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[PMID]:27521669
[Au] Autor:Astle W; Simms C; Anderson L
[Ad] Endereço:Alberta Children's Hospital, Calgary, Alta.
[Ti] Título:A workforce in crisis: a case study to expand allied ophthalmic personnel.
[So] Source:Can J Ophthalmol;51(4):288-293, 2016 Aug.
[Is] ISSN:1715-3360
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To examine how the development of allied ophthalmic personnel training programs affects human resource capacity. DESIGN: Using a qualitative case study method conducted at a single Ontario institution, this article describes 6 years of establishing a 2-tiered allied ophthalmic personnel training program. PARTICIPANTS: The Kingston Ophthalmic Training Centre participated in the study with 8 leadership and program graduate interviews. METHODS: To assess regional eye health workforce needs, a case study and iterative process used triangulations of the literature, case study, and qualitative interviews with stakeholders. This research was used to develop a model for establishing allied ophthalmic personnel training programs that would result in expanding human resource capacity. RESULTS: Current human resource capacity development and deployment is inadequate to provide the needed eye care services in Canada. A competency-based curriculum and accreditation model as the platform to develop formal academic training programs is essential. Access to quality eye care and patient services can be met by task-shifting from ophthalmologists to appropriately trained allied ophthalmic personnel. CONCLUSION: Establishing formal training programs is one important strategy to supplying a well-skilled, trained, and qualified ophthalmic workforce. This initiative meets the criteria required for quality, relevance, equity, and cost-effectiveness to meet the future demands for ophthalmic patient care.
[Mh] Termos MeSH primário: Ocupações Relacionadas com Saúde/educação
Educação Baseada em Competências/organização & administração
Recursos Humanos em Saúde/estatística & dados numéricos
Recursos em Saúde/provisão & distribuição
Necessidades e Demandas de Serviços de Saúde
Assistentes de Oftalmologia/educação
Oftalmologia/educação
[Mh] Termos MeSH secundário: Educação Baseada em Competências/métodos
Currículo
Seres Humanos
Ontário
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160814
[St] Status:MEDLINE


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[PMID]:27012692
[Au] Autor:Suram V; Addepalli UK; Krishnaiah S; Kovai V; Khanna RC
[Ad] Endereço:A C Subba Reddy Government Medical College, Nellore, Andhra Pradesh, India.
[Ti] Título:Accuracy of vision technicians in screening ocular pathology at rural vision centres of southern India.
[So] Source:Clin Exp Optom;99(2):183-7, 2016 Mar.
[Is] ISSN:1444-0938
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is paucity of data on the inter-observer agreement and diagnostic accuracy between a primary-care technician (vision technician) and an ophthalmologist. Hence, the current study was conducted to assess the accuracy of vision technicians, to screen potentially sight-threatening ocular conditions at rural vision centres of southern India and their agreement with an ophthalmologist. METHODS: In July to August 2010, patients presenting to seven vision centres in Adilabad district (Andhra Pradesh) were selected and screened in a masked manner by seven vision technicians followed by an examination by a consultant ophthalmologist. Agreement was assessed between vision technicians and the ophthalmologist for screening of potential sight-threatening ocular conditions and decisions for referral. The ophthalmologist's findings were considered as the reference standard. RESULTS: Two hundred and seventy-nine patients were enrolled at seven vision centres with a mean age of 32.9 ± 21.8 years. Agreement for screening of ocular pathology was 0.82 (95 per cent CI, 0.8-0.83). There was excellent agreement for cataract (0.97; 95 per cent CI, 0.93-1), refractive error (0.98; 95 per cent CI, 0.96-1), corneal pathology (1.0; 95 per cent CI, 1.0-1.0) and other anterior segment pathology (0.95; 95 per cent CI, 0.9-1); the agreement was moderate to fair for detection of glaucoma suspects (0.43; 95 per cent CI, 0.28-0.60) and retinal pathology (0.39; 95 per cent CI, 0.14-0.63). Sensitivity for screening of anterior segment pathology was 94.6-100 per cent. There was a fair to moderate sensitivity for glaucoma suspect; 35.6 per cent (95 per cent CI, 21.9-51.2) and retinal pathology 26.3 per cent (95 per cent CI, 9.2-51.2). Specificity for screening of ocular pathology was 98.2 to 100 per cent. The kappa (κ) agreement for referral for any pathology was 0.82 (0.8-0.83) CONCLUSION: As there is good agreement between the vision technicians and the ophthalmologist for screening and referral of anterior segment pathology but moderate to fair for glaucoma suspects and retinal pathology, vision technicians would be a good resource at the primary level to screen for anterior segment pathology; however, they may need further training to detect posterior segment pathology.
