dc.contributor.author |
Scott, Daniel AR |
|
dc.contributor.author |
Hadden, Peter W |
|
dc.contributor.author |
Wilson, Graham A |
|
dc.coverage.spatial |
New Zealand |
|
dc.date.accessioned |
2023-09-07T21:28:52Z |
|
dc.date.available |
2023-09-07T21:28:52Z |
|
dc.date.issued |
2021-07 |
|
dc.identifier.citation |
(2021). New Zealand Medical Journal, 134(1538), 120-127. |
|
dc.identifier.issn |
0028-8446 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/65670 |
|
dc.description.abstract |
Aim: In response to the COVID-19 pandemic, the New Zealand government enforced a nationwide 'alert level 4' lockdown from 26 March to 27 April 2020. We assessed the impact of this lockdown on New Zealand's public ophthalmology service.
Method: An anonymous online survey was sent to all New Zealand-based fellows of the Royal Australian and New Zealand College of Ophthalmologists (RANZCO) after lockdown. Respondents provided retrospective assessment of practice patterns and their personal health during the COVID-19 lockdown. This was supported by national-level administrative data, allowing survey findings to be contextualised.
Results: Fifty-seven respondents (response rate 49%) working in the public health system participated. A large majority of respondents reduced elective clinic and surgical volumes by at least 75% (82% and 98%, respectively). National-level information confirmed clinic reduced to 38.2% of normal and elective operating volumes to 11.5%, with virtual visits increasing 17.9-fold. Elective clinic and elective operating volumes promptly recovered to usual volumes on the second month post lockdown. Most respondents (58%) followed the RANZCO triaging guideline, and 28% triaged emergencies only. At a personal level, respondents reported a significant physical health benefit (p<0.001) associated with the lockdown experience, but no change
Conclusions: Publicly employed ophthalmologists experienced dramatic reductions to elective clinic and operating volumes during the COVID-19 lockdown. The prompt recovery of service delivery volumes back to pre-lockdown levels supports the value of a COVID-19 elimination strategy in New Zealand. Virtual visits for selected patients allowed ongoing management without risking virus transmission. |
|
dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.relation.ispartofseries |
New Zealand medical journal |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://journal.nzma.org.nz/journal/contribute |
|
dc.subject |
Humans |
|
dc.subject |
Ambulatory Care |
|
dc.subject |
Ophthalmologic Surgical Procedures |
|
dc.subject |
Retrospective Studies |
|
dc.subject |
Ophthalmology |
|
dc.subject |
Telemedicine |
|
dc.subject |
Triage |
|
dc.subject |
Office Visits |
|
dc.subject |
Delivery of Health Care |
|
dc.subject |
Guideline Adherence |
|
dc.subject |
New Zealand |
|
dc.subject |
Elective Surgical Procedures |
|
dc.subject |
Surveys and Questionnaires |
|
dc.subject |
Ophthalmologists |
|
dc.subject |
COVID-19 |
|
dc.subject |
SARS-CoV-2 |
|
dc.subject |
32 Biomedical and Clinical Sciences |
|
dc.subject |
3202 Clinical Sciences |
|
dc.subject |
Eye Disease and Disorders of Vision |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
11 Medical and Health Sciences |
|
dc.subject |
42 Health sciences |
|
dc.title |
Impact of the COVID-19 pandemic lockdown on public sector ophthalmic work by New Zealand's ophthalmologists |
|
dc.type |
Journal Article |
|
pubs.issue |
1538 |
|
pubs.begin-page |
120 |
|
pubs.volume |
134 |
|
dc.date.updated |
2023-08-15T08:18:56Z |
|
dc.rights.holder |
Copyright: NZMA |
en |
dc.identifier.pmid |
34239151 (pubmed) |
|
pubs.author-url |
https://journal.nzma.org.nz/journal-articles/impact-of-the-covid-19-pandemic-lockdown-on-public-sector-ophthalmic-work-by-new-zealands-ophthalmologists-open-access |
|
pubs.end-page |
127 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Journal Article |
|
pubs.elements-id |
946547 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
dc.identifier.eissn |
1175-8716 |
|
pubs.record-created-at-source-date |
2023-08-15 |
|
pubs.online-publication-date |
2021-07-09 |
|