Design and use of vignettes to investigate referral decision-making by optometrists
نویسندگان
چکیده
This study describes the design and application of a range online clinical vignettes for measuring impact Continuing Education Training (CET) identifying unwarranted variation in optometric decision-making concerning referrals to secondary care. Twenty computerised were developed assess referral management decisions taken primary care optometry. The system was specifically designed present (ten pre-CET ten post-CET) that avoided prompting correct answers. main group qualified optometrists (N = 31) who chose any CET options available United Kingdom over six months. Participants submitted record undertaken, which compared with an anonymised General Optical Council (GOC) reference sample. also completed by newly-qualified 18) pre-registration 11) groups. had no significant correlation (p 0.37) improvement practice (qualified group). Selection bias affected this more points 0.008) peer discussion 0.003) than GOC Results indicative due small sample sizes. Newly-qualified practitioners significantly likely refer 0.004). Number decreased time since qualification 0.006). Computerised are useful tool comparing between Recruiting clinicians time-consuming vignette studies is challenging. Strategies reduce optometry, including support optometrists, require further investigation.
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ژورنال
عنوان ژورنال: Journal of Optometry
سال: 2021
ISSN: ['1989-1342', '1888-4296']
DOI: https://doi.org/10.1016/j.optom.2020.09.004