Commissioning Diabetic Eye Screening by Optometrists: A Local Initiative at the Primary-Secondary Care Interface

1994 ◽  
Vol 1 (1) ◽  
pp. 13-15 ◽  
Author(s):  
Andrew Harris ◽  
Christopher Bonell ◽  
Tyrrell Evans ◽  
Geoffrey Roberson
Keyword(s):  
Health Services ◽  
Future Development ◽  
Secondary Care ◽  
Research Agenda ◽  
Family Health ◽  
Local Initiative ◽  
Eye Screening ◽  
Set Up ◽  
Diabetic Eye Screening ◽  
Key Questions

The rationale behind the decision of a London family health services authority (Lambeth, Southwark, and Lewisham) to embark on a programme for diabetic eye screening by optometrists is outlined, discussing the way in which the scheme was set up and its possible future development. This family health services authority brought together a range of professionals across primary and secondary care to reach agreement on development of the service, and a consensus on clinical guidelines for operation of the scheme. This was particularly difficult in an area served by four hospitals which provide care to diabetics. Development of the scheme identified key questions about quality which have promoted a separate research agenda.

Multi-phase information aggregation and dynamic synthetic evaluation based on grey inspiriting control lines

2014 ◽  
Vol 4 (2) ◽  
pp. 154-163 ◽  
Author(s):  
San-dang Guo ◽  
Sifeng Liu ◽  
Zhigeng Fang ◽  
Lingling Wang
Keyword(s):  
Future Development ◽  
Information Aggregation ◽  
Development Trend ◽  
Future Application ◽  
Phase Information ◽  
Content Type ◽  
Multi Stage ◽  
Comprehensive Evaluations ◽  
Set Up ◽  
Multi Phase

Purpose – The purpose of this paper is to put forward a multi-stage information aggregation method based on grey inspiriting control lines to evaluate the objects dynamically and comprehensively. Design/methodology/approach – According to the evaluation value of the objects, the positive and negative incentive lines were set up and the predicted values were solved based on the grey GM(1, 1) model, so the value with expected information could be evaluated. In the evaluation, the part above the positive incentive line should be “rewarded” and that below the negative incentive line should be “punished” appropriately. Thereby the double incentive effects of “the current development situation and future development trend” to objects could be implemented on the basis of control. Findings – This method can primarily describe the decision maker's expectancy of the development of evaluation objects and make the evaluation results have better practical application value. Research limitations/implications – Many comprehensive evaluations were always based on the past information. However, the future development trend of the evaluated object is also very important. This study can be used in the evaluation for future application and development. Originality/value – The paper succeeds in providing not only a method of multi-phase information aggregation with expectancy information, but also a simple and convenient method solving nonlinear inspiring lines objectively.

scholarly journals Professional training in physiotherapy: barriers to the diversification of practical learning scenarios and for teaching-service integration

2018 ◽  
Vol 31 (0) ◽  
Author(s):  
Ana Paula Maihack Gauer ◽  
Fátima Ferretti ◽  
Carla Rosane Paz Arruda Teo
Keyword(s):  
Public Health ◽  
Health Services ◽  
Professional Training ◽  
Service Integration ◽  
Public Health Services ◽  
Unified Health System ◽  
Teachers And Students ◽  
Learning Scenarios ◽  
Set Up ◽  
Indirect Relationship

Abstract Introduction: Professional training in health, at present, aims to develop competencies and skills for a performance according the principles of the Unified Health System (SUS, in Portuguese). In this sense, the Ministries of Health and Education have set up devices for training reorientation that prioritize teaching-service integration and diversification of learning scenarios. Objective: To describe barriers to the diversification of practical learning scenarios and for teaching-service integration in a physiotherapy course from the perspective of teachers and students. Methods: This is a qualitative research developed according to the case study method, with the participation of 16 students and 11 teachers-physiotherapists. During the data collection three focus groups were established, two with students and one with professors, besides individual interviews with both the course coordinator and the pedagogical articulator of the National Program for the Reorientation of Professional Health Training of the assessed course. Data were analyzed through thematic content analysis. Results: Among the identified barriers there are students’ low participation in public health services; saturation of public health services for students to carry out practical activities; low number of physiotherapists in Primary Care; indirect relationship of Clinical School with SUS. Conclusion: In order to improve the teaching-service interaction and to diversify the learning scenarios it is necessary to prioritize an integrated planning of actions to overcome identified barriers, including the participation of both the university managers and health services.

scholarly journals Equitable access to health services for children aged 5 to 9 in a medium city of northeasth of Brazil: a result of Family Health Strategy

