Clinical and regulatory protocols for the management of impaired vision in the public health care network

Jayter Silva Paula, João Marcello Fortes Furtado, Fabiano Cade Jorge, Eduardo Melani Rocha, Ingrid Scott, Luciane Loures dos Santos, Maria de Lourdes Veronese Rodrigues, José Sebastião dos Santos

Research output: Contribution to journalArticle

Abstract

Protocolos clínicos e de regulação para condução da dificuldade visual na rede pública de saúde. Purpose: To describe the procedures used in developing Clinical and Regulatory Protocols for primary care teams to use in the management of the most common scenarios of impaired vision in Southern Brazil. Methods: A retrospective review of 1.333 referral forms from all primary care practitioners was performed in Ribeirão Preto city, during a 30-day period. The major ophthalmic diagnostic categories were evaluated from those referrals forms. The Clinical and Regulatory Protocols development process was held afterwards and involved scientific cooperation between a university and the health care system, in the form of workshops attended by primary care practitioners and regulatory system team members composed of health care administrators, ophthalmologists, and professors of ophthalmology and social medicine. Results: The management of impaired vision was chosen as the theme, since it accounted for 43.6% of the ophthalmology-related referrals from primary care providers of Ribeirão Preto. The Clinical and Regulatory Protocols developed involve distinctive diagnostic and therapeutic interventions that can be performed at the primary care level and in different health care settings. The most relevant clinical and regulatory interventions were expressed as algorithms in order to facilitate the use of the Clinical and Regulatory Protocols by health care practitioners. Conclusions: These Clinical and Regulatory Protocols could represent a useful tool for health systems with universal access, as well as for health care networks based on primary care and for regulatory system teams. Implementation of these Clinical and Regulatory Protocols can minimize the disparity between the needs of patients with impaired vision and the treatment modalities offered, resulting in a more cooperative health care network.

Original languageEnglish (US)
Pages (from-to)175-179
Number of pages5
JournalArquivos Brasileiros de Oftalmologia
Volume74
Issue number3
DOIs
StatePublished - Nov 22 2011

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Clinical Protocols
Primary Health Care
Public Health
Delivery of Health Care
Referral and Consultation
Ophthalmology
Social Medicine
Administrative Personnel
Brazil
Education
Health
Therapeutics

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

Paula, Jayter Silva ; Furtado, João Marcello Fortes ; Jorge, Fabiano Cade ; Rocha, Eduardo Melani ; Scott, Ingrid ; dos Santos, Luciane Loures ; Rodrigues, Maria de Lourdes Veronese ; dos Santos, José Sebastião. / Clinical and regulatory protocols for the management of impaired vision in the public health care network. In: Arquivos Brasileiros de Oftalmologia. 2011 ; Vol. 74, No. 3. pp. 175-179.
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title = "Clinical and regulatory protocols for the management of impaired vision in the public health care network",
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author = "Paula, {Jayter Silva} and Furtado, {Jo{\~a}o Marcello Fortes} and Jorge, {Fabiano Cade} and Rocha, {Eduardo Melani} and Ingrid Scott and {dos Santos}, {Luciane Loures} and Rodrigues, {Maria de Lourdes Veronese} and {dos Santos}, {Jos{\'e} Sebasti{\~a}o}",
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Paula, JS, Furtado, JMF, Jorge, FC, Rocha, EM, Scott, I, dos Santos, LL, Rodrigues, MDLV & dos Santos, JS 2011, 'Clinical and regulatory protocols for the management of impaired vision in the public health care network', Arquivos Brasileiros de Oftalmologia, vol. 74, no. 3, pp. 175-179. https://doi.org/10.1590/S0004-27492011000300006

Clinical and regulatory protocols for the management of impaired vision in the public health care network. / Paula, Jayter Silva; Furtado, João Marcello Fortes; Jorge, Fabiano Cade; Rocha, Eduardo Melani; Scott, Ingrid; dos Santos, Luciane Loures; Rodrigues, Maria de Lourdes Veronese; dos Santos, José Sebastião.

In: Arquivos Brasileiros de Oftalmologia, Vol. 74, No. 3, 22.11.2011, p. 175-179.

Research output: Contribution to journalArticle

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T1 - Clinical and regulatory protocols for the management of impaired vision in the public health care network

AU - Paula, Jayter Silva

AU - Furtado, João Marcello Fortes

AU - Jorge, Fabiano Cade

AU - Rocha, Eduardo Melani

AU - Scott, Ingrid

AU - dos Santos, Luciane Loures

AU - Rodrigues, Maria de Lourdes Veronese

AU - dos Santos, José Sebastião

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