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Providing capacity in glaucoma care using trained and accredited optometrists: A qualitative evaluation

Introduction The role of optometrists in glaucoma within primary and secondary care has been well described. Whilst many studies examined safety and clinical effectiveness, there is a paucity of qualitative research evaluating enablers and barriers for optometrists delivering glaucoma care. The aims...

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Published in:Eye (London) 2024-04, Vol.38 (5), p.994-1004
Main Authors: Gunn, Patrick J. G., Read, Simon, Dickinson, Christine, Fenerty, Cecilia H., Harper, Robert A.
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description Introduction The role of optometrists in glaucoma within primary and secondary care has been well described. Whilst many studies examined safety and clinical effectiveness, there is a paucity of qualitative research evaluating enablers and barriers for optometrists delivering glaucoma care. The aims of this study are to investigate qualitatively, and from a multi-stakeholder perspective whether optometric glaucoma care is accepted as an effective alternative to traditional models and what contextual factors impact upon their success. Methods Patients were recruited from clinics at Manchester Royal Eye Hospital and nationally via a Glaucoma UK registrant database. Optometrists, ophthalmologists, and other stakeholders involved in glaucoma services were recruited via direct contact and through an optometry educational event. Interviews and focus groups were recorded and transcribed anonymously, then analysed using the framework method and NVivo 12. Results Interviews and focus groups were conducted with 38 participants including 14 optometrists and 6 ophthalmologists (from all 4 UK nations), and 15 patients and 3 commissioners/other stakeholders. Themes emerging related to: enablers and drivers; challenges and barriers; training; laser; professional practice; the role of other health professionals; commissioning; COVID-19; and patient experience. Conclusion Success in developing glaucoma services with optometrists and other health professionals is reliant on multi-stakeholder input, investment in technology and training, inter-professional respect and appropriate time and funding to set up and deliver services. The multi-stakeholder perspective affirms there is notable support for developing glaucoma services delivered by optometrists in primary and secondary care, with caveats around training, appropriate case selection and clinical responsibility.
doi_str_mv 10.1038/s41433-023-02820-5
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G. ; Read, Simon ; Dickinson, Christine ; Fenerty, Cecilia H. ; Harper, Robert A.</creator><creatorcontrib>Gunn, Patrick J. G. ; Read, Simon ; Dickinson, Christine ; Fenerty, Cecilia H. ; Harper, Robert A.</creatorcontrib><description>Introduction The role of optometrists in glaucoma within primary and secondary care has been well described. Whilst many studies examined safety and clinical effectiveness, there is a paucity of qualitative research evaluating enablers and barriers for optometrists delivering glaucoma care. The aims of this study are to investigate qualitatively, and from a multi-stakeholder perspective whether optometric glaucoma care is accepted as an effective alternative to traditional models and what contextual factors impact upon their success. Methods Patients were recruited from clinics at Manchester Royal Eye Hospital and nationally via a Glaucoma UK registrant database. Optometrists, ophthalmologists, and other stakeholders involved in glaucoma services were recruited via direct contact and through an optometry educational event. Interviews and focus groups were recorded and transcribed anonymously, then analysed using the framework method and NVivo 12. Results Interviews and focus groups were conducted with 38 participants including 14 optometrists and 6 ophthalmologists (from all 4 UK nations), and 15 patients and 3 commissioners/other stakeholders. Themes emerging related to: enablers and drivers; challenges and barriers; training; laser; professional practice; the role of other health professionals; commissioning; COVID-19; and patient experience. Conclusion Success in developing glaucoma services with optometrists and other health professionals is reliant on multi-stakeholder input, investment in technology and training, inter-professional respect and appropriate time and funding to set up and deliver services. The multi-stakeholder perspective affirms there is notable support for developing glaucoma services delivered by optometrists in primary and secondary care, with caveats around training, appropriate case selection and clinical responsibility.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/s41433-023-02820-5</identifier><identifier>PMID: 38017099</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/1537 ; 692/700/478 ; COVID-19 ; Focus groups ; Glaucoma ; Hospitals ; Humans ; Laboratory Medicine ; Medical personnel ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Optometrists ; Optometry - methods ; Patients ; Pharmaceutical Sciences/Technology ; Professionals ; Qualitative Research ; Stakeholders ; Surgery ; Surgical Oncology ; Training</subject><ispartof>Eye (London), 2024-04, Vol.38 (5), p.994-1004</ispartof><rights>The Author(s) 2023</rights><rights>2023. 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Methods Patients were recruited from clinics at Manchester Royal Eye Hospital and nationally via a Glaucoma UK registrant database. Optometrists, ophthalmologists, and other stakeholders involved in glaucoma services were recruited via direct contact and through an optometry educational event. Interviews and focus groups were recorded and transcribed anonymously, then analysed using the framework method and NVivo 12. Results Interviews and focus groups were conducted with 38 participants including 14 optometrists and 6 ophthalmologists (from all 4 UK nations), and 15 patients and 3 commissioners/other stakeholders. Themes emerging related to: enablers and drivers; challenges and barriers; training; laser; professional practice; the role of other health professionals; commissioning; COVID-19; and patient experience. 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The aims of this study are to investigate qualitatively, and from a multi-stakeholder perspective whether optometric glaucoma care is accepted as an effective alternative to traditional models and what contextual factors impact upon their success. Methods Patients were recruited from clinics at Manchester Royal Eye Hospital and nationally via a Glaucoma UK registrant database. Optometrists, ophthalmologists, and other stakeholders involved in glaucoma services were recruited via direct contact and through an optometry educational event. Interviews and focus groups were recorded and transcribed anonymously, then analysed using the framework method and NVivo 12. Results Interviews and focus groups were conducted with 38 participants including 14 optometrists and 6 ophthalmologists (from all 4 UK nations), and 15 patients and 3 commissioners/other stakeholders. Themes emerging related to: enablers and drivers; challenges and barriers; training; laser; professional practice; the role of other health professionals; commissioning; COVID-19; and patient experience. Conclusion Success in developing glaucoma services with optometrists and other health professionals is reliant on multi-stakeholder input, investment in technology and training, inter-professional respect and appropriate time and funding to set up and deliver services. 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ispartof Eye (London), 2024-04, Vol.38 (5), p.994-1004
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1476-5454
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10966092
source Springer Nature
subjects 692/1537
692/700/478
COVID-19
Focus groups
Glaucoma
Hospitals
Humans
Laboratory Medicine
Medical personnel
Medicine
Medicine & Public Health
Ophthalmology
Optometrists
Optometry - methods
Patients
Pharmaceutical Sciences/Technology
Professionals
Qualitative Research
Stakeholders
Surgery
Surgical Oncology
Training
title Providing capacity in glaucoma care using trained and accredited optometrists: A qualitative evaluation
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