[Mh] Termos MeSH primário: Competência Clínica/normas
Oftalmopatias/diagnóstico
Assistentes de Oftalmologia/normas
Serviços de Saúde Rural
Seleção Visual/normas
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Feminino
Seres Humanos
Índia
Masculino
Meia-Idade
Variações Dependentes do Observador
Oftalmologia/normas
Encaminhamento e Consulta
Reprodutibilidade dos Testes
Serviços de Saúde Rural/estatística & dados numéricos
População Rural
Sensibilidade e Especificidade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160326
[St] Status:MEDLINE
[do] DOI:10.1111/cxo.12345


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[PMID]:26691778
[Au] Autor:Shah K; Naidoo K; Loughman J
[Ad] Endereço:Dublin Institute of Technology, Dublin, Republic of Ireland. kajshah@aol.com.
[Ti] Título:Development of socially responsive competency frameworks for ophthalmic technicians and optometrists in Mozambique.
[So] Source:Clin Exp Optom;99(2):173-82, 2016 Mar.
[Is] ISSN:1444-0938
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is an extreme paucity of eye-care personnel and training facilities in developing countries. This study was designed to develop a comprehensive framework of competency standards for ophthalmic technicians and optometrists, in Mozambique. This could then inform the evolution of socially responsive curricula for both cadres. METHODS: A modified Delphi technique was used with a ten member expert panel consisting of optometrists, ophthalmic technicians and ophthalmologists, all with experience of working in a developing country context. The competencies were derived from literature, primary research data and observations from a competency development workshop. The first round involved scoring the relevance of two frameworks, one for each cadre, using a nine-point Likert scale with a free-text option to modify any competency or suggest additional competencies. The revised frameworks were subjected to a second round of scoring and free-text comment. The final versions of the agreed frameworks were sent out to the relevant stakeholders. RESULTS: There was a 100 per cent response to round 1 and an 89 per cent response to round 2. The final versions of the competency frameworks contained six competencies, 20 elements and 88 performance criteria for optometry and six competencies, 17 elements and 61 performance criteria for ophthalmic technicians. CONCLUSIONS: Application of a consensus methodology consisting of a modified Delphi technique with primary research data allowed the development of competency frameworks for ophthalmic technicians and optometrists. This will help to shape the development of curricula for both cadres and potentially could be replicated in other regions that wish to develop socially responsive education for eye-care professionals.
[Mh] Termos MeSH primário: Competência Clínica/normas
Assistentes de Oftalmologia/normas
Optometria/normas
[Mh] Termos MeSH secundário: Currículo
Técnica Delfos
Avaliação Educacional
Pessoal de Saúde/normas
Seres Humanos
Moçambique
Assistentes de Oftalmologia/educação
Optometria/educação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151223
[St] Status:MEDLINE
[do] DOI:10.1111/cxo.12282


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[PMID]:26550976
[Au] Autor:Holtzer-Goor KM; van Vliet EJ; van Sprundel E; Plochg T; Koopmanschap MA; Klazinga NS; Lemij HG
[Ad] Endereço:*Department of Health Policy and Management, Institute for Medical Technology Assessment, Erasmus University Rotterdam †Rotterdam Ophthalmic Institute, Rotterdam Eye Hospital, Rotterdam §Department of Social Medicine, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, The Netherlands ‡School of Public Health, KULeuven, University of Leuven, Leuven, Belgium.
[Ti] Título:Shared Care in Monitoring Stable Glaucoma Patients: A Randomized Controlled Trial.
[So] Source:J Glaucoma;25(4):e392-400, 2016 Apr.
