Nonmydriatic Diabetic Retinopathy Screening in the Federally Qualified Health Center Primary Care Setting: Comparison of Active Outreach Versus Point-of-Care Testing.

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Tác giả: Paul J Bryar, Adam G Hidad

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: United States : Journal of health care for the poor and underserved , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 170095

PURPOSE: This study evaluates the efficacy of a diabetic eye care coordinator (DECC) conducting non-mydriatic diabetic retinopathy (DR) screening in federally qualified health centers (FQHCs) compared with primary care team screenings at the point-of-care (POC). METHODS: The DECC model involved one person scheduling stand-alone, non-mydriatic diabetic eye-screening appointments, while the POC model incorporated these screenings into primary care visits. Metrics analyzed included average weekly screening (AWS), rate of DR, and percentage of gradable images (%GI). RESULTS: The DECC model significantly increased AWS (from 7.3 to 15.8, p=.0005) and %GI (from 70.90% to 83.5%, p=.002). The rate of DR was similar across both models (32.77% POC vs. 34.18% DECC, p=.89). CONCLUSION: Implementing a DECC model significantly boosts the efficiency of diabetic retinopathy screening processes in FQHCs, potentially enhancing vision preservation efforts.
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