| Title: |
Indicators for assessing the quality of refractive error care |
| Authors: |
Lee, L; Burnett, AM; D'esposito, F; Fricke, T; Nguyen, LT; Vuong, DA; Nguyen, HTT; Yu, M; Nguyen, NVM; Huynh, LP; Ho, SM |
| Source: |
urn:ISSN:1040-5488 ; urn:ISSN:1538-9235 ; Optometry and Vision Science, 98, 1, 24-31 |
| Publisher Information: |
Wiley |
| Publication Year: |
2021 |
| Collection: |
UNSW Sydney (The University of New South Wales): UNSWorks |
| Subject Terms: |
32 Biomedical and Clinical Sciences; 3212 Ophthalmology and Optometry; Clinical Research; 8.1 Organisation and delivery of services; Adult; Delivery of Health Care; Eyeglasses; Female; Humans; Male; Middle Aged; Prescriptions; Quality Indicators; Health Care; Refraction; Ocular; Refractive Errors; Standard of Care; Vietnam; Vision Tests; Visual Acuity; Young Adult; anzsrc-for: 32 Biomedical and Clinical Sciences; anzsrc-for: 3212 Ophthalmology and Optometry; anzsrc-for: 11 Medical and Health Sciences |
| Description: |
Significance: Quality refractive error care is essential for reducing vision impairment. Quality indicators and standardized approaches for assessing the quality of refractive error care need to be established. Purpose: This study aimed to develop a set of indicators for assessing the quality of refractive error care and test their applicability in a real-world setting using unannounced standardized patients (USPs). Methods: Patient outcomes and three quality of refractive error care (Q.REC) indicators (1, optimally prescribed spectacles; 2, adequately prescribed spectacles; 3, vector dioptric distance) were developed using existing literature, refraction training standards, and consulting educators. Twenty-one USPs with various refractive errors were trained to visit optical stores across Vietnam to have a refraction, observe techniques, and order spectacles. Spectacles were assessed against each Q.REC indicator and tested for associations with vision and comfort. Results: Overall, 44.1% (184/417) of spectacles provided good vision and comfort. Of the spectacles that met Q.REC indicators 1 and 2, 62.5 and 54.9%, respectively, provided both good vision and comfort. Optimally prescribed spectacles (indicator 1) were significantly more likely to provide good vision and comfort independently compared with spectacles that did not meet any indicator (good vision: 94.6 vs. 85.0%, P =.01; comfortable: 66.1 vs. 36.3%, P |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
unknown |
| Relation: |
https://hdl.handle.net/1959.4/unsworks_79525; https://doi.org/10.1097/OPX.0000000000001629 |
| DOI: |
10.1097/OPX.0000000000001629 |
| Availability: |
https://hdl.handle.net/1959.4/unsworks_79525; https://unsworks.unsw.edu.au/bitstreams/bf15a1ff-4d5d-48d2-b19e-712a7a3a586d/download; https://doi.org/10.1097/OPX.0000000000001629 |
| Rights: |
open access ; https://purl.org/coar/access_right/c_abf2 ; CC BY-NC-ND ; https://creativecommons.org/licenses/by-nc-nd/4.0/ ; free_to_read |
| Accession Number: |
edsbas.4D37A860 |
| Database: |
BASE |