Evaluation of the Medical Specialist Outreach Assistance Program and the Visiting Optometrists Scheme

Appendix 3.e - VOS service provider survey form

Page last updated: 28 February 2012

Participant Information Sheet for the optometrist survey for the national evaluation of VOS
Questionnaire for service providers to complete

Who is conducting this survey and why?
This study is being undertaken by Health Policy Analysis Pty Ltd.  The Australian Government Department of Health and Ageing (Rural Health Services and Policy Branch) has engaged Health Policy Analysis Pty Ltd to evaluate the Visiting Optometrists Scheme (VOS). The purpose of the evaluation is to analyse the efficiency, effectiveness and value of the program.

This survey is designed to collect information concerning the way in which outreach services are provided, the challenges faced by specialist and other providers in delivering these services and their assessment of aspects of the operation and effectiveness of VOS.

In addition to this survey, evidence for the evaluation is being gathered through interviews with stakeholders, community visits and analysis of other data sources.

Why have you been included in this study?
This study aims to gain a comprehensive view of the program. Therefore, it is important to get feedback from optometrists participating in the program on its effectiveness.

Who should complete the survey?
This survey should be completed by an optometrist who has participated in VOS. 

What happens with the results?
Your responses to this survey will be anonymous confidential. The data from this survey will be held by Health Policy Analysis Pty Ltd and not provided to other parties. We plan to compile and analyse the survey responses.  Results will be published in an evaluation report that will be provided to the Department of Health and Ageing. The results may also be published in a peer reviewed journal and/or presented at relevant forums for the purposes of sharing information on the provision of outreach medical services in rural and remote Australia. However, in any publication resulting from this survey, information will be provided in such a way that service providers are not identified.

How long should this survey take to complete?
On average this survey will require around 15 minutes to complete. 

Who can you contact in Health Policy Analysis if you have any questions or concerns about this study?
You may contact Jesse Silverman  on  (02) 8065 6491 or by email jsilverman@healthpolicy.com.au

Who can you contact at the Department of Health and Ageing if you have any questions or concerns about this study?
You may contact the Project Manager, Fiona Brooke, Director, Rural Outreach Services Section, Primary and Ambulatory Care Division on (02) 6289 9295 or at fiona.brooke@health.gov.au

Research Ethics Approval
This survey was approved by the Health and Medical Human Research Ethics Committee of the University of Wollongong and the Illawarra Shoalhaven Local Health District (Reference HE11/330). If you have any questions concerning the approval of this research you can contact the University of Wollongong Ethics Officer on (02) 4221 4457.
Assistance in completing the survey
For help with the survey, please contact:

Jesse Silverman
Health Policy Analysis Pty Ltd

Telephone: (02) 8065 6491
Email:
jsilverman@healthpolicy.com.au

Due date and return of completed survey
Surveys should be completed and submitted by:

Friday 2 September 2011

To participate in the survey, you can complete the survey on-line

Alternatively you can print this survey and submit a hard or scanned copy to Health Policy Analysis as follows:

By email: jsilverman@healthpolicy.com.au
By fax: (02) 8905 9151                       
By mail:  PO Box 403, St Leonards, NSW 1590

PLEASE  BEGIN THE SURVEY




Section A: Service provider details

1       Where is your permanent optometry practice based?

If you do not have a permanent practice location, please indicate the location in which you are principally based.

City/town:
 
State/territory:

 

__________________________________

♰ ACT ♰ NSW  ♰ NT ♰ Qld. ♰

♰ SA     ♰ Tas. ♰ Vic. ♰     WA ♰




Section B: Service effectiveness

2      From your perspective how effective is VOS in improving access to optometry services for non-Indigenous people living in rural and remote Australia?

 

♰ Very effective
♰ Reasonably effective
♰ Not effective -  the current arrangements are not a good way of addressing access problems and a new approach is required

3      From your perspective how effective is VOS in improving access to optometry services for Aboriginal and Torres Strait Islander people living in rural and remote Australia?

 

♰ Very effective
♰ Reasonably effective
♰ Not effective -  the current arrangements are not a good way of addressing access problems and a new approach is required

4      In what ways could your VOS supported visits be more effective?

 

 

 

 

5      How could eye health services be better coordinated across VOS and visiting or local ophthalmology services?

 

 

 

 

6      Overall how satisfied are you with VOS?

 

♰ Very satisfied
♰ Satisfied
♰ Neither satisfied or dissatisfied
♰ Dissatisfied
If you are dissatisfied, what are the principal factors that have lead to this assessment?

 

7      How long do you intend to continue providing outreach services under VOS?

 

♰ Less than 12 months
♰ One to two years
♰ Three to four years
♰ Five years or more
What factors would affect your decision to discontinue?

 

8      How old are you?

 

♰ 60 years and over
♰ 50-59 years
♰ 40-49 years
♰ 30-39 years
♰ 20-29 years

9      From July 2010 to June 2011 how many discrete towns/ communities did you provides outreach services to supported by VOS?

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Section C: Details of services provided to two (2) locations

Using the table below, could you describe the outreach services you are involved in providing that are supported through VOS for two localities that you visit?

We understand arrangements will vary across locations you visit, so we are asking these questions about two locations you visit: 

Location 1 - the location with the largest population and
Location 2 - the location with the smallest population.

If you provide outreach services in only one location please respond using location 1.

 

Location 1 –
Largest Population

Location 2 –
Smallest population

10. Name of town/ community:

 

 

11. State/Territory of town/ community

 

 

12. How many outreach visits did you make to this town/community in 2010-11?

♰♰♰

♰♰♰

13. Can you estimate the number of patient eye examinations you conducted in this location/town in 2010-11?

Total examinations

♰♰♰

Total examinations

♰♰♰

14. Can you estimate the approximate proportion of outreach eye examinations in this location/town in 2010-11 that related to Aboriginal or Torres Strait Islander people?