[Is] ISSN:1536-481X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Comparing the quality of care provided by a hospital-based shared care glaucoma follow-up unit with care as usual. PATIENTS AND METHODS: This randomized controlled trial included stable glaucoma patients and patients at risk for developing glaucoma. Patients in the Usual Care group (n=410) were seen by glaucoma specialists. In the glaucoma follow-up unit group (n=405), patients visited the glaucoma follow-up unit twice followed by a visit to a glaucoma specialist. The main outcome measures were: compliance to the working protocol by glaucoma follow-up unit employees; difference in intraocular pressure between baseline and at ≥18 months; and patient satisfaction. RESULTS: Glaucoma follow-up unit employees closely adhered to the working protocol for the measurement of intraocular pressure, visual acuity and GDx (≥97.5% of all visits). Humphrey Field Analyzer examinations were not performed as frequently as prescribed by the working protocol, but more often than in the Usual Care group. In a small minority of patients that required back-referral, the protocol was disregarded, notably when criteria were only slightly exceeded. There was no statistically significant difference in changes in intraocular pressure between the 2 treatment groups (P=0.854). Patients were slightly more satisfied with the glaucoma follow-up unit employees than with the glaucoma specialists (scores: 8.56 vs. 8.40; P=0.006). CONCLUSIONS: In general, the hospital-based shared care glaucoma follow-up closely observed its working protocol and patients preferred it slightly over the usual care provided by medical doctors. The glaucoma follow-up unit operated satisfactorily and might serve as a model for shared care strategies elsewhere.
[Mh] Termos MeSH primário: Glaucoma/terapia
Equipe de Assistência ao Paciente/organização & administração
Garantia da Qualidade dos Cuidados de Saúde
Qualidade da Assistência à Saúde/normas
[Mh] Termos MeSH secundário: Idoso
Feminino
Glaucoma/fisiopatologia
Seres Humanos
Pressão Intraocular/fisiologia
Masculino
Meia-Idade
Monitorização Fisiológica
Assistentes de Oftalmologia/organização & administração
Assistentes de Oftalmologia/normas
Oftalmologia/organização & administração
Oftalmologia/normas
Optometria/organização & administração
Optometria/normas
Satisfação do Paciente
Assistência Centrada no Paciente
Tonometria Ocular
Acuidade Visual
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1608
[Cu] Atualização por classe:160330
[Lr] Data última revisão:
160330
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151110
[St] Status:MEDLINE
[do] DOI:10.1097/IJG.0000000000000335


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[PMID]:25662363
[Au] Autor:Shah K; Naidoo K; Chagunda M; Loughman J
[Ad] Endereço:Dublin Institute of Technology, Dublin, Ireland. Electronic address: kajshah@aol.com.
[Ti] Título:Evaluations of refraction competencies of ophthalmic technicians in Mozambique.
[So] Source:J Optom;9(3):148-57, 2016 Jul-Sep.
[Is] ISSN:1989-1342
[Cp] País de publicação:Spain
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Ophthalmic technicians (OT) work at health facilities in Mozambique and are trained to provide primary and secondary eye care services including basic refraction. This study was designed to assess OT competence and confidence in refraction, and investigate whether an upskilling programme is effective in developing their competence and confidence at refraction. METHODS: Thirty-one trainee OTs and 16 qualified OTs were recruited to the study. A background questionnaire was administered to determine the demographic profile of the OTs. A confidence levels questionnaire explored their self-reported skills. Clinical competencies were assessed in relation to knowledge (theory exam) and clinical skills (patient exams). 11 OTs were upskilled and the clinical evaluations carried out post training. RESULTS: Initial evaluations demonstrated that confidence and competence levels varied depending on the OTs training (location and duration), and their location of work (clinical load, availability of equipment and other eye care personnel). The qualified OTs were more competent than trainee OTs in most of the evaluations. Post upskilling results demonstrated significant positive impact on confidence and competence levels. CONCLUSION: These evaluations identified factors affecting the refraction competencies of the OTs and demonstrated that upskilling is effective in improving confidence and competence levels for refraction. They demonstrate the need for a refraction competency framework. The overarching aim of this research was to inform the development of a nationwide programme of OT mentoring, upskilling and leading to the establishment of clinical competency standards for the new OT curricula, relevant to the professional demands.
