意大利青光眼虚拟诊所:为远程患者管理达成共识。

IF 3 3区 医学 Q1 OPHTHALMOLOGY
Francesco Matarazzo, Carlo Alberto Cutolo, Alessandro Rabiolo, Michele Figus, Antonio Fea, Stefano Gandolfi, Corrado Gizzi, Gianluca Manni, Giorgio Marchini, Giovanni Montesano, Carlo Nucci, Maria Laura Passaro, Dario Romano, Luca Rossetti, Matteo Sacchi, Lucia Tanga, Carlo Enrico Traverso, Giacinto Triolo, Gianni Virgili, Francesco Oddone, Ciro Costagliola
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引用次数: 0

摘要

目的:就意大利实施青光眼虚拟诊所的指南建立专家共识,重点关注患者适用性、基本临床评估和人员配备要求。方法:采用改进的德尔菲法在选定的意大利青光眼专家中取得共识。指导小组制定了一份包含66个项目的结构化问卷,涉及关键领域:患者类别、临床评估、角色和人员配置以及青光眼虚拟诊所实施指南。一个专家小组对每个项目进行了多轮审查和评分,以达成共识。结果:19位受邀青光眼专家中,分别有16位和11位参加了第1轮和第2轮。57.6%的问题达成了共识,确定了适合青光眼虚拟诊所的特定患者概况、基本诊断测试和虚拟环境中所需的角色。专家们一致认为标准化评估的重要性和青光眼虚拟诊所结构中支持人员(如骨科医生和眼科助理)的必要性。结论:德尔菲小组为在意大利实施青光眼虚拟诊所提供了指导,建立了患者选择、所需评估和人员需求的指导方针。量身定制的青光眼虚拟诊所可以提高青光眼护理的可及性,简化工作流程并满足医疗保健系统不断增长的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Italian glaucoma virtual clinics: Developing a consensus for remote patient management.

Purpose: To establish expert consensus on guidelines for implementing glaucoma virtual clinics in Italy, focusing on patient suitability, essential clinical assessments and staffing requirements.

Methods: A modified Delphi method was used to achieve consensus among selected Italian glaucoma specialists. The steering group developed a structured questionnaire with 66 items across key areas: Patient Categories, Clinical Assessments, Roles and Staffing and Guidelines for glaucoma virtual clinic implementation. A panel of experts reviewed and rated each item across multiple rounds to reach consensus.

Results: Out of 19 invited glaucoma specialists, 16 and 11 participated in rounds 1 and 2, respectively. Consensus was achieved on 57.6% of the questions, identifying specific patient profiles suitable for glaucoma virtual clinics, essential diagnostic tests and required roles in a virtual setting. Experts agreed on the importance of standardized assessments and the necessity of support staff such as orthoptists and ophthalmic assistants in the glaucoma virtual clinic structure.

Conclusion: This Delphi panel provides guidance for implementing glaucoma virtual clinics in Italy, establishing guidelines on patient selection, required assessments and staffing needs. Tailored glaucoma virtual clinics can enhance glaucoma care accessibility, streamline workflows and address the growing demand from healthcare systems.

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来源期刊
Acta Ophthalmologica
Acta Ophthalmologica 医学-眼科学
CiteScore
7.60
自引率
5.90%
发文量
433
审稿时长
6 months
期刊介绍: Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.
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