2014 ◽  
Vol 17 (suppl 2) ◽  
pp. 39-52 ◽  
Author(s):  
Adriana Xavier de Santiago ◽  
Ivana Cristina de Holanda Cunha Barreto ◽  
Ana Cecília Silveira Lins Sucupira ◽  
José Wellington de Oliveira Lima ◽  
Luiz Odorico Monteiro de Andrade
Keyword(s):  
Health Services ◽  
Health System ◽  
Family Health ◽  
Northeastern Brazil ◽  
Local Health ◽  
Access To Health Services ◽  
Care Services ◽  
Health Strategy ◽  
Access To Health ◽  
Family Health Strategy

INTRODUCTION: The Brazilian National Health System may reduce inequalities in access to health services through strategies that can reach those most in need with no access to care services. OBJECTIVE: To identify factors associated with the use of health service by children aged 5 to 9 years in the city of Sobral, Ceará, northeastern Brazil. RESULTS: Only 558 (17.0%) children used health care services in the 30 days preceding this survey. Children with any health condition (OR = 3.90) who were frequent attenders of primary care strategy of organization (the Family Health Strategy, FHS) (OR = 1.81) and living in the city's urban area (OR = 1.51) were more likely to use health services. Almost 80% of children used FHS as their referral care service. Children from poorer families and with easier access to services were more likely to be FHS users. CONCLUSION: The study showed that access to health services has been relatively equitable through the FHS, a point of entry to the local health system.

scholarly journals Experience gained with application of the all-european program “DIABCARE”: summing up the studies and treatment of diabetics in Novosibirsk

1996 ◽  
Vol 42 (2) ◽  
pp. 11-13
Author(s):  
Ye. A. Zhuk ◽  
V. A. Galenok ◽  
N. I. Selezneva ◽  
T. A. Anisimova ◽  
T. A. Mefodyeva
Keyword(s):  
Diabetes Mellitus ◽  
Health Services ◽  
Clinical Features ◽  
Type I Diabetes ◽  
Type I Diabetes Mellitus ◽  
Type I ◽  
The Status ◽  
European Program ◽  
Set Up

Analysis of clinical features of type I diabetes mellitus and of the status of health services using the chart of Diabcare, an All-European Program, demonstrated that the system of following up such patients is to be altered. The infrastructure of medicare is to be changed, schools are to be set up for training diabetics, diabetological centers organized, patients be provided for with means of automonitoring, and insulin supply be stable.

Training and accreditation for retinal screening and grading

2020 ◽  
pp. 139-144
Author(s):  
Karen Whitehouse
Keyword(s):  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Eye Screening ◽  
Current Requirement ◽  
Vocational Qualifications ◽  
Level 3 ◽  
Test Sets ◽  
Diabetic Eye Screening ◽  
The Uk ◽  
And Training

In all national screening programmes, staff training to confirm competency and accreditation to practice in their profession is required for patient safety. This chapter sets out an example of how the UK diabetic eye programme has evolved in this respect. The current National Vocational Qualifications (NVQ) level 3: Health screener: diabetic eye screening for personnel undertaking screening and grading, will be explained. In some programmes, slit lamp examination is now provided by graders, as well as ophthalmologists and optometrists. The current requirement is detailed. In addition, all grading staff should also participate in test and training of retinal image sets in order to confirm accuracy of grading. At least 10 test sets should be undertaken per annum.

The screening episode: visual acuity, mydriasis, and digital photography

2020 ◽  
pp. 89-100
Author(s):  
David K. Roy ◽  
Prashant Amrelia
Keyword(s):  
Visual Acuity ◽  
Diabetic Retinopathy ◽  
Chronic Disease ◽  
Image Quality ◽  
Early Detection ◽  
Subsequent Treatment ◽  
Diabetic Patients ◽  
Eye Screening ◽  
Diabetic Eye Screening ◽  
Acceptable Image Quality

Early eye screening detection and treatment is fundamental in managing significant complications of chronic disease, both for improving diabetic retinopathy (DR) clinical outcomes and improving the economic burdens. Early detection and subsequent treatment can substantially reduce the risk of blindness from DR. This chapter will review the screening episode, measuring visual acuity, drop instillation, contraindications, and correct camera operation. It will review problems associated with incorrect camera operation and the NHS Diabetic Eye Screening Programme (NHSDESP) standards of acceptable image quality. This will guide the screener in obtaining clear, well-centred, gradable digital images of the retina in diabetic patients with vision better than no perception of light in both eyes, as well as providing a greater understanding of issues associated with screening.

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