Mufarriq Shah1,2, Gail M Ormsby3, Ayesha Noor4, Rahul Chakrabarti2, Manfred Mörchen5,6, Fakir M Amirul Islam7, C Alex Harper2, Jill E Keeffe8. 1. Pakistan Institute of Community Ophthalmology Hayatabad Medical Complex, Peshawar 25000, Pakistan. 2. Centre for Eye Research Australia, Department of Ophthalmology, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, VIC 302, Australia. 3. Faculty of Education, Science and Business, Lifestyle Research Centre, Avondale College of Higher Education, Cooranbong, NSW 2265, Australia. 4. Vision and Dental Care Clinic, Peshawar 25000, Pakistan. 5. CARITAS Takeo Eye Hospital, Krong Doun Kaev 21151, Cambodia. 6. Regional office Asia South East CBM International Unit 604 Alabang Business Tower, 1216 Acacia Ave, Muntinlupa City 1799, Philippines. 7. Statistics, Data Science and Epidemiology, Swinburne University of Technology, Hawthorn, VIC 3122, Australia. 8. LV Prasad Eye Institute, Hyderabad 500034, India.
Abstract
AIM: To identify the current roles of eye and health care workers in eye care delivery and investigate their potential roles in screening and detection for management of diabetic retinopathy (DR) through task sharing. METHODS: Purposive sampling of 24 participants including health administrators, members from non-government organizations and all available eye care workers in Takeo province were recruited. This cross sectional mixed method study comprised a survey and in-depth interviews. Data were collected from medical records at Caritas Takeo Eye Hospital (CTEH) and Kiri Vong District Referral Hospital Vision Centre, and a survey and interviews with participants were done to explore the potential roles for task sharing in DR management. Qualitative data were transcribed into a text program and then entered into N-Vivo (version 10) software for data management and analysis. RESULTS: From 2009 to 2012, a total of 105 178 patients were examined and 14 030 eye surgeries were performed in CTEH by three ophthalmologists supported by ophthalmic nurses in operating and eye examination for patients. Between January 2011 and September 2012, 151 patients (72 males) with retinal pathology including 125 (83%) with DR visited CTEH. In addition 170 patients with diabetes were referred to CTEH for eye examinations from Mo Po Tsyo screening programs for people with diabetes. Factors favouring task sharing included high demand for eye care services and scarcity of ophthalmologists. CONCLUSION: Task sharing and team work for eye care services is functional. Participants favor the potential role of ophthalmic nurses in screening for DR through task sharing.
AIM: To identify the current roles of eye and health care workers in eye care delivery and investigate their potential roles in screening and detection for management of diabetic retinopathy (DR) through task sharing. METHODS: Purposive sampling of 24 participants including health administrators, members from non-government organizations and all available eye care workers in Takeo province were recruited. This cross sectional mixed method study comprised a survey and in-depth interviews. Data were collected from medical records at Caritas Takeo Eye Hospital (CTEH) and Kiri Vong District Referral Hospital Vision Centre, and a survey and interviews with participants were done to explore the potential roles for task sharing in DR management. Qualitative data were transcribed into a text program and then entered into N-Vivo (version 10) software for data management and analysis. RESULTS: From 2009 to 2012, a total of 105 178 patients were examined and 14 030 eye surgeries were performed in CTEH by three ophthalmologists supported by ophthalmic nurses in operating and eye examination for patients. Between January 2011 and September 2012, 151 patients (72 males) with retinal pathology including 125 (83%) with DR visited CTEH. In addition 170 patients with diabetes were referred to CTEH for eye examinations from Mo Po Tsyo screening programs for people with diabetes. Factors favouring task sharing included high demand for eye care services and scarcity of ophthalmologists. CONCLUSION: Task sharing and team work for eye care services is functional. Participants favor the potential role of ophthalmic nurses in screening for DR through task sharing.
Entities:
Keywords:
Cambodia; diabetes; diabetic retinopathy; human resources; task sharing
Authors: J Keeffe; H R Taylor; K Fotis; K Pesudovs; S R Flaxman; J B Jonas; J Leasher; K Naidoo; H Price; R A White; T Y Wong; S Resnikoff; R R A Bourne Journal: Br J Ophthalmol Date: 2014-01-09 Impact factor: 4.638
Authors: Janet L Leasher; Rupert R A Bourne; Seth R Flaxman; Jost B Jonas; Jill Keeffe; Kovin Naidoo; Konrad Pesudovs; Holly Price; Richard A White; Tien Y Wong; Serge Resnikoff; Hugh R Taylor Journal: Diabetes Care Date: 2016-09 Impact factor: 19.112