♰♰%

♰♰ %

15. When you visit this location who helps coordinate patients locally (e.g. ensuring patients know you are coming, ensuring patients can get to the location in which you provide you service, ensuring there is space available for you to provide your service)?

♰ Local Aboriginal or Torres Strait Islander Health Service staff
♰ Eye Health Coordinator
♰ Local community health service staff
♰ Local hospital staff
♰ Other:  Please describe:

 

♰ None:  If none, could you describe how local co-ordination occurs, , if this is necessary:

♰ Local Aboriginal or Torres Strait Islander Health Service staff
♰ Eye Health Coordinator
♰ Local community health service staff
♰ Local hospital staff
♰ Other:  Please describe:

 

♰ None:  If none, could you describe how local co-ordination occurs, , if this is necessary:

 

16. If you receive coordination assistance, how well coordinated are the VOS outreach services provided in this location?

♰ Good coordination, problems occur only occasionally
♰ Adequate coordination, there are problems but these are to be expected
♰ Poor coordination, there are regular problems encountered

♰ Good coordination, problems occur only occasionally
♰ Adequate coordination, there are problems but these are to be expected
♰ Poor coordination, there are regular problems encountered

 

 

Location 1 –
Largest Population

Location 2 –
Smallest population

17. If coordination is necessary for this location, what would improve the coordination of outreach optometry services in this location?

 

 

18. Where do your examinations take place in this location?

♰ Local Aboriginal or Torres Strait Islander Health Service
♰ General community facility
♰ Local hospital
♰ Local Community Health Service
♰ Local GP practice
♰ Other: _____________________

♰ Local Aboriginal or Torres Strait Islander Health Service
♰ General community facility
♰ Local hospital
♰ Local Community Health Service
♰ Local GP practice
♰ Other: _____________________

19.  Are there problems in eligible patients accessing the state/territory spectacle subsidy scheme in this location?

 Yes
No
Please describe:

 

 Yes
No
Please describe:

20.  When an Indigenous patient in this location requires spectacles what typically happens?

♰ The patient will usually be able to obtain spectacles under a state spectacle subsidy scheme
♰ The local Aboriginal health service will be able to assist with the purchase of spectacles
♰ A separate arrangement is in place through which spectacles can be supplied at no charge or low cost to the client
♰ Many patients are unable to obtain spectacles. 

♰ The patient will usually be able to obtain spectacles under a state spectacle subsidy scheme
♰ The local Aboriginal health service will be able to assist with the purchase of spectacles
♰ A separate arrangement is in place through which spectacles can be supplied at no charge or low cost to the client
♰ Many patients are unable to obtain spectacles. 

21.  Please describe what factors prevent clients being able to obtain spectacles in this location

 

 

 

 

Location 1 –
Largest Population

Location 2 –
Smallest population

22. In this location, when you find that an Indigenous patient requires referral to an ophthalmologist for clinical reasons, and you make a referral to an ophthalmologist, does an Aboriginal Eye Health coordinator assist with the referral (e.g. though making appointments)

♰ Yes, in most cases

♰ No, this never or rarely occurs
Comment:

♰ Yes, in most cases

♰ No, this never or rarely occurs
Comment:

23. In this location, when you find that a patient requires referral to an ophthalmologist for clinical reasons, and you make a referral to an ophthalmologist, will you communicate the results of the consultation back to the patient’s GP/Aboriginal medical service?

♰ Yes
♰ No
If no, why not?:

♰ Yes
♰ No
If no, why not?:

24. In this location, how well does the referral pathway to an ophthalmologist work?

♰ Patients will almost always get to see an ophthalmologist in a reasonable time.
♰ In most instances patients will be seen by an ophthalmologist, although this is often delayed.
♰ Many patients will not be seen by an ophthalmologist.
♰ There is insufficient information to be able to assess this.

♰ Clients will almost always get to see an ophthalmologist in a reasonable time.
♰ In most instances patients will be seen by an ophthalmologist, although this is often delayed.
♰ Many clients will not be seen by an ophthalmologist.
♰ There is insufficient information to be able to assess this.

25. What are the major barriers impacting on patients getting to see ophthalmologist when referred by you in this location?

 

 

 

 




Section D: Administrative processes

26    What is your assessment of the administrative processes for the development and renewal of the VOS contract?:

♰ Reasonable relative to funding involved

♰ Onerous relative to funding involved

♰ I am not directly involved with this administrative process

27   What is your assessment of the administrative processes for submitting an invoice and associated reports once services have been delivered?:

 

♰ Reasonable relative to payments

♰ Onerous relative to payments

♰ I am not directly involved with this administrative process

28    Would you be willing collect and report on the number of patients with eye conditions other than refractive error (e.g. diabetic retinopathy, glaucoma, cataract) identified as part of your outreach services?

 

♰ Yes

♰ No

Comment:

29    Would you be willing collect and report on the number of patients examined who are referred to an ophthalmologist?

 

♰ Yes

♰ No

Comment:

30    What suggestions do you have on how the administration of the VOS program could be improved?

 

 

 

 

 

 




Section F: Further comments

31    Please provide any further comments that you feel would assist us in understanding issues relating to VOS.

 

 

 

 

 

 

 

 

THANK YOU FOR COMPLETING THIS SURVEY

Please return this survey to Health Policy Analysis by one of the following means:

By email: jsilverman@healthpolicy.com.au

By mail:  PO Box 403, St Leonards, NSW 1590

By Fax: (02) 8905 9151

If you need to talk to someone regarding this survey please contact:

Jesse Silverman
jsilverman@healthpolicy.com.au
Ph: (02) 8065 6491

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