Risk factors for noncompliance with glaucoma follow-up visits in a residents' eye clinic
Risk factors for noncompliance with glaucoma follow-up visits in a residents' eye clinic
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DOI：
10.1016/s0161-6420(98)91134-4
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发表时间：
1998-11-01
期刊：
影响因子：
13.7
通讯作者：
Tielsch, JM
中科院分区：
文献类型：
--
作者：
Kosoko, O;Quigley, HA;Tielsch, JM
目标：本研究的目的是确定与青光眼随访vision.Design的依从性相关的因素：回顾了一所大学居民眼科诊所的计算机记录，以确定在2年期间接受国际疾病分类（ICD）9编码（ICD 9）检查的所有人的随机样本，用于青光眼可疑或青光眼参与者：那些至少每6个月看一次的人，不管早期的返回指示，被定义为符合随访（对照组，n 362）。那些谁有任何间隔超过6个月的访问被定义为不依从（例，n = 362）。结果：完成了196例和242对照组的访谈。不依从者更可能是青光眼的怀疑者，而不是确诊的青光眼，更可能对门诊等候时间不满意（29.1% vs. 17.8%，P < 0.005），更可能声称他们没有按照处方服用青光眼药物（25.4% vs. 13.4%，P < 0.004）。他们也不太可能被处方眼药水。高比例的患者和对照组都知道青光眼会导致失明（分别为85.2%和88.4%）。最常见的原因，病人没有保持后续访问的看法，他们的眼睛的问题是“不够严重”，检查的费用，医生没有告诉他们comingback.Conclusion：遵守青光眼的后续访问与早期疾病的标志物。改善依从性的尝试可能集中在改善疾病严重性的沟通和改善诊所等待时间上。
Objective: This study aimed to identify factors associated with compliance with glaucoma follow-up visits.Design: Computer records of a university residents' eye clinic were reviewed to identify a random sample of all persons who had an examination with International Classification of Disease (ICD) 9 coding (ICD9) for glaucoma suspect or glaucoma during a 2-year period (1991-1993) to undergo telephone interview.Participants: Those who were seen at least every 6 months regardless of earlier return instructions were defined as compliant with follow-up (controls, n 362). Those who had any lapse between visits of longer than 6 months were defined as noncompliant (cases, n = 362).Results: Interviews were completed for 196 cases and 242 controls. Noncompliant persons were significantly more likely to be suspects for glaucoma rather than to have definite glaucoma and to be dissatisfied with waiting time in the clinic (29.1% vs. 17.8%, P < 0.005) and to state that they did not take their glaucoma medications as prescribed (25.4% vs. 13.4%, P < 0.004). They also were less likely to have been prescribed eyedrop medication. A high percentage of both patients and controls knew that glaucoma can lead to blindness (85.2% and 88.4%, respectively). The most common reasons patients gave for not keeping follow-up visits were the perception that their eye problem was "not serious enough," the cost of examinations, and that the doctor did not tell them to come back.Conclusion: Compliance with follow-up visits for glaucoma is associated with markers for early disease. Attempts to improve compliance might focus on improved communication of the seriousness of the disease and improvements in clinic waiting time.