{"title":"非糖尿病视网膜病变筛查在联邦合格卫生中心初级保健设置：主动外展与护理点检测的比较。","authors":"Adam G Hidad, Paul J Bryar","doi":"10.1353/hpu.2025.a951586","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluates the efficacy of a diabetic eye care coordinator (DECC) conducting non-mydriatic diabetic retinopathy (DR) screening in federally qualified health centers (FQHCs) compared with primary care team screenings at the point-of-care (POC).</p><p><strong>Methods: </strong>The DECC model involved one person scheduling stand-alone, non-mydriatic diabetic eye-screening appointments, while the POC model incorporated these screenings into primary care visits. Metrics analyzed included average weekly screening (AWS), rate of DR, and percentage of gradable images (%GI).</p><p><strong>Results: </strong>The DECC model significantly increased AWS (from 7.3 to 15.8, p=.0005) and %GI (from 70.90% to 83.5%, p=.002). The rate of DR was similar across both models (32.77% POC vs. 34.18% DECC, p=.89).</p><p><strong>Conclusion: </strong>Implementing a DECC model significantly boosts the efficiency of diabetic retinopathy screening processes in FQHCs, potentially enhancing vision preservation efforts.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"75-81"},"PeriodicalIF":1.2000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nonmydriatic Diabetic Retinopathy Screening in the Federally Qualified Health Center Primary Care Setting: Comparison of Active Outreach Versus Point-of-Care Testing.\",\"authors\":\"Adam G Hidad, Paul J Bryar\",\"doi\":\"10.1353/hpu.2025.a951586\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study evaluates the efficacy of a diabetic eye care coordinator (DECC) conducting non-mydriatic diabetic retinopathy (DR) screening in federally qualified health centers (FQHCs) compared with primary care team screenings at the point-of-care (POC).</p><p><strong>Methods: </strong>The DECC model involved one person scheduling stand-alone, non-mydriatic diabetic eye-screening appointments, while the POC model incorporated these screenings into primary care visits. Metrics analyzed included average weekly screening (AWS), rate of DR, and percentage of gradable images (%GI).</p><p><strong>Results: </strong>The DECC model significantly increased AWS (from 7.3 to 15.8, p=.0005) and %GI (from 70.90% to 83.5%, p=.002). The rate of DR was similar across both models (32.77% POC vs. 34.18% DECC, p=.89).</p><p><strong>Conclusion: </strong>Implementing a DECC model significantly boosts the efficiency of diabetic retinopathy screening processes in FQHCs, potentially enhancing vision preservation efforts.</p>\",\"PeriodicalId\":48101,\"journal\":{\"name\":\"Journal of Health Care for the Poor and Underserved\",\"volume\":\"36 1\",\"pages\":\"75-81\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Health Care for the Poor and Underserved\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1353/hpu.2025.a951586\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health Care for the Poor and Underserved","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1353/hpu.2025.a951586","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
Nonmydriatic Diabetic Retinopathy Screening in the Federally Qualified Health Center Primary Care Setting: Comparison of Active Outreach Versus Point-of-Care Testing.
Purpose: This study evaluates the efficacy of a diabetic eye care coordinator (DECC) conducting non-mydriatic diabetic retinopathy (DR) screening in federally qualified health centers (FQHCs) compared with primary care team screenings at the point-of-care (POC).
Methods: The DECC model involved one person scheduling stand-alone, non-mydriatic diabetic eye-screening appointments, while the POC model incorporated these screenings into primary care visits. Metrics analyzed included average weekly screening (AWS), rate of DR, and percentage of gradable images (%GI).
Results: The DECC model significantly increased AWS (from 7.3 to 15.8, p=.0005) and %GI (from 70.90% to 83.5%, p=.002). The rate of DR was similar across both models (32.77% POC vs. 34.18% DECC, p=.89).
Conclusion: Implementing a DECC model significantly boosts the efficiency of diabetic retinopathy screening processes in FQHCs, potentially enhancing vision preservation efforts.
期刊介绍：
The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
