Before GFU establishment
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Glaucoma Specialists
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High workload, increasing demand for glaucoma care.
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Workload release, decreasing the waiting list, more challenging work.
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High power position and high interest for a successful task substitution.
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Management REH
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Increased competition on volume.
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Increase in volume of (new) patients.
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Medium power position and high interest for a successful task substitution.
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Primary care optometrists
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Competition with optical chains, chance to professionalize.
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Increase in volume of (new) patients.
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Low power position and high interest for a successful task substitution.
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Patients
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Were not involved at the start.
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More flexible appointments and more time per appointment.
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Medium power position and medium interest for a successful task substitution.
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Dutch Health Care Authority / Health insurers
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Were not involved at the start.
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Care would possibly become less expensive
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High power position and unclear interest for a successful task substitution.
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GFU employees
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Were not involved at the start.
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Low power position and low interest for a successful task substitution.
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After GFU establishment
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Glaucoma Specialists
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Release of workload due to GFU.
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The establishment of the GFU already fulfilled their goals.
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Reduction of interest for a successful task substitution.
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Management REH
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Better alternative was found through cooperation with optical chain.
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Disappointing increase in volume due to cooperation with OCR. Alternative was found.
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Reduction of interest for a successful task substitution.
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Primary care optometrists
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Cooperation remained on the same level.
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Increase in new patients differed among optometrists.
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Reduction of chance to strengthen relationship with glaucoma specialists
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Patients
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GFU resulted in more time per patient, and care in a familiar setting.
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Reduction of interest for a successful task substitution.
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NZA / Health insurers
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Quality of care in GFU was good.
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No changes in interest due to establishment of GFU.
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GFU employees
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Improved relationship with glaucoma specialists and more satisfying work.
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The consequences of starting task substitution for the GFU were unclear.
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Increase of power position.
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