Patient satisfaction and follow-up adherence to glaucoma case management clinic in China
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Yan-Yan Chen and Shao-Dan Zhang. National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China. cyy@eye.ac.cn; shaodan_zhang@eye.ac.cn

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Supported by the Key Innovation and Guidance Program of the Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University (No.YNZD2201903); the Scientific Research Foundation of the Eye Hospital, School of Ophthalmology & Optometry, Wenzhou Medical University (No.KYQD20180306); the Nursing Project of the Eye Hospital of Wenzhou Medical University (No.YNHL2201908).

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    Abstract:

    AIM: To assess glaucoma patient satisfaction and follow-up adherence in case management and identify associated predictors to improve healthcare quality and patient outcomes. METHODS: In this cross-sectional study, a total of 119 patients completed a Patient Satisfaction Questionnaire-18 and a sociodemographic questionnaire. Clinical data was obtained from the case management system. Follow-up adherence was defined as completing each follow-up within ±30d of the scheduled time set by ophthalmologists during the study period. RESULTS: Average satisfaction scored 78.65±7, with an average of 4.39±0.58 across the seven dimensions. Age negatively correlated with satisfaction (P=0.008), whilst patients with follow-up duration of 2 or more years reported higher satisfaction (P=0.045). Multivariate logistics regression analysis revealed that longer follow-up durations were associated with lower follow-up adherence (OR=0.97, 95%CI, 0.95-1.00, P=0.044). Additionally, patients with suspected glaucoma (OR=2.72, 95%CI, 1.03-7.20, P=0.044) and those with an annual income over 100 000 Chinese yuan demonstrated higher adherence (OR=5.57, 95%CI, 1.00-30.89, P=0.049). CONCLUSION: The case management model proves effective for glaucoma patients, with positive adherence rates. The implementation of this model can be optimized in the future based on the identified factors and extended to glaucoma patients in more hospitals.

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Hao Lin, Hu-Jie Lu, Wen-Zhe Zhou, et al. Patient satisfaction and follow-up adherence to glaucoma case management clinic in China. Int J Ophthalmol, 2024,17(1):73-81

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Publication History
  • Received:March 23,2023
  • Revised:September 21,2023
  • Adopted:
  • Online: December 21,2023
  • Published: