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首页> 外文期刊>Clinical ophthalmology >Experiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting
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Experiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting

机译：在NHS环境中开发和实施用于青光眼护理的虚拟诊所的经验

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Background: This article describes the development of a virtual glaucoma clinic, whereby technicians collect information for remote review by a consultant specialist.Design and Methods: This was a hospital-based service evaluation study. Patients suitable for the stable monitoring service (SMS) were low-risk patients with “suspect”, “early”-to-“moderate” glaucoma who were deemed stable by their consultant care team. Three technicians and one health care assistant ran the service. Patients underwent tests in a streamlined manner in a dedicated clinical facility, with virtual review of data by a consultant specialist through an electronic patient record.Main outcome measure: Feasibility of developing a novel service within a UK National Health Service setting and improvement of patient journey time within the service were studied.Results: Challenges to implementation of virtual clinic include staffing issues and use of information technology. Patient journey time within the SMS averaged 51?minutes, compared with 92?minutes in the glaucoma outpatient department. Patient satisfaction with the new service was high.Conclusion: Implementing innovation into existing services of the National Health Service is challenging. However, the virtual clinic showed an improved patient journey time compared with that experienced within the general glaucoma outpatient department. There exists a discrepancy between patient management decisions of reviewers, suggesting that some may be more risk averse than others when managing patients seen within this model. Future work will assess the ability to detect progression of disease in this model compared with the general outpatient model of care.
机译：背景：本文介绍了虚拟青光眼诊所的发展，技术人员可借此收集信息以供顾问专家进行远程审查。设计与方法：这是一项基于医院的服务评估研究。适用于稳定监测服务（SMS）的患者是由“可疑”，“早期”到“中度”青光眼的低风险患者，他们的顾问服务团队认为它们是稳定的。该服务由三名技术人员和一名保健助理负责。患者在专用临床设施中以简化的方式进行测试，并由顾问专家通过电子患者记录对数据进行虚拟审查。主要结果衡量：在英国国家卫生服务体系内开发新型服务的可行性以及改善患者出行的可能性结果：虚拟诊所的实施挑战包括人员配备问题和信息技术的使用。 SMS中的患者旅行时间平均为51分钟，而青光眼门诊为92分钟。患者对新服务的满意度很高。结论：在国家卫生局的现有服务中实施创新具有挑战性。但是，与普通青光眼门诊患者相比，虚拟诊所的患者出行时间有所缩短。审阅者的患者管理决策之间存在差异，这表明在管理在此模型中看到的患者时，某些患者可能比其他人更愿意避免风险。与普通的门诊护理模型相比，未来的工作将评估在该模型中检测疾病进展的能力。

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