[Mh] Termos MeSH primário: Competência Clínica/normas
Assistentes de Oftalmologia/normas
Oftalmologia/normas
Optometria/normas
[Mh] Termos MeSH secundário: Adulto
Educação Baseada em Competências
Avaliação Educacional
Feminino
Seres Humanos
Masculino
Meia-Idade
Moçambique
Assistentes de Oftalmologia/educação
Procedimentos Cirúrgicos Oftalmológicos
Oftalmologia/educação
Optometria/economia
Erros de Refração/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170418
[Lr] Data última revisão:
170418
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150210
[St] Status:MEDLINE


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[PMID]:26653263
[Au] Autor:Paudel P; Cronjé S; O'Connor PM; Rao GN; Holden BA
[Ad] Endereço:a Brien Holden Vision Institute , Sydney , New South Wales , Australia .
[Ti] Título:Clinical Competency of 1-Year Trained Vision Technicians in Andhra Pradesh, India.
[So] Source:Ophthalmic Epidemiol;22(6):409-16, 2015.
[Is] ISSN:1744-5086
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To assess clinical competency of 1-year trained vision technicians (VTs) in detecting and referring causes of visual impairment in India. METHODS: Eye examination results and management plans for 328 patients examined by 24 VTs in 24 vision centers of LV Prasad Eye Institute in Andhra Pradesh were compared with those of a standard optometrist who examined the same patients. Eye examinations included retinoscopy and subjective refraction, slit lamp examination, applanation tonometry and undilated direct ophthalmoscopy. Data were analyzed for level of concordance in retinoscopy, spectacle prescription, disease detection and referral. RESULTS: VTs demonstrated moderate to good levels of agreement in refraction, disease detection and referral. Sensitivity and specificity for ocular pathology identification were 77.4% (95% confidence interval, CI, 69.4-84.2%) and 86.6% (95% CI 81.1-91.1%), respectively. The highest sensitivity was demonstrated in detecting significant cataract (91.5%) and refractive error (83.0%). VT spectacle prescriptions were accurate 76% of the time for mean spherical equivalent and 65% of the time for astigmatism. VT sensitivity in detecting posterior segment abnormalities was low (18.5%) resulting in failure to detect retinal conditions such as diabetic retinopathy and maculopathy. Despite lack of recognition of the specific pathology, referral decisions were correct in 78.4% of cases. CONCLUSION: VTs in India competently detect and manage or refer the two most common causes of visual impairment; uncorrected refractive error and cataract. Over two-thirds of patients received accurate and appropriate services from VTs, suggesting that they are a useful and competent cadre for rural and remote eye care.
[Mh] Termos MeSH primário: Competência Clínica/normas
Avaliação Educacional
Assistentes de Oftalmologia/educação
Assistentes de Oftalmologia/normas
Testes Visuais/normas
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Estudos Transversais
Óculos/normas
Reações Falso-Positivas
Feminino
Seres Humanos
Índia
Masculino
Meia-Idade
Oftalmoscopia/normas
Valor Preditivo dos Testes
Prescrições/normas
Refração Ocular
Reprodutibilidade dos Testes
Retinoscopia/normas
Serviços de Saúde Rural
Sensibilidade e Especificidade
Lâmpada de Fenda/normas
Tonometria Ocular/normas
Pessoas com Deficiência Visual/reabilitação
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T; VALIDATION STUDIES
[Em] Mês de entrada:1607
[Cu] Atualização por classe:151215
[Lr] Data última revisão:
151215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151215
[St] Status:MEDLINE
[do] DOI:10.3109/09286586.2015.1082605


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[PMID]:26052087
[Au] Autor:Kopplin LJ; Mansberger SL
[Ad] Endereço:Casey Eye Institute, Oregon Health & Science University, Portland, Oregon.
[Ti] Título:Predictive value of screening tests for visually significant eye disease.
[So] Source:Am J Ophthalmol;160(3):538-546.e3, 2015 Sep.
