Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2026
Impact of a novel healthcare team-collaborative care communication system on ophthalmologic follow-up for children referred following photoscreening.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Schuman Andrew J, Johnson Catherine A, Cappetta Charles T, Frumkin Mitchell, Renna Sofia, Arunkumar Surya, Chandrasekaran Charvi, Nguyen Vinh H
Аннотация
BACKGROUND: Fewer than half of children who fail photoscreening obtain the recommended follow-up comprehensive ophthalmologic evaluation (COE). We evaluated whether implementation of a healthcare team/collaborative care communication system, including direct pediatrician-to-vision specialist communication, a comprehensive parent educational handout, Electronic Health Record (EHR) referrals, and active follow-up of missed appointments, could increase completion rates of COE among children referred after photoscreening.
METHODS: A prospective quality-improvement intervention was conducted at Dartmouth-Hitchcock Pediatric Clinic in Nashua, New Hampshire, over a 13-month period. Outcomes were compared with a preintervention period in which standard referral practices were used. The primary outcome was COE completion rate among scheduled visits.
RESULTS: During the preintervention period, 1,255 children 2-6 years of age were screened with the Plusoptix 12C photoscreener at well child examinations. During the postintervention period, 1,315 children were screened. COE completion increased from 54.3% (95% CI, 40%-69%) preintervention to 82.8% (95% Cl, 72%-93%) postintervention (P = 0.003).
CONCLUSIONS: In our study cohort, high follow-up rates after photoscreening referrals were achieved in primary care, offering a practical strategy to improve early amblyopia detection and treatment on a community level.
METHODS: A prospective quality-improvement intervention was conducted at Dartmouth-Hitchcock Pediatric Clinic in Nashua, New Hampshire, over a 13-month period. Outcomes were compared with a preintervention period in which standard referral practices were used. The primary outcome was COE completion rate among scheduled visits.
RESULTS: During the preintervention period, 1,255 children 2-6 years of age were screened with the Plusoptix 12C photoscreener at well child examinations. During the postintervention period, 1,315 children were screened. COE completion increased from 54.3% (95% CI, 40%-69%) preintervention to 82.8% (95% Cl, 72%-93%) postintervention (P = 0.003).
CONCLUSIONS: In our study cohort, high follow-up rates after photoscreening referrals were achieved in primary care, offering a practical strategy to improve early amblyopia detection and treatment on a community level.