Diabetic Retinopathy Screening in Private Practice
The Feasibility of Screening for Diabetic Retinopathy in Private Practice Hong Kong
Introduction: Diabetic mellitus (DM) is a prevalent disease in Hong Kong (HK) and diabetic retinopathy (DR) is one of the most common complications of DM. Screening for DR is a cost-effective method to identify patients who are at risk of vision loss so that timely treatment can be provided to patients. In Hong Kong, the Hospital Authority has recently set up screening services (RAMP) in the government outpatient clinics and all DM patients attending these clinics will be screened at least once every two years and some every six months, according to their individual risks. However, those diabetic patients who attend the private sector for their primary care may not have access to this service.
Aim: This study from the University of Hong Kong aims to determine the characteristics of a sustainable approach to setting up an effective and quality-controlled screening service for DR in the private primary care sector of Hong Kong and to estimate the potential benefit to be gained in terms of impact on avoidable vision loss, costs of care and potential for further development of this model in chronic disease care.
Methods:A screening centre is being set up and a randomised study carried out in which screening will be offered at three different fee levels to subjects recruited by their general practitioner (GP). The following data will be collected (a) willingness to attend screening at the different fee levels (b) screening findings in terms of DR and other eye diseases (c) risk factors and other characteristics of those screened and unscreened. The information will allow us to estimate the level of fee which best combines effectiveness with sustainability in the longer term.
연구 개요
상태
정황
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Hong Kong, 홍콩
- Department of Ophthalmology, The University of Hong Kong, Hong Kong
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Patients diagnosed to have diabetic mellitus
- Able to give informed consent
Exclusion Criteria:
- Pregnant women
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 건강 서비스 연구
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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활성 비교기: Free screening group
Subjects in this group receive free diabetic retinopathy screening.
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The intervention provide Diabetic Retinopathy screening without charging a fee.
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활성 비교기: Pay screening group ($150)
Subjects in this group receiving diabetic retinopathy screening will be charged HK$150.
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The intervention is charging HK$150 for the Diabetic Retinopathy screening.
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활성 비교기: Pay screening group ($300)
Subjects in this group receiving diabetic retinopathy screening will be charged HK$300.
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The intervention is charging HK$300 for the Diabetic Retinopathy screening.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
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The overall, & at different fee level, uptake (as a percentage of participants) of screening from those at-risk patients who attend private GP's
기간: one year
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one year
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2차 결과 측정
결과 측정 |
기간 |
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Percentage of participants with diabetes who are only under the care of a private GP, or also attend specialist service, and have had access to DR screening
기간: one year
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one year
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Prevalence of DR (overall, and for sight-threatening diabetic retinopathy) among diabetic patients in private primary care
기간: one year
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one year
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공동 작업자 및 조사자
수사관
- 수석 연구원: Jonathan Cheuk Hung Chan, MBBS, The University of Hong Kong
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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