Which glaucoma patients should be monitored at home and exploration of clinician perceptions on home monitoring? a survey of glaucoma specialists in the UK
Objectives To identify suitable patients for glaucoma home monitoring and explore clinicians’ perceptions of the possible benefits and risks of home monitoring within the National Health Service.Design An online survey composed of open-ended and closed-ended questions.Setting Secondary care.Particip...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/11/e080873.full |
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| author | Graeme Maclennan Augusto Azuara-Blanco Anthony J King Katie Gillies Mark Forrest Rodolfo Hernández Andrew Tatham Uma Alagappan Carrie Stewart Darian Shotton |
| author_facet | Graeme Maclennan Augusto Azuara-Blanco Anthony J King Katie Gillies Mark Forrest Rodolfo Hernández Andrew Tatham Uma Alagappan Carrie Stewart Darian Shotton |
| author_sort | Graeme Maclennan |
| collection | DOAJ |
| description | Objectives To identify suitable patients for glaucoma home monitoring and explore clinicians’ perceptions of the possible benefits and risks of home monitoring within the National Health Service.Design An online survey composed of open-ended and closed-ended questions.Setting Secondary care.Participants Glaucoma specialists registered with the UK and Eire Glaucoma Society.Outcome measures Agreement with clinical scenarios.Results The estimated response rate was 68% (n=49). Of 49 participants, 92% (n=45) were consultant ophthalmologists and 71% (n=35) had over 10-year experience. There was a poor agreement regarding an ideal glaucoma patient for home monitoring, with only one scenario achieving over 60% agreement. Most participants believed that home monitoring would be most suitable for low-risk scenarios, rather than high-risk, due to fear of missing progression. In relation to acceptability, key facilitators included the potential to increase healthcare capacity and promote patient safety. However, low clinician trust in equipment reliability and fear of patient harm were reported as concerns.Conclusions There was no clear consensus on which patients would benefit most from glaucoma home monitoring. While many clinicians believe home monitoring may enhance healthcare, there were also many concerns about the technologies themselves. Further work to address clinician concerns is warranted.Research Registry registration number 6213. |
| format | Article |
| id | doaj-art-72dab0cca2774b688e137d2b14a82912 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-72dab0cca2774b688e137d2b14a829122024-11-22T06:05:08ZengBMJ Publishing GroupBMJ Open2044-60552024-11-01141110.1136/bmjopen-2023-080873Which glaucoma patients should be monitored at home and exploration of clinician perceptions on home monitoring? a survey of glaucoma specialists in the UKGraeme Maclennan0Augusto Azuara-Blanco1Anthony J King2Katie Gillies3Mark Forrest4Rodolfo Hernández5Andrew Tatham6Uma Alagappan7Carrie Stewart8Darian Shotton9Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UKCentre for Public Health, Queen`s University Belfast, Belfast, UKDepartment of Ophthalmology, Nottingham University Hospitals NHS Trust, Nottingham, UKAberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UKAberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UKHealth Economics Research Unit (HERU), University of Aberdeen Health Services Research Unit, Aberdeen, UKOphthalmology, NHS Lothian, Edinburgh, UKAberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UKAberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UKAberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UKObjectives To identify suitable patients for glaucoma home monitoring and explore clinicians’ perceptions of the possible benefits and risks of home monitoring within the National Health Service.Design An online survey composed of open-ended and closed-ended questions.Setting Secondary care.Participants Glaucoma specialists registered with the UK and Eire Glaucoma Society.Outcome measures Agreement with clinical scenarios.Results The estimated response rate was 68% (n=49). Of 49 participants, 92% (n=45) were consultant ophthalmologists and 71% (n=35) had over 10-year experience. There was a poor agreement regarding an ideal glaucoma patient for home monitoring, with only one scenario achieving over 60% agreement. Most participants believed that home monitoring would be most suitable for low-risk scenarios, rather than high-risk, due to fear of missing progression. In relation to acceptability, key facilitators included the potential to increase healthcare capacity and promote patient safety. However, low clinician trust in equipment reliability and fear of patient harm were reported as concerns.Conclusions There was no clear consensus on which patients would benefit most from glaucoma home monitoring. While many clinicians believe home monitoring may enhance healthcare, there were also many concerns about the technologies themselves. Further work to address clinician concerns is warranted.Research Registry registration number 6213.https://bmjopen.bmj.com/content/14/11/e080873.full |
| spellingShingle | Graeme Maclennan Augusto Azuara-Blanco Anthony J King Katie Gillies Mark Forrest Rodolfo Hernández Andrew Tatham Uma Alagappan Carrie Stewart Darian Shotton Which glaucoma patients should be monitored at home and exploration of clinician perceptions on home monitoring? a survey of glaucoma specialists in the UK BMJ Open |
| title | Which glaucoma patients should be monitored at home and exploration of clinician perceptions on home monitoring? a survey of glaucoma specialists in the UK |
| title_full | Which glaucoma patients should be monitored at home and exploration of clinician perceptions on home monitoring? a survey of glaucoma specialists in the UK |
| title_fullStr | Which glaucoma patients should be monitored at home and exploration of clinician perceptions on home monitoring? a survey of glaucoma specialists in the UK |
| title_full_unstemmed | Which glaucoma patients should be monitored at home and exploration of clinician perceptions on home monitoring? a survey of glaucoma specialists in the UK |
| title_short | Which glaucoma patients should be monitored at home and exploration of clinician perceptions on home monitoring? a survey of glaucoma specialists in the UK |
| title_sort | which glaucoma patients should be monitored at home and exploration of clinician perceptions on home monitoring a survey of glaucoma specialists in the uk |
| url | https://bmjopen.bmj.com/content/14/11/e080873.full |
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