The Community Eye Care (C-EYE-C) Model for Diabetic Retinopathy and Glaucoma
The Community Eye Care (C-EYE-C) model of care is a service delivery model for those with, or at risk of developing, glaucoma and/or diabetic retinopathy to prevent avoidable vision loss and blindness.
This is achieved via improving access to appropriate management for people with, or at risk of, diabetic retinopathy and glaucoma. It is a collaborative care model for chronic eye-disease patients that shares care between local optometrists (private) and a public hospital eye clinic.
The C-EYE-C model of shared care aims to streamline referral pathways and improve access to ophthalmology services for patients with chronic eye disease, ensuring timely and appropriate care is given.
The C-EYE-C model of care was developed after extensive consultation with optometrists, ophthalmologists, general practitioners (GPs), ophthalmic nurses, policy makers and health managers.
The model was piloted at two sites within Western Sydney Local Health District to establish sustainability, examine patient and clinician satisfaction, and assess the potential impact on the current ophthalmology outpatient waiting times.
Key findings from the pilot:
- 62% of patients avoided having to attend hospital
- 22% on patient care costs.
- 9.8 months reduction in waiting time for first assessment for patients at risk of, or with, diabetic retinopathy and glaucoma, compared to hospital-based appointments.