Multiple things going on at the same time: determinants of appropriate primary diabetic eyecare delivery

• DOI: 10.1111/opo.12912
• Publication Date: 2021-11-08T09:01:10Z
• Authors: Rajendra Gyawali; Melinda Toomey; Fiona Stapleton; Lisa Keay; Kam Chun Ho; Isabelle Jalbert
• Keywords: Thematic Analysis

Abstract Purpose A recent nationwide medical record audit of optometry practices has identified an evidence‐to‐practice gap in primary diabetic eyecare delivery. This study aimed to explore the determinants (barriers and enablers) appropriate delivery Australia. Methods qualitative involving focus‐group discussions interviews a purposeful sample Australian optometrists was conducted. Participants were asked about perceived barriers adherence four underperforming clinical indicators related by national practice audit. The Theoretical Domain Framework used for thematic analysis coding salience identify key behavioural determinants. Results Optometrists participated eight focus groups ( n = 27) individual 4). most salient Environmental resources (e.g., limited chair time); Beliefs consequences lack importance); Knowledge poor understanding); Professional role/identity role care process); Social influences influence senior optometrists) Intentions apathy). Key enablers electronic system aids); keeping up with knowledge/professional development); reinforcements fear legal actions) regulations self‐monitoring/audit). Conclusions shows that Australia can be attributed part several interconnected factors optometrists' capability motivation as well social environment within which they sit. These will inform design intervention improve appropriateness