title: IMPACT OF PHYSICIAN COMMUNICATION ON DIABETIC EYE EXAMINATION ADHERENCE: Results From a Retrospective Cohort Analysis.
abstract: OBJECTIVE
  To evaluate the effect of written communication between an ophthalmologist and a primary care physician (PCP) on patient adherence to diabetic eye examination recommendations.
  
  
  METHODS
  In a retrospective cohort study of a multiethnic population at an urban ophthalmology center, records of all patients with diabetes and clinic visits between 2007 and 2010 were reviewed. Data collected included patient demographics, insurance status, hemoglobin A1C, severity of diabetic retinopathy, follow-up examinations, and written communication between a patient's ophthalmologist and PCP. Statistical analyses were performed to examine the relationship between physician communication and adherence to diabetic eye examination based on the American Academy of Ophthalmology-published recommendations.
  
  
  RESULTS
  A total of 1,968 people with diabetes were included. Written communication from an ophthalmologist to a PCP was associated with increased adherence to follow-up eye examination recommendations (Odds Ratio: 1.49; 95% Confidence Interval: 1.16-1.92; P = 0.0018). Communication from a PCP to an ophthalmologist was also associated with increased adherence (Odds Ratio: 1.94; 95% Confidence Interval: 1.37-2.77; P = 0.0002). Multivariable analysis controlling for other factors associated with examination adherence confirmed that communication both to and from an ophthalmologist was independently and significantly associated with increased follow-up adherence.
  
  
  CONCLUSIONS
  Patients with communication between ophthalmologists and PCPs are more likely to adhere to diabetic eye examinations.
authors.affiliation: *Wills Eye Hospital, Philadelphia, Pennsylvania; †USC Eye Institute, University of Southern California, Los Angeles, California; ‡Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania; and §Jefferson School of Pharmacy, Thomas Jefferson University, Philadelphia, Pennsylvania.
authors.forename: Philip P
authors.initials: PP
authors.lastname: Storey
authors.forename: Ann P
authors.initials: AP
authors.lastname: Murchison
authors.forename: Laura T
authors.initials: LT
authors.lastname: Pizzi
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Hark
authors.forename: Yang
authors.initials: Y
authors.lastname: Dai
authors.forename: Benjamin E
authors.initials: BE
authors.lastname: Leiby
authors.forename: Julia A
authors.initials: JA
authors.lastname: Haller
mesh_terms: D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000378:metabolism; D015331:Cohort Studies; D003142:Communication; D003930:Diabetic Retinopathy / Q000175:diagnosis*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D009885:Ophthalmology; D010349:Patient Compliance / Q000706:statistics & numerical data*; D010808:Physical Examination / Q000706:statistics & numerical data*; D058007:Physicians, Primary Care; D012189:Retrospective Studies; D014956:Writing
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human