Analysis of Patient Referrals from Primary Care to Ophthalmology. The Role of the Optometrist

Purpose: The aim of this study was to characterize the quality of primary care referrals of patients to ophthalmology at the Virgen Macarena Hospital in Seville. This will enable us to optimize ophthalmologic resources and to evaluate the role of the optometrist in improving referrals. Methods: We p...

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Autores: Carrasco Solís, Rafael, Rodríguez Griñolo, María Rosario, Ponte Zúñiga, Beatriz, Mataix Albert, Beatriz, Lledó de Villar, María Leticia, Martínez de Pablos, Rocío, Rodríguez de la Rúa Franch, Enrique
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/170428
Acceso en línea:https://hdl.handle.net/11441/170428
https://doi.org/10.1016/j.optom.2024.100521
Access Level:acceso abierto
Palabra clave:Ophthalmology
Optometry
Primary care
Referrals
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spelling Analysis of Patient Referrals from Primary Care to Ophthalmology. The Role of the OptometristCarrasco Solís, RafaelRodríguez Griñolo, María RosarioPonte Zúñiga, BeatrizMataix Albert, BeatrizLledó de Villar, María LeticiaMartínez de Pablos, RocíoRodríguez de la Rúa Franch, EnriqueOphthalmologyOptometryPrimary careReferralsPurpose: The aim of this study was to characterize the quality of primary care referrals of patients to ophthalmology at the Virgen Macarena Hospital in Seville. This will enable us to optimize ophthalmologic resources and to evaluate the role of the optometrist in improving referrals. Methods: We performed a retrospective cross-sectional review of 220 ophthalmology consultations referred from primary care to the hospital from March to May 2022. The following data were extracted: age, sex, reason for consultation, diagnosis, priority level, whether it was an initial consultation or a follow-up visit, whether there was a secondary referral and whether the referral was appropriate. Excel (version 2312) was used for the data analysis. Results: The age range of the patients was from 3 years to 91 years. The patients were 41.8 % male and 58.2 % female. The conditions found were grouped as follows: cataracts (27.27 %), refractive errors (20.9 %), anterior segment disease (18.8 %), posterior segment disease (14.07 %), normal examination (18.63 %) and others (0.9 %). The most common reason for consultation was blurred vision or loss of vision (43.63 %). In total, 41.36 % of the consultations were considered inappropriate. The age group requiring the highest number of consultations was over 65 years (38.64 %). Conclusions: With 41.36 percent of referrals deemed unnecessary, it is clear that referrals can be improved. This would reduce strain on the ophthalmology service and improve patient care. The importance of the optometrist in primary care is demonstrated by the fact that 20.9 % of the diagnoses were refractive errors.Instituto de Salud Carlos III RD21/0002/0011ElsevierBioquímica y Biología MolecularInstituto de Salud Carlos III2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/170428https://doi.org/10.1016/j.optom.2024.100521reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésJournal of Optometry, 17 (4), 100521.RD21/0002/0011https://doi.org/10.1016/j.optom.2024.100521info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1704282026-06-17T12:51:07Z
dc.title.none.fl_str_mv Analysis of Patient Referrals from Primary Care to Ophthalmology. The Role of the Optometrist
title Analysis of Patient Referrals from Primary Care to Ophthalmology. The Role of the Optometrist
spellingShingle Analysis of Patient Referrals from Primary Care to Ophthalmology. The Role of the Optometrist
Carrasco Solís, Rafael
Ophthalmology
Optometry
Primary care
Referrals
title_short Analysis of Patient Referrals from Primary Care to Ophthalmology. The Role of the Optometrist
title_full Analysis of Patient Referrals from Primary Care to Ophthalmology. The Role of the Optometrist
title_fullStr Analysis of Patient Referrals from Primary Care to Ophthalmology. The Role of the Optometrist
title_full_unstemmed Analysis of Patient Referrals from Primary Care to Ophthalmology. The Role of the Optometrist
title_sort Analysis of Patient Referrals from Primary Care to Ophthalmology. The Role of the Optometrist
dc.creator.none.fl_str_mv Carrasco Solís, Rafael
Rodríguez Griñolo, María Rosario
Ponte Zúñiga, Beatriz
Mataix Albert, Beatriz
Lledó de Villar, María Leticia
Martínez de Pablos, Rocío
Rodríguez de la Rúa Franch, Enrique
author Carrasco Solís, Rafael
author_facet Carrasco Solís, Rafael
Rodríguez Griñolo, María Rosario
Ponte Zúñiga, Beatriz
Mataix Albert, Beatriz
Lledó de Villar, María Leticia
Martínez de Pablos, Rocío
Rodríguez de la Rúa Franch, Enrique
author_role author
author2 Rodríguez Griñolo, María Rosario
Ponte Zúñiga, Beatriz
Mataix Albert, Beatriz
Lledó de Villar, María Leticia
Martínez de Pablos, Rocío
Rodríguez de la Rúa Franch, Enrique
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Bioquímica y Biología Molecular
Instituto de Salud Carlos III
dc.subject.none.fl_str_mv Ophthalmology
Optometry
Primary care
Referrals
topic Ophthalmology
Optometry
Primary care
Referrals
description Purpose: The aim of this study was to characterize the quality of primary care referrals of patients to ophthalmology at the Virgen Macarena Hospital in Seville. This will enable us to optimize ophthalmologic resources and to evaluate the role of the optometrist in improving referrals. Methods: We performed a retrospective cross-sectional review of 220 ophthalmology consultations referred from primary care to the hospital from March to May 2022. The following data were extracted: age, sex, reason for consultation, diagnosis, priority level, whether it was an initial consultation or a follow-up visit, whether there was a secondary referral and whether the referral was appropriate. Excel (version 2312) was used for the data analysis. Results: The age range of the patients was from 3 years to 91 years. The patients were 41.8 % male and 58.2 % female. The conditions found were grouped as follows: cataracts (27.27 %), refractive errors (20.9 %), anterior segment disease (18.8 %), posterior segment disease (14.07 %), normal examination (18.63 %) and others (0.9 %). The most common reason for consultation was blurred vision or loss of vision (43.63 %). In total, 41.36 % of the consultations were considered inappropriate. The age group requiring the highest number of consultations was over 65 years (38.64 %). Conclusions: With 41.36 percent of referrals deemed unnecessary, it is clear that referrals can be improved. This would reduce strain on the ophthalmology service and improve patient care. The importance of the optometrist in primary care is demonstrated by the fact that 20.9 % of the diagnoses were refractive errors.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/170428
https://doi.org/10.1016/j.optom.2024.100521
url https://hdl.handle.net/11441/170428
https://doi.org/10.1016/j.optom.2024.100521
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Optometry, 17 (4), 100521.
RD21/0002/0011
https://doi.org/10.1016/j.optom.2024.100521
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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