Barriers to Attending an Eye Examination after Vision Screening Referral within a Vulnerable Population

被引：45

作者：

Gower, Emily W. ^{[1
,2
]}

Silverman, Emily ^{[3
]}

Cassard, Sandra D. ^{[2
]}

Williams, Sherill K. ^{[4
]}

Baldonado, Kira ^{[5
]}

Friedman, David S. ^{[2
]}

机构：

[1] Wake Forest Sch Med, Winston Salem, NC USA

[2] Johns Hopkins Wilmer Eye Inst, Dana Ctr Prevent Ophthalmol, Baltimore, MD USA

[3] Johns Hopkins Sch Med, Columbus, OH USA

[4] Prevent Blindness Ohio, Columbus, OH USA

[5] Prevent Blindness Amer, Chicago, IL USA

来源：

JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED | 2013年 / 24卷 / 03期

关键词：

Free clinic; barriers; access to care; eye disease; vision screening; VISUAL IMPAIRMENT; UNITED-STATES; SHOW RATES; CARE; APPOINTMENT; PREVALENCE; AMERICANS; BLINDNESS; ADULTS; TRIAL;

D O I：

10.1353/hpu.2013.0134

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Half of high-risk, uninsured/underinsured individuals identified through vision screening as needing eye exams do not attend. Patients who attended vision screening and were referred for an exam but did not attend that exam were contacted and asked whether they were interested in receiving a free complete eye exam at an offsite center within three blocks of the clinic. Those who agreed were asked why they did not attend their original appointment and what would make it easier to attend. Primary reasons for missing appointments included forgetting (34%), lacking transportation (36%), and scheduling conflicts (26%). Nearly one quarter (24%) stated they could not afford transportation. Findings demonstrate transportation is a key barrier to eye care services. Current eye care delivery can be improved by addressing barriers to attendance in this context. Alternative delivery models should be examined to identify methods for better reaching underserved target populations.

引用

页码：1042 / 1052

页数：11

共 22 条

[1]

Anderson Robert M., 2002, Ethnicity and Disease, V12, P404

[2]

[Anonymous], 2008, PREV AD VIS IMP AG R

[3]

Bailey R. N., 2006, Morbidity and Mortality Weekly Report, V55, P1321

[4] PATIENT-SPECIFIC REMINDER LETTERS AND PEDIATRIC WELL-CHILD-CARE SHOW RATES [J].

CAMPBELL, JR ;

SZILAGYI, PG ;

RODEWALD, LE ;

DOANE, C ;

ROGHMANN, KJ .

CLINICAL PEDIATRICS, 1994, 33 (05) :268-272

[5]

Centers for Disease Control and Prevention, 2007, IMPR NAT VIS HLTH CO

[6]

Congdon N, 2004, ARCH OPHTHALMOL-CHIC, V122, P477

[7] Five-year incidence of bilateral cause-specific visual impairment in the Melbourne visual impairment project [J].

Dimitrov, PN ;

Mukesh, BN ;

McCarty, CA ;

Taylor, HR .

