The Paediatric Optometry Alignment Program - Integrated care between
                        hospital based paediatric ophthalmology and community based
                        optometry

Webber, Ann; McKinlay, Lynne; Gole, Glen A.; Sleep, Michael; Johnson, Hannah

doi:10.5334/ijic.s1046

Cited by 2 publications

(5 citation statements)

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“…Discharge pathways involving trained and accredited optometrists for ongoing management within the community have been established successfully in Queensland, Australia. 18 The efficacy of co-management discharge models to optometry has also been demonstrated for cataract shared care in the United Kingdom. 40 By establishing a network of primary care optometrists that ophthalmologists are comfortable working with, this model seeks to facilitate early discharge to reduce the burden on public hospital ophthalmic services.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Additionally, discharge to optometric care streamlines services for families by offering a more convenient and accessible point‐of‐care, particularly if such a model sees widespread implementation to local community optometrists, including regional and remote areas, in the future. The POAP model in Queensland has a discharge network for community optometry care which is distributed into regional and remote areas across the state, 18,21 in contrast to paediatric ophthalmology care, which is concentrated in urban centres.…”

Section: Discussionmentioning

confidence: 99%

“…Integrated care pathways for community management of paediatric eye care with a coordinated multidisciplinary team of providers are needed to streamline access to tertiary care services 17 . One such example is the Paediatric Optometry Alignment Program (POAP) 18 implemented in Queensland in 2016, which improved the service efficiency through integration of public hospital care with care by accredited community optometric services. POAP has found sustained success in waitlist reduction and has been adopted as an ongoing programme at the Queensland Children's Hospital.…”

Section: Introductionmentioning

confidence: 99%

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Integration of hospital and community care for paediatric ophthalmology: A mixed‐methods study

Chan

Shah

Tan

et al. 2023

Ophthalmic Physiologic Optic

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BackgroundTo explore collaborative care models for paediatric eye care that integrate hospital and community‐based care to address access blocks.MethodsSequential referrals to a tertiary paediatric ophthalmology clinic between April and October 2019 and subsequent encounters up until July 2020 at a major metropolitan public children's hospital in Sydney, Australia, were reviewed to identify those cases suitable for community care. Semi‐structured phone interviews were conducted with eye health service providers, including ophthalmologists, orthoptists and optometrists, as well as service users to explore their perspectives on potential changes to service delivery. Qualitative data were analysed deductively using the Levesque model for access to healthcare and Consolidated Framework for Implementation Research (CFIR) to inform implementation strategies for future models of care.ResultsOne‐third of the 439 audited referrals (30.5%; 134/439) were identified as suitable for community management. Interviews revealed five themes relating to potential models of care, which would support and promote access: integrated health systems, standardised quality of care, interprofessional trust, multidisciplinary governance and patient‐centred care. Key recommendations for future implementation included: (i) identifying and preparing clinical champions, (ii) conducting educational meetings, (iii) conducting local needs assessments and (iv) informing local opinion leaders.ConclusionsThis audit highlights access blocks and poor targeting of referrals to tertiary paediatric ophthalmology services in a metropolitan hospital. Integration with community practitioners was identified as an acceptable way to streamline services, and strategies that may support successful implementation in this setting were identified.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Integration of hospital and community care for paediatric ophthalmology: A mixed‐methods study

Chan

Shah

Tan

et al. 2023

Ophthalmic Physiologic Optic

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“…The cumulative cost of care for each DED case in which multiple HCP opinions are required will also be increased considerably compared with cases where only one consultation or HCP is required to obtain an accurate diagnosis. More integrated, multidisciplinary and collaborative approaches to care provision are believed to provide benefits and efficiencies regarding diagnosis and management of chronic conditions such as DED [ 40 – 42 ].…”

Section: Discussionmentioning

confidence: 99%

The Enduring Experience in Dry Eye Diagnosis: A Non-Interventional Study Comparing the Experiences of Patients Living With and Without Sjögren’s Syndrome

Figueiredo

Baudouin

Rolando³

et al. 2021

Ophthalmol Ther

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Introduction Previous studies have examined the patient experience regarding the diagnosis and management of dry eye disease (DED). The current study explored the ways in which the DED diagnostic pathway differs for those living with and without Sjögren’s syndrome (SS), to identify aspects that influence the patient experience and associated quality of life (QoL). Methods An observational/descriptive, non-interventional, retrospective, self-reported online survey was conducted among adults living in France, Spain and Italy who were diagnosed with DED (with/without SS), were using topical DED treatments (≥ 6 months), and were not contact lens users. Recruitment was via an online database for non-SS participants and through local patient advocacy groups for SS respondents. Results The analysis included 827 respondents; 416 (50.3%) had SS and 82% were female. The mean age was 55 (SD 11; range 16–99) years. The mean age at diagnosis was 46 (SD 12; range 13–78) years and 50 (SD 10; range 21–73) years for SS and non-SS groups, respectively ( p < 0.0001). The mean time to diagnosis was extended for SS participants [32 (SD 62) months] versus non-SS individuals [8.6 (SD 28) months ( p < 0.0001)] and was associated with reduced QoL scores ( r = 0.113; p = 0.0169). More SS participants (31%) consulted ≥ 4 healthcare professionals (HCPs) before DED diagnosis, versus non-SS individuals (6%) ( p < 0.0001). Diagnosing clinician varied for SS respondents according to country, probably due to differences in healthcare systems/structures. More SS participants viewed their condition as a handicap than a discomfort, reporting greater QoL impact ( p < 0.0001). Conclusions Patient experiences in DED diagnosis vary substantially when comparing SS and non-SS individuals. Time to diagnosis significantly impacts QoL for SS patients, who see more HCPs ahead of DED diagnosis. The number of HCPs consulted before diagnosis and perceptions of DED are important for both groups. Country-specific variations highlight opportunities to improve consistency and efficiency across DED diagnostic pathways. These data should be considered alongside existing evidence from high-quality sources (e.g. clinical records). Supplementary Information The online version contains supplementary material available at 10.1007/s40123-021-00341-6.

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The Paediatric Optometry Alignment Program - Integrated care between hospital based paediatric ophthalmology and community based optometry

Cited by 2 publications

References 0 publications

Integration of hospital and community care for paediatric ophthalmology: A mixed‐methods study

Integration of hospital and community care for paediatric ophthalmology: A mixed‐methods study

The Enduring Experience in Dry Eye Diagnosis: A Non-Interventional Study Comparing the Experiences of Patients Living With and Without Sjögren’s Syndrome

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