Time spent on eye disease screening, optical care, and care navigation within a federally qualified health center

Madeline K. Weber , Maria A. Woodward , Ming-Chen Lu , Leslie M. Niziol , Jade Livingston , Mildred Silva Zuccaro , Suzanne Winter , Rithambara Ramachandran , Leroy Johnson , Amanda K. Bicket , Angela R. Elam , Paula Anne Newman-Casey
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引用次数: 0

Abstract

Purpose

To quantify time spent on eye disease screening, optical care, and care navigation tasks during the Michigan Screening and Intervention for Glaucoma and Eye Health through Telemedicine (MI-SIGHT) program at a federally qualified health center (FQHC) in Michigan, with the goal of anticipating workforce needs to inform the scalability of similar programs in low-resource settings.

Design

Cross-sectional study.

Methods

Ophthalmic technicians recorded time spent with MI-SIGHT participants on eye disease screening tasks and optical care over 22 days from October 1 to October 31, 2023, and care navigation tasks over 22 days from December 4, 2023, to February 2, 2024. Eye disease screening tasks included a health history, measuring visual acuity, contrast sensitivity, intraocular pressure, pachymetry, taking external and fundus photos and macular and retinal nerve fiber layer optical coherence tomography images. Optical care tasks included refraction, ordering glasses, coordinating glasses pickups, dispensing and fitting glasses, and handling returns. Care navigation tasks included scheduling follow-up appointments, assisting with insurance, and providing medical interpretation and education. Minutes spent on tasks were summarized with descriptive statistics (mean, standard deviation, median, minimum, and maximum). Full-time equivalent (FTE) was calculated as the percentage of full-time hours over 22 days.

Results

154 participants receiving care through the MI-SIGHT program were included. Technicians spent 21.4 % of an FTE on eye disease screening, 23.6 % on optical care, and 12.1 % on care navigation, with remaining FTE spent on other tasks including outreach, study coordination and research (42.9 %).

Conclusions

Integrating optical care and care navigation services within a free eye disease screening program is time-intensive but can help deliver comprehensive, accessible eye care to low-income populations. The MI-SIGHT program offers a model for expanding eye care services in FQHCs and improving vision outcomes for medically underserved communities. This study provides insights into personnel needs to guide the scaling of similar programs in low-resource settings.

Precis

The Michigan Screening and Intervention for Glaucoma and Eye Health through Telemedicine (MI-SIGHT) program offers a novel approach to eye care by providing free eye disease screenings, optical services, and care navigation at a federally qualified health center to improve vision outcomes and eye health in underserved communities. This time study provides workforce estimates to guide the scaling of similar comprehensive eye care programs in low-resource settings.
在联邦认证的健康中心进行眼病筛查、光学护理和护理导航的时间
目的量化密歇根州联邦合格医疗中心(FQHC)通过远程医疗(MI-SIGHT)项目进行青光眼和眼健康筛查和干预(MI-SIGHT)期间花在眼病筛查、光学护理和护理导航任务上的时间,目的是预测劳动力需求,为低资源环境下类似项目的可扩展性提供信息。DesignCross-sectional研究。方法眼科技术人员记录MI-SIGHT参与者在2023年10月1日至10月31日22天内完成眼病筛查任务和光学保健任务的时间,以及在2023年12月4日至2024年2月2日22天内完成护理导航任务的时间。眼病筛查任务包括健康史、测量视力、对比敏感度、眼压、视厚测量、拍摄外部和眼底照片以及黄斑和视网膜神经纤维层光学相干断层扫描图像。光学护理任务包括折射、订购眼镜、协调眼镜取货、配药和安装眼镜以及处理退货。护理导航任务包括安排随访预约、协助保险、提供医疗口译和教育。用描述性统计(平均值、标准差、中位数、最小值和最大值)总结完成任务的分钟数。全职当量(FTE)是以超过22天的全职时数所占百分比计算。结果154名通过MI-SIGHT项目接受治疗的参与者被纳入。技术人员将21.4%的FTE用于眼病筛查,23.6%用于光学护理,12.1%用于护理导航,剩余的FTE用于其他任务,包括外展、研究协调和研究(42.9%)。结论在免费眼病筛查项目中整合眼科护理和护理导航服务耗时长,但有助于为低收入人群提供全面、可及的眼科护理。MI-SIGHT项目提供了一种模式,用于扩大fqhc的眼科保健服务,并改善医疗服务不足社区的视力结果。本研究提供了对人员需求的见解,以指导在低资源环境下类似项目的规模。密歇根州青光眼和眼健康远程医疗筛查和干预(MI-SIGHT)项目提供了一种新颖的眼保健方法,通过在联邦合格的健康中心提供免费的眼病筛查、光学服务和护理导航,以改善服务不足社区的视力结果和眼健康。这项研究提供了劳动力估计,以指导在低资源环境下类似的综合眼科护理项目的规模。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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