CAPÍTULO 2: CONTEXTO OPERACIONAL DE LA MAQUINARIA
2.3. VISITA TÉCNICA
I
-I > Dr J o h n 8 Y udkin MD FR C P C o n s u l t a n t / S e n i o r L e c t u r e r in G e n e r a l M e d i c i n e a n d D ia b e t e s Dr B rian H urwitz R e s e a r c h F ello w a n d G e n e r a l P r a c t i t i o n e r C a r o l i n e G o o d m a n R e s e a r c h A s s i s t a n ty /
| 0 i^ € c ù W \aadR__ j j / ^
ID No: PROM PTED C OM M UNITY CARE OF DIABETES
CO N FID EN TIA L Q U ESTIO N N AIRE TO PAR TIC IPA TIN G O P TO M E TR ISTS Introduction
This questionnaire seeks to elicit the views of participating optometrists as to the functioning of the recall system. This comprises biannual prompts to non-insulin treated patients for blood and urine tests followed by clinical review in general practice and annual prompts to attend an optometrist for refraction and fundoscopy. The optometrist fills out a review form and sends the bottom copy of this form back to the Whittington Diabetic Office. A copy of this review form is then sent to the general practitioner.
During the pilot study, 100 patients have had their diabetes reviewed in this manner over the past
2
^ years. Because some of these patients have continued to attend hospital ophthalmic outpatients, only approximately 70 have received retinal screening by optometrists. During this period a total of 143 optometry prompts to patients have been issued.We would be grateful if you would answer the following questions and add comments. Your responses will be carefully considered and fed back.
Please circle the number or enter your responses where appropriate.
1. In your opinion, is this prompting and recall system a satisfactory method of organising retinal screening for type II diabetic patients?
[p le a s e circle]
Very Poor Excellent
Scô^e
2
3
"
5
4.02. How confident do you feel about detecting the following forms of diabetic retinopathy in these patients?
[p le a s e circle]
Not At All Confident Very Confident
Background 1 2 3 4 5 4" ' ^ R etinopathy Preproliferative 1 2 3 4 5 ^ . o Retinopathy Proliferative R etinopathy
1 9 4
Do you routinely dilate the pupils of diabetic patients not in this study who attend for refraction and retinal screening?
[p le a se tick]
N ev er
O c c a s io n a lly
A lw a y s (u n less co n tra -in d ic ate d )
'°y.
4 0%
Have you dilated the pupils of patients in this study who have attended for refraction and retinal screening?
[p le a se tick]
N e v e r
O c c a s io n a lly
A lw a ys (un less c on tra-in d icated)
0
W e would like to know how you find the optometry review forms work when reviewing a diabetic patient. Are the forms:
[p le a se circle]
U seless 1
U seful 5
Too Sim ple
1 2 Too C o m p lex 5 2 •
{9
Provide Too Little Space1
P ro v id e Too M uch S pace 3 . 3Please indicate below any modifications which you would find helpful including omissions or further inclusions. You may write on the enclosed optometry review form attached to the back of this questionnaire if you wish.
__________________________________________-\trrV_______________________________________
7a. Have you referred any of the study patients to ophthalmic outpatients?
[p le a se circle]
Y es b o
7.
No If no please go to q u estion
8
If yes:
7b. Do you find that the method of referral using the referral box on the form is acceptable?
[p lease circle] 5
Yes ^ No Other ______________________________
C om m ents__________ ____________________________________________________
7c. Have you received any feedback from ophthalmic outpatients about patients in this scheme who you have referred?
[p lease circle)
Always Sometimes Never
8a. Would you be prepared to continue participating in a similar schem e if the number of patients was significantly expanded?
[p lease circle]
Yes tUU
L
No Not SurePlease elaborate:
8b. If your answer to 8a was yes, please indicate approximately how many diabetic patients per month you currently test, and how many extra you could cope with.
Approx No. of diabetic patients currently tested per month ^
Approx No. of diabetic patients who could be tested per month 4"^
9. In the current prompting system, who do you feel is mainly responsible for detecting and monitoring onset of diabetic eye disease in the study patients?
[p lease circle the num ber[s] which applies]
1. GPs
2. Hospital ( ^
3. Optometrists
^
^4. Other - please state-
5. Don’t Know
Please give reasons tor your choice:
TH A N K YO U FOR A N S W E R IN G T H IS O U E S T IO N N A IR E . PLEASE R E TU R N T H E C O M P LE TE D Q U E S T IO N N A IR E IN TH E E N V ELO PE PR O V ID ED .
Appendix 1 4 ; Prompted care of Type II diabetic patients.
Hurwitz Goodman & Yudkin, Br M e d J 1993.
Reprinted from the BRITISH MEDICAL JOURNAL, 6th M arch 1993, Vol. 306, Pages 624-630