Overcoming Barriers in Vision Care Utilization of African Americans with Diabetes

产品说明：Wills Eye Health System提议建立一个多学科Wills Eye转化研究中心（“WETRC”），以响应DHHS/CDC RFA-DP-10 - 004。WETRC将开展题为"克服非洲裔美国糖尿病患者视力保健利用障碍"的项目。根据美国眼科学会和美国糖尿病协会的说法，建议所有糖尿病患者每年进行散瞳眼底检查（DFE），以降低视力丧失的风险。尽管如此，只有50%至60%的糖尿病成年人遵循这一建议，与白人相比，非洲裔美国人不太可能去看眼科医生或接受DFE。因此，WETRC的目标是加强费城非裔美国人糖尿病患者的眼科护理，提高基于人群的眼科护理服务质量，缩小最佳循证眼科护理与现有实践之间的差距。WETRC特定研究（AIMS）旨在：1）对现有眼科数据集进行回顾性分析，以评估和评价影响糖尿病患者获得视力保健和视力保健质量的个体水平和系统水平因素; 2）使用焦点小组方法，确定提供有效和成本低的服务的障碍和推动因素，有效眼部护理，预防视力丧失，促进非裔美国糖尿病患者的眼部健康;和3）实施基于电话和教育的干预措施，以改善非裔美国人糖尿病患者的DFE随访依从性，队列。WETRC的研究人员还将参与协作TRC网络研究的设计和实施，该研究旨在确保眼科医生与患者的初级保健医生（PCP）之间的最佳双向沟通。该网络研究的目标是通过增加PCP向眼科医生报告的HA1C，改善眼科医生对患者的血糖控制教育。它还旨在提高PCP关于患者DR严重程度和推荐的眼部随访的知识。TRC特定研究和协作TRC网络研究的成功实现将有助于克服获得持续DFE的障碍，并减少视力保健利用的差异。我们的目标是使非裔美国糖尿病患者更接近2010年健康人群的目标，即75%的糖尿病患者每年都有DFE。

DESCRIPTION: The Wills Eye Health System proposes to establish a multidisciplinary Wills Eye Translational Research Center (the "WETRC") in response to the DHHS/CDC RFA-DP- 10-004. The WETRC will conduct the project entitled, "Overcoming Barriers in Vision Care Utilization of African Americans with Diabetes." According to the American Academy of Ophthalmology and the American Diabetes Association, annual dilated fundus examinations (DFEs) are recommended for all people with diabetes to reduce their risk of vision loss. Despite this fact, only 50% to 60% of adults with diabetes follow this recommendation, and African Americans are less likely to see an eye doctor or get a DFE compared to Caucasians. Therefore, the goal of the WETRC is to enhance the eye care of underserved, African Americans in Philadelphia with diabetes, improve the population-based quality of eye care services and close the gap between optimal evidence-based eye care and existing practice. The WETRC specific studies (AIMS) are to: 1) Develop a retrospective analysis of existing ophthalmic data sets to assess and evaluate individual-level and system-level factors that impact access to and quality of vision care in patients with diabetes; 2) Use focus group methodology to identify barriers and enablers to the delivery of efficacious and cost-effective eye care that prevent vision loss and promote eye health in African Americans with diabetes; and 3) Implement telephone-based and educational interventions to improve DFE follow-up adherence in African Americans with diabetes utilizing a prospective cluster-based, randomized, cohort. The investigators at the WETRC will also participate in the design and implementation of a Collaborative TRC Network study, which aims to assure optimal two-way communication between the ophthalmologist and their patients' primary care physician (PCP). This Network study goals are to improve the ophthalmologists' patient education about blood sugar control by increasing the HA1C reporting from the PCP to the ophthalmologist. It also aims to improve PCP knowledge regarding their patients' severity of DR and recommended ocular follow-up. Successful achievement of the TRC-specific studies and the Collaborative TRC Network study will help to overcome barriers to obtaining ongoing DFEs and reduce disparities in vision care utilization. Our goal is to bring African Americans with diabetes closer to the Healthy People 2010 goal of 75% of all persons with diabetes having an annual DFE.