Abstract：
Evidence supports the clinical decision-making ability of primary care optometrists with additional qualifications in the identification of eligibility criteria for the certification of vision impairment (CVI). Welsh Government policy is driving pathway change to enable these optometrists to perform CVI. This qualitative study explores the views of people with VI due to dry age-related macular degeneration (AMD) on this pathway change.
Nine people with VI due to dry AMD, attending Macular Society support groups, participated. Individual semi-structured interviews were conducted and analysed concurrently using thematic analysis.
Five major themes were identified: (1) living with dry AMD, (2) experience of eye care provision, (3) knowledge of CVI, (4) provision of information and (5) CVI in primary care. Participants consistently highlighted the need for the provision of accessible information regarding the certification pathway, dry AMD and the optometrist\'s role in the provision of eye health care. Information needs to be available prior to the diagnosis of an eye disease, rather than only from the point of diagnosis or where the vision reaches the level required for certification.
The findings support the provision of CVI within primary eye care while highlighting areas of importance in pathway development. These include the provision of accessible information prior to, at the point of and following the diagnosis of an eye condition. Information provided needs to extend to the awareness of the role of the optometrist in the provision of eye care, and public health awareness of modifiable risk factors, which will influence the possibility of disease development in later life. The findings provide information that will be useful to those responsible for the provision of CVI within primary care.
Nine people with VI due to dry AMD, attending Macular Society support groups, participated. Individual semi-structured interviews were conducted and analysed concurrently using thematic analysis.
Five major themes were identified: (1) living with dry AMD, (2) experience of eye care provision, (3) knowledge of CVI, (4) provision of information and (5) CVI in primary care. Participants consistently highlighted the need for the provision of accessible information regarding the certification pathway, dry AMD and the optometrist\'s role in the provision of eye health care. Information needs to be available prior to the diagnosis of an eye disease, rather than only from the point of diagnosis or where the vision reaches the level required for certification.
The findings support the provision of CVI within primary eye care while highlighting areas of importance in pathway development. These include the provision of accessible information prior to, at the point of and following the diagnosis of an eye condition. Information provided needs to extend to the awareness of the role of the optometrist in the provision of eye care, and public health awareness of modifiable risk factors, which will influence the possibility of disease development in later life. The findings provide information that will be useful to those responsible for the provision of CVI within primary care.
摘要：
目的：证据支持具有额外资格的初级保健验光师在识别视力障碍（CVI）认证资格标准方面的临床决策能力。威尔士政府的政策正在推动途径的改变，以使这些验光师能够进行CVI。这项定性研究探讨了由于干性年龄相关性黄斑变性（AMD）引起的VI患者对这一途径变化的看法。
方法：9名患者因干性AMD而出现VI，参加黄斑协会支持小组，参与。使用主题分析同时进行并分析了个人半结构化访谈。
结果：确定了五个主要主题：（1）患有干性AMD，（2）提供眼部护理的经验，（3）CVI知识，（4）提供信息和（5）初级保健中的CVI。与会者一贯强调，需要提供关于认证途径的无障碍信息，干性AMD和验光师在提供眼部保健方面的作用。在诊断眼部疾病之前需要获得信息，而不是仅仅从诊断的角度或视力达到认证所需的水平。
结论：研究结果支持在初级眼科护理中提供CVI，同时突出了途径发展的重要领域。这些措施包括提供可访问的信息之前，在诊断眼部疾病时和之后。提供的信息需要扩展到对验光师在提供眼部护理中的作用的认识，和公众对可改变的危险因素的健康意识，这将影响以后生活中疾病发展的可能性。调查结果提供的信息将对那些负责在初级保健中提供CVI的人有用。
方法：9名患者因干性AMD而出现VI，参加黄斑协会支持小组，参与。使用主题分析同时进行并分析了个人半结构化访谈。
结果：确定了五个主要主题：（1）患有干性AMD，（2）提供眼部护理的经验，（3）CVI知识，（4）提供信息和（5）初级保健中的CVI。与会者一贯强调，需要提供关于认证途径的无障碍信息，干性AMD和验光师在提供眼部保健方面的作用。在诊断眼部疾病之前需要获得信息，而不是仅仅从诊断的角度或视力达到认证所需的水平。
结论：研究结果支持在初级眼科护理中提供CVI，同时突出了途径发展的重要领域。这些措施包括提供可访问的信息之前，在诊断眼部疾病时和之后。提供的信息需要扩展到对验光师在提供眼部护理中的作用的认识，和公众对可改变的危险因素的健康意识，这将影响以后生活中疾病发展的可能性。调查结果提供的信息将对那些负责在初级保健中提供CVI的人有用。
