Design and use of vignettes to investigate referral decision-making by optometrists
J. optom. (Internet)
; 14(4)October - December 2021. tab, graf
Artigo
em Inglês
| IBECS
| ID: ibc-214568
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Purpose:
This study describes the design and application of a range of online clinical vignettes for measuring the impact of Continuing Education and Training (CET) and identifying unwarranted variation in optometric decision-making concerning referrals to secondary care.MethodsTwenty computerised vignettes were developed to assess clinical and referral management decisions taken in primary care optometry. The online system was specifically designed to present vignettes (ten pre-CET and ten post-CET) that avoided prompting correct answers. The main study group was qualified optometrists (N = 31) who chose any CET options available to United Kingdom optometrists over six months. Participants submitted a record of the CET undertaken, which was compared with an anonymised General Optical Council (GOC) reference sample. The vignettes were also completed by newly-qualified (N = 18) and pre-registration (N = 11) groups.ResultsCET had no significant correlation (p = 0.37) with improvement in optometric clinical decision-making and referral practice (qualified group). Selection bias affected this group who had more CET points (p = 0.008) and peer discussion points (p = 0.003) than the GOC reference sample. Results were indicative due to small sample sizes. Newly-qualified practitioners were significantly more likely to refer than the qualified group (p = 0.004). Number of referrals decreased with time since qualification (p = 0.006). (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Optometria
/
Encaminhamento e Consulta
/
Tomada de Decisão Clínica
/
Optometristas
Limite:
Humanos
País/Região como assunto:
Europa
Idioma:
Inglês
Revista:
J. optom. (Internet)
Ano de publicação:
2021
Tipo de documento:
Artigo
Instituição/País de afiliação:
Institute of Optometry/UK
/
London South Bank University/UK
/
University of London/UK