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Acta OphthalmolMarch 20250 citations

Italian glaucoma virtual clinics: Developing a consensus for remote patient management.

Matarazzo Francesco, Cutolo Carlo Alberto, Rabiolo Alessandro, Figus Michele, Fea Antonio, Gandolfi Stefano, Gizzi Corrado, Manni Gianluca, Marchini Giorgio, Montesano Giovanni


AI Summary

Italian experts developed consensus guidelines for glaucoma virtual clinics, identifying suitable patients, essential tests, and staffing. This enhances care accessibility and streamlines workflows.

Abstract

Purpose

To establish expert consensus on guidelines for implementing glaucoma virtual clinics in Italy, focusing on patient suitability, essential clinical assessments and staffing requirements.

Methods

A modified Delphi method was used to achieve consensus among selected Italian glaucoma specialists. The steering group developed a structured questionnaire with 66 items across key areas: Patient Categories, Clinical Assessments, Roles and Staffing and Guidelines for glaucoma virtual clinic implementation. A panel of experts reviewed and rated each item across multiple rounds to reach consensus.

Results

Out of 19 invited glaucoma specialists, 16 and 11 participated in rounds 1 and 2, respectively. Consensus was achieved on 57.6% of the questions, identifying specific patient profiles suitable for glaucoma virtual clinics, essential diagnostic tests and required roles in a virtual setting. Experts agreed on the importance of standardized assessments and the necessity of support staff such as orthoptists and ophthalmic assistants in the glaucoma virtual clinic structure.

Conclusion

This Delphi panel provides guidance for implementing glaucoma virtual clinics in Italy, establishing guidelines on patient selection, required assessments and staffing needs. Tailored glaucoma virtual clinics can enhance glaucoma care accessibility, streamline workflows and address the growing demand from healthcare systems.


MeSH Terms

HumansConsensusDelphi TechniqueDisease ManagementGlaucomaItalySurveys and QuestionnairesTelemedicine

Key Concepts6

Consensus was achieved on 57.6% of the questions in a modified Delphi method among Italian glaucoma specialists regarding guidelines for implementing glaucoma virtual clinics in Italy.

MethodologyExpert OpinionConsensus Studyn=57.6% of 66 questionsCh27Ch28

Experts identified specific patient profiles suitable for glaucoma virtual clinics, essential diagnostic tests, and required roles in a virtual setting.

DiagnosisExpert OpinionConsensus Studyn=11 Italian glaucoma specialistsCh27Ch28

Experts agreed on the importance of standardized assessments and the necessity of support staff such as orthoptists and ophthalmic assistants in the glaucoma virtual clinic structure.

TreatmentExpert OpinionConsensus Studyn=11 Italian glaucoma specialistsCh27Ch28

A modified Delphi method was used to achieve consensus among selected Italian glaucoma specialists regarding guidelines for implementing glaucoma virtual clinics in Italy.

MethodologyExpert OpinionConsensus Studyn=19 invited glaucoma specialistsCh27Ch28

The steering group developed a structured questionnaire with 66 items across key areas: Patient Categories, Clinical Assessments, Roles and Staffing and Guidelines for glaucoma virtual clinic implementation.

MethodologyExpert OpinionConsensus Studyn=66 itemsCh27Ch28

Out of 19 invited glaucoma specialists, 16 participated in round 1 and 11 participated in round 2 of a modified Delphi method to achieve consensus on guidelines for implementing glaucoma virtual clinics in Italy.

MethodologyExpert OpinionConsensus Studyn=19 invited glaucoma specialists, 16 i…Ch27Ch28

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