Interventions to increase appointment attendance in safety net health centers: A systematic review and meta‐analysis

Crable

Biancarelli

Aurora

et al. 2020

Evaluation Clinical Practice

View full text Add to dashboard Cite

show abstract

“…5,12 Based on the data we collected, we were unable to predict patients' compliance with seeking follow-up with their physicians. diabetes and successfully communicating to a large percentage of those patients their need to follow up with their physicians.…”

Section: Resultsmentioning

confidence: 99%

“…The 59% (20/34) patient compliance with referral in this study was good and similar to that found in other studies. 5,12 Based on the data we collected, we were unable to predict patients' compliance with seeking follow-up with their physicians. A previous study implied that lack of insurance and limited financial resources are factors in patient compliance.…”

Section: Resultsmentioning

confidence: 99%

Screening for Diabetes in a Dental School Clinic to Assess Interprofessional Communication Between Physicians and Dental Students

Biethman

Pandarakalam

Garcia

et al. 2017

Journal of Dental Education

View full text Add to dashboard Cite

If a dental student diagnoses a patient in a dental school clinic as being at high risk of prediabetes or diabetes, the patient should be referred to his or her physician for further diagnostic evaluation, and the physician should send back the evaluation results so that the dental team can optimize treatment and health care choices if the diagnosis is confirmed. The primary aim of this study was to evaluate physicians' responses to written and oral requests for information regarding follow-up diabetes testing. A secondary aim was to evaluate patients' compliance with recommendations to seek medical care after being determined to be at high risk of prediabetes or diabetes in the dental clinic. Based on at least one positive risk factor for diabetes, 74 patients in one U.S. dental school's clinic were screened by third- and fourth-year dental students for prediabetes or diabetes and underwent point of care HbA1C (glycalated hemoglobin) blood tests between June 2014 and June 2015. Patients with an HbA1C value of 5.7% or above were referred to their physicians for follow-up testing. The physician was mailed the patient's HIPAA release and a request for updates to the student regarding the patient's diabetes status. If the physician did not provide the requested information, a dental student telephoned him or her to obtain the patient's diabetes status. Of the 74 patients, 34 (46%) tested positive with HbA1C tests and were referred to their physicians. Of those 34 referred patients, 20 (59%) saw their physicians for additional evaluations within six months of referral. None of the 20 physicians responded to the written requests for information on additional diabetes testing. After one or two telephone requests, all 20 physicians provided the test results. This study found that most of the patients (59%) followed their dental practitioner's advice to seek follow-up care with their physician, supporting the value of conducting these tests in a dental clinic. However, the results also suggested that a single written request may be insufficient to prompt physicians to return those results and that follow-up communication in a phone call may be more effective.

show abstract

“…21 24 If participants with diabetes were unaware of the severe prognosis of DR and have not yet experienced any functional vision changes, they potentially would not have understood the purpose of the referral. 31 This highlights the importance of educating people with DR to ensure understanding of the necessity and benefits of early treatment. Extensive studies in patients with chronic eye diseases showed persistent efforts towards patient education in order to improve medication compliance.…”

Section: Discussionmentioning

confidence: 99%

Patients’ perspectives on the barriers to referral after telescreening for diabetic retinopathy in communities

Zhu

et al. 2020

BMJ Open Diab Res Care

View full text Add to dashboard Cite

Significance of this studyWhat is already known about this subject? ► Telemedicine has been applied in diabetic retinopathy (DR) screening. ► High rates of incomplete referral after telescreening for DR, and patients factors or healthcare system factors might contribute to the barriers for accessing the eye care services.What are the new findings?► Referral completion and perceived barriers to the referral were assessed in a large representative sample with vision-threatening DR (VTDR) from the communities after DR telescreening. ► The issue of incomplete referral is serious among the individuals with VTDR, particularly in the elder and low education level population. ► The negativity of knowledge-related and attituderelated factors might be more prominent than logistic barriers in predicting the incomplete referrals.on July 4, 2020 by guest. Protected by copyright.

show abstract

Improving eye care follow-up adherence in diabetic patients with ocular abnormalities: the effectiveness of patient contracts in a free, pharmacy-based eye screening

Cited by 19 publications

References 11 publications

Interventions to increase appointment attendance in safety net health centers: A systematic review and meta‐analysis

Interventions to increase appointment attendance in safety net health centers: A systematic review and meta‐analysis

Screening for Diabetes in a Dental School Clinic to Assess Interprofessional Communication Between Physicians and Dental Students

Patients’ perspectives on the barriers to referral after telescreening for diabetic retinopathy in communities

Contact Info

Product

Resources

About