Glaucoma Community Care: Does Ongoing Shared Care Work?

Angelica Ly; Elizabeth Wong; Jessie Huang; Michael Yapp; Katherine Masselos; Michael Hennessy; Michael Kalloniatis; Barbara Zangerl

doi:10.5334/ijic.5470

Glaucoma Community Care: Does Ongoing Shared Care Work?

International Journal of Integrated Care

Volume 20 (2020): Issue 3

By: Angelica Ly, Elizabeth Wong, Jessie Huang, Michael Yapp, Katherine Masselos, Michael Hennessy, Michael Kalloniatis and Barbara Zangerl

Open Access

|Aug 2020

Abstract

Purpose: We assessed a novel, public, vertical integrated care model for glaucoma management in the community.

Methods: This study was a retrospective, longitudinal study of 266 patients diagnosed or suspected of glaucoma. Patients were stratified to either ongoing ophthalmology-led (n = 81) or optometry-led shared care (n = 185). Demographics and clinical characteristics, including the re-referral rate and timeliness of follow up were analysed.

Results: Just under half (565/1224, 46%) of all follow up consultations over the total study period of 45 months were seen in optometry-led care, with a re-referral rate to ophthalmology of 21%. Treated patients showed a median intraocular pressure reduction of 20% and a median time delay of just two days between the actual and recommended review period.

Conclusions: Shared care provides an effective option for managing the ongoing care burden in chronic stable glaucoma cases at low risk of vision loss.

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DOI: https://doi.org/10.5334/ijic.5470 | Journal eISSN: 1568-4156

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Language: English

Submitted on: Dec 17, 2019

Accepted on: Jul 15, 2020

Published on: Aug 7, 2020

Published by: Ubiquity Press

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

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© 2020 Angelica Ly, Elizabeth Wong, Jessie Huang, Michael Yapp, Katherine Masselos, Michael Hennessy, Michael Kalloniatis, Barbara Zangerl, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 20 (2020): Issue 3