Over recent years the British Government has pursued a policy encouraging the integration of primary and secondary health care.
This drive to promote the efficient delivery of primary care at local centres has seen the forging of co-operative alliances between various healthcare practitioners.
A notable development has been the growth of optometric practice-based schemes for monitoring the eyecare of diabetic patients.
This paper reports on the first twelve months operation (April 1995-March 1996, inclusive) of such a'collaborative care'scheme operating in the Kettering Health Area of Northamptonshire.
With the co-operation of their general medical practitioner (GMP) and under the case-review of the hospital-based specialist, diabetic patients attended participating optometric practices for an annual sight test and eye examination including mandatory fundus assessment under mydriasis.
A brief'ticked menu'report was subsequently forwarded to the patient's GMP for filing or action as necessary.
A copy was also sent to the hospital clinic to enable updating of the diabetic patient database and for the authorisation of the supplementary fee payable to the examining optometrist.
An audit of the first year of operation has indicated that those 92% of optometrists in the locality who participated in the programme logged 34% of the projected diabetic population of the Kettering Health Area.
Of these individuals, 10. (...)
Mots-clés Pascal : Diabète, Surveillance, Dépistage, Programme sanitaire, Complication, Oeil, Optométrie, Grande Bretagne, Royaume Uni, Europe, Homme, Endocrinopathie
Mots-clés Pascal anglais : Diabetes mellitus, Surveillance, Medical screening, Sanitary program, Complication, Eye, Optometry, Great Britain, United Kingdom, Europe, Human, Endocrinopathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0430149
Code Inist : 002B21E01C. Création : 25/01/1999.