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Use of public sector diabetes eye services in New Zealand 2006–2019: Analysis of national routinely collected datasets

OBJECTIVE: To assess diabetes eye service use in New Zealand among people aged ≥15 years by estimating service attendance, biennial screening rate, and disparities in the use of screening and treatment services. METHODS: We obtained Ministry of Health data from the National Non-Admitted Patient Coll...

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Autores principales: Silwal, Pushkar Raj, Lee, Arier C., Squirrell, David, Zhao, Jinfeng, Harwood, Matire, Vincent, Andrea L., Murphy, Rinki, Ameratunga, Shanthi, Ramke, Jacqueline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194990/
https://www.ncbi.nlm.nih.gov/pubmed/37200245
http://dx.doi.org/10.1371/journal.pone.0285904
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author Silwal, Pushkar Raj
Lee, Arier C.
Squirrell, David
Zhao, Jinfeng
Harwood, Matire
Vincent, Andrea L.
Murphy, Rinki
Ameratunga, Shanthi
Ramke, Jacqueline
author_facet Silwal, Pushkar Raj
Lee, Arier C.
Squirrell, David
Zhao, Jinfeng
Harwood, Matire
Vincent, Andrea L.
Murphy, Rinki
Ameratunga, Shanthi
Ramke, Jacqueline
author_sort Silwal, Pushkar Raj
collection PubMed
description OBJECTIVE: To assess diabetes eye service use in New Zealand among people aged ≥15 years by estimating service attendance, biennial screening rate, and disparities in the use of screening and treatment services. METHODS: We obtained Ministry of Health data from the National Non-Admitted Patient Collection on diabetes eye service events between 1 July 2006 and 31 December 2019 and sociodemographic and mortality data from the Virtual Diabetes Register and linked these using a unique patient identifier (encrypted National Health Index). We 1) summarized attendance at retinal screening and ophthalmology services, 2) calculated biennial and triennial screening rate, 3) summarized treatment with laser and anti-VEGF and used log-binomial regression to examine associations of all of these with age group, ethnicity, and area-level deprivation. RESULTS: In total, 245,844 people aged ≥15 years had at least one diabetes eye service appointment attended or scheduled; half of these (n = 125,821, 51.2%) attended only retinal screening, one-sixth attended only ophthalmology (n = 35,883, 14.6%) and one-third attended both (n = 78,300, 31.8%). The biennial retinal screening rate was 62.1%, with large regional variation (73.9% in Southern District to 29.2% in West Coast). Compared with NZ Europeans, Māori were approximately twice as likely to never receive diabetes eye care or to access ophthalmology when referred from retinal screening, 9% relatively less likely to receive biennial screening and received the fewest anti-VEGF injections when treatment was commenced. Disparities in service access were also present for Pacific Peoples compared to NZ Europeans, younger and older age groups compared to those aged 50–59 years and those living in areas with higher deprivation. CONCLUSIONS: Access to diabetes eye care is suboptimal, with substantial disparity between age groups, ethnicity groups, area level deprivation quintile and across districts. Efforts to improve access to and quality of diabetes eye care services must include strengthening data collection and monitoring.
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spelling pubmed-101949902023-05-19 Use of public sector diabetes eye services in New Zealand 2006–2019: Analysis of national routinely collected datasets Silwal, Pushkar Raj Lee, Arier C. Squirrell, David Zhao, Jinfeng Harwood, Matire Vincent, Andrea L. Murphy, Rinki Ameratunga, Shanthi Ramke, Jacqueline PLoS One Research Article OBJECTIVE: To assess diabetes eye service use in New Zealand among people aged ≥15 years by estimating service attendance, biennial screening rate, and disparities in the use of screening and treatment services. METHODS: We obtained Ministry of Health data from the National Non-Admitted Patient Collection on diabetes eye service events between 1 July 2006 and 31 December 2019 and sociodemographic and mortality data from the Virtual Diabetes Register and linked these using a unique patient identifier (encrypted National Health Index). We 1) summarized attendance at retinal screening and ophthalmology services, 2) calculated biennial and triennial screening rate, 3) summarized treatment with laser and anti-VEGF and used log-binomial regression to examine associations of all of these with age group, ethnicity, and area-level deprivation. RESULTS: In total, 245,844 people aged ≥15 years had at least one diabetes eye service appointment attended or scheduled; half of these (n = 125,821, 51.2%) attended only retinal screening, one-sixth attended only ophthalmology (n = 35,883, 14.6%) and one-third attended both (n = 78,300, 31.8%). The biennial retinal screening rate was 62.1%, with large regional variation (73.9% in Southern District to 29.2% in West Coast). Compared with NZ Europeans, Māori were approximately twice as likely to never receive diabetes eye care or to access ophthalmology when referred from retinal screening, 9% relatively less likely to receive biennial screening and received the fewest anti-VEGF injections when treatment was commenced. Disparities in service access were also present for Pacific Peoples compared to NZ Europeans, younger and older age groups compared to those aged 50–59 years and those living in areas with higher deprivation. CONCLUSIONS: Access to diabetes eye care is suboptimal, with substantial disparity between age groups, ethnicity groups, area level deprivation quintile and across districts. Efforts to improve access to and quality of diabetes eye care services must include strengthening data collection and monitoring. Public Library of Science 2023-05-18 /pmc/articles/PMC10194990/ /pubmed/37200245 http://dx.doi.org/10.1371/journal.pone.0285904 Text en © 2023 Silwal et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Silwal, Pushkar Raj
Lee, Arier C.
Squirrell, David
Zhao, Jinfeng
Harwood, Matire
Vincent, Andrea L.
Murphy, Rinki
Ameratunga, Shanthi
Ramke, Jacqueline
Use of public sector diabetes eye services in New Zealand 2006–2019: Analysis of national routinely collected datasets
title Use of public sector diabetes eye services in New Zealand 2006–2019: Analysis of national routinely collected datasets
title_full Use of public sector diabetes eye services in New Zealand 2006–2019: Analysis of national routinely collected datasets
title_fullStr Use of public sector diabetes eye services in New Zealand 2006–2019: Analysis of national routinely collected datasets
title_full_unstemmed Use of public sector diabetes eye services in New Zealand 2006–2019: Analysis of national routinely collected datasets
title_short Use of public sector diabetes eye services in New Zealand 2006–2019: Analysis of national routinely collected datasets
title_sort use of public sector diabetes eye services in new zealand 2006–2019: analysis of national routinely collected datasets
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194990/
https://www.ncbi.nlm.nih.gov/pubmed/37200245
http://dx.doi.org/10.1371/journal.pone.0285904
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