Establishment of a New Retinal Service in Remote Western Australia: Kimberley Hub—A Comparative Audit 2019–2022

IF 1.9 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2025-02-17 DOI:10.1111/ajr.13217

James Wiffen, Jocelyn Drinkwater, Vaibhav Shah, Angus Turner

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引用次数: 0

Abstract

Background

Lions Outback Vision provides access to specialist eye care in rural and remote Western Australia. In 2020, the Kimberley Hub was established as a new regional base in Broome for outreach services in the northwest of the state. Vitreoretinal services commenced for the first time in Broome in 2021.

This is a retrospective audit of retinal services provided by Lions Outback Vision in the year prior to, and following, establishment of the Kimberley Hub.

Methods

All ophthalmology occasions of service in the Kimberley in 2019 (1/1/19–31/12/19) were compared with those from April 2021 to March 2022.

Data are presented as number (percentage) and mean ± SD as continuous data was normally distributed. Two-way comparisons were by chi-square test.

Results

Occasions of service increased by 75% from 3307 to 5793 between the 2019 and 2021/22 periods respectively. Nonattendance significantly reduced from 28.5% to 18.7% (p < 0.001). In the 12 months following the introduction of vitreoretinal capabilities, 42 surgeries were performed on 35 people (mean ± SD age of 56.1 ± 13.1 years at first surgery), 17 (48.6%) were male, 29 (82.9%) identified as Aboriginal or Torres Strait Islander and 19 (54.3%) had diabetes. Nine (21.4%) of these cases were emergency procedures. The number of intravitreal injections given significantly increased by 87% between 2019 and 2021/22. There were 3.5 times more laser photocoagulative procedures.

Conclusion

Establishment of the Kimberley Hub saw increased appointments, reduced nonattendance and establishment of the first vitreoretinal service in remote Western Australia.

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在偏远的西澳大利亚建立新的视网膜服务：金伯利中心-对比审计2019-2022

狮子内陆视力为偏远的西澳大利亚农村地区提供专业的眼科护理。2020年，金伯利中心在布鲁姆建立了一个新的区域基地，用于该州西北部的外展服务。玻璃视网膜服务于2021年首次在布鲁姆开始。这是对金伯利中心建立前一年和之后一年由狮群内陆视觉公司提供的视网膜服务的回顾性审计。方法对金伯利医院2019年1月1日至2019年12月31日的所有眼科服务场合进行比较。数据以数字（百分比）和均值±SD表示，连续数据为正态分布。双向比较采用卡方检验。结果2019年和2021/22年期间，服务次数分别从3307次增加到5793次，增加了75%。缺勤率从28.5%显著降低到18.7% （p < 0.001）。在引入玻璃体视网膜功能后的12个月内，对35例患者（首次手术时平均±SD年龄56.1±13.1岁）进行了42例手术，其中17例（48.6%）为男性，29例（82.9%）为土著或托雷斯海峡岛民，19例（54.3%）为糖尿病患者。其中9例（21.4%）为急诊。2019年至2021/22年间，玻璃体内注射次数显著增加了87%。激光光凝手术次数多3.5倍。金伯利中心的建立增加了预约，减少了缺勤，并在偏远的西澳大利亚建立了第一个玻璃体视网膜服务。

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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来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.