[Is] ISSN:1879-1891
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine the predictive value of ophthalmic screening tests with visually significant eye disease in a cohort of American Indian/Alaskan Natives from the Pacific Northwest. DESIGN: Validity assessment of a possible screening protocol. METHODS: Ophthalmic technicians performed a screening examination including medical and ocular history, best-corrected visual acuity, limbal anterior chamber depth assessment, frequency-doubling technology perimetry (FDT, C-20-5), confocal scanning laser ophthalmoscopy, nonmydriatic digital photography, and tonometry on 429 participants. An ophthalmologist performed a comprehensive eye examination on subjects with 1 or more abnormal screening tests and a random selection of those with normal screening tests. We used univariate and multivariate logistic regression to determine the association between abnormal screening test results and visually significant eye disease. We also determined the predictive value of screening tests with ocular disease. RESULTS: Univariate analysis identified history of eye disease or diabetes mellitus (P < .001), visual acuity <20/40 (P < .001), abnormal/poor-quality confocal scanning laser ophthalmoscopy (P < .001), abnormal FDT (P < .001), and abnormal/poor-quality nonmydriatic imaging (P < .001) as associated with visually significant eye disease. A multivariate analysis found visually significant eye disease to be associated (P < .001; receiver operating characteristic curve area = 0.827, negative predictive value = 84%) with 4 screening tests: visual acuity <20/40, abnormal/poor-quality nonmydriatic imaging, abnormal FDT, and abnormal/poor-quality confocal scanning laser ophthalmoscopy. CONCLUSIONS: Ophthalmic technicians performing a subset of screening tests may provide an accurate and efficient means of screening for eye disease in an American Indian/Alaskan Native population. Confirmation of these results in other populations, particularly those with a different profile of disease prevalence, is needed.
[Mh] Termos MeSH primário: Oftalmopatias/diagnóstico
Oftalmopatias/etnologia
Índios Norte-Americanos/etnologia
Inuítes/etnologia
Seleção Visual/instrumentação
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Reações Falso-Positivas
Feminino
Seres Humanos
Masculino
Meia-Idade
Noroeste dos Estados Unidos/epidemiologia
Assistentes de Oftalmologia/normas
Fotografia
Valor Preditivo dos Testes
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Tomografia de Coerência Óptica
Tonometria Ocular
Acuidade Visual/fisiologia
Testes de Campo Visual
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.; VALIDATION STUDIES
[Em] Mês de entrada:1511
[Cu] Atualização por classe:170723
[Lr] Data última revisão:
170723
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:150609
[St] Status:MEDLINE


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[PMID]:25439603
[Au] Autor:Pandit RR; Boland MV
[Ad] Endereço:Glaucoma Center of Excellence, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland; Dana Center for Preventive Ophthalmology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
[Ti] Título:Impact of digital imaging and communications in medicine workflow on the integration of patient demographics and ophthalmic test data.
[So] Source:Ophthalmology;122(2):227-32, 2015 Feb.
[Is] ISSN:1549-4713
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine the impact of a Digital Imaging and Communications in Medicine (DICOM) workflow on the linkage of demographic information to ophthalmic testing data. DESIGN: Evaluation of technology. PARTICIPANTS: Six hundred ninety-nine visual field testing encounters performed by 6 ophthalmic technicians and the transfer error queue of 37 442 ophthalmic test results. METHODS: At 3 months before and 6 and 18 months after implementation of a DICOM workflow, technicians recorded the work required to enter, confirm, or edit patient demographics in each visual field device. We also determined the proportion of imaging tests sent to an error queue for manual reconciliation because of incorrect demographic information before and 3, 6, and 18 months after the DICOM workflow was established. MAIN OUTCOME MEASURES: The proportion of testing encounters for which staff had to enter, edit, or merge patient demographics and the proportion of misfiled images. RESULTS: Staff entered, edited, or merged data for 48% of patients before implementation (n = 237). This decreased to 24% within 6 months and 20% within 18 months of implementing the DICOM archive (n = 230 and n = 232, respectively). Staff could locate a patient in a DICOM work list for 97% of encounters at 3 months and 99% at 18 months. Before implementation, 9.2% of the images required additional intervention to be associated with the correct patient (n = 3581). This decreased by 85% over 6 months to 1.4% (n = 9979; P < 0.01). There was an increase in the percentage of misfiled images between 6 and 18 months from 1.4% to 2.2% (n = 24 549; P < 0.01), representing an overall 76% decrease over 18 months relative to the pre-DICOM period. CONCLUSIONS: Implementation of a DICOM-compatible workflow in an ophthalmology clinic reduced the need to enter or edit patient demographic information into imaging or testing devices by more than 50% and reduced the need to manage misfiled images by 76%. In a clinical environment that demands both efficiency and patient safety, the DICOM workflow is an important update to current practice.
[Mh] Termos MeSH primário: Redes de Comunicação de Computadores
Sistemas de Gerenciamento de Base de Dados
Diagnóstico por Imagem
Técnicas de Diagnóstico Oftalmológico
Sistemas de Informação em Saúde/organização & administração
Campos Visuais
Fluxo de Trabalho
[Mh] Termos MeSH secundário: Registros Eletrônicos de Saúde
Seres Humanos
Registro Médico Coordenado
Assistentes de Oftalmologia
Tomografia de Coerência Óptica
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1504
[Cu] Atualização por classe:161019
[Lr] Data última revisão:
161019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141203
[St] Status:MEDLINE


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[PMID]:23984479
[Ti] Título:Lorrie Durbin, RN, BSN, COMT.
[So] Source:Insight;38(3):32, 2013.
[Is] ISSN:1060-135X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: História da Enfermagem
Assistentes de Oftalmologia/história
[Mh] Termos MeSH secundário: Certificação
Bacharelado em Enfermagem
Reeducação Profissional
História do Século XX
História do Século XXI
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; PORTRAITS
[Ps] Nome de pessoa como assunto:Durbin L
[Em] Mês de entrada:1310
[Cu] Atualização por classe:130829
[Lr] Data última revisão:
130829
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:130830
[St] Status:MEDLINE


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[PMID]:22903147
[Au] Autor:Schütt F; Bruckner T; Schäfer K; Lehnhoff D; Rudofsky G; Kasperk C; Nawroth P; Auffarth GU
[Ad] Endereço:Augenklinik, Universität Heidelberg, INF 400, 69120, Heidelberg, Deutschland. florian.schuett@med.uni-heidelberg.de
[Ti] Título:[Fundus screening by medical technicians].
[Ti] Título:Fundusscreening durch Assistenzpersonal..
[So] Source:Ophthalmologe;110(2):154-9, 2013 Feb.
[Is] ISSN:1433-0423
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Ocular fundus photography allows detection of both ocular and systemic diseases. This study investigated the efficacy of a broad screening in a department of internal medicine using nonmydriatic digital fundus photography. For 8 weeks a medical technician was trained in using the camera as well as interpreting the photographs. The medical technician and an ophthalmologist evaluated the fundus photographs separately by using a self-developed questionnaire. The fundus camera was user-friendly and after several weeks of adjustment and practical application the medical technician was able to detect the majority of pathological fundus photographs. Out of 218 patients examined 148 (68%) were identified as pathological by the medical technician and 163 (75%) by the ophthalmologist (p = 0.0003). The medical technician missed 15 (7%) patients. Furthermore the diagnoses made by the medical technician were faulty. In summary an ophthalmological screening by a medical technician is feasible but the diagnosis still remains the responsibility of ophthalmologists. Such a compromise could facilitate the examination of a large number of patients and disclose previously unrecognized diseases.
[Mh] Termos MeSH primário: Angiofluoresceinografia/estatística & dados numéricos
Assistentes de Oftalmologia/estatística & dados numéricos
Médicos/estatística & dados numéricos
Competência Profissional
Doenças Retinianas/diagnóstico
Doenças Retinianas/epidemiologia
[Mh] Termos MeSH secundário: Feminino
Alemanha/epidemiologia
Seres Humanos
Masculino
Meia-Idade
Variações Dependentes do Observador
Prevalência
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
[Pt] Tipo de publicação:COMPARATIVE STUDY; ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1311
[Cu] Atualização por classe:171014
[Lr] Data última revisão:
171014
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:120821
[St] Status:MEDLINE
[do] DOI:10.1007/s00347-012-2649-1



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