Abstract
Objective: In February 2018, after the assignment of full-time public health nurses, the Center established a system for health guidance after health examinations and continuous follow-up in writing and by telephonic conversation. In this paper, we will discuss our efforts in fundus examination, which is one of our main focuses, and report on its effectiveness.
Methods: The patients who underwent physical examinations from April 2017 to July 2019 were divided into three groups: before the start of follow-up, after the start of follow-up, and after the enhancement (a document with content specific to findings after four months for subjects with a judgment requiring detailed examination and treatment [hereinafter referred to as “D judgment”] on the fundus examination day). We calculated, compared, and examined the D judgment rate and ophthalmologic consultation rate of each group.
Results: The ophthalmology consultation rate improved to 64.2% after the start of follow-up and to 73.2% after enhanced follow-up for optic nerve papillary depression, which accounts for a high percentage of fundus findings. In addition, the rate of ophthalmological examinations after 4 to 8 months has been improved by strengthening the follow-up after the physical examination.
Conclusion: Enclosing a leaflet on optic nerve papillary depression significantly increased the rate of ophthalmological consultation among patients with depression. In order to improve and maintain the uptake rate, it is necessary to provide continuous follow-up from the day of medical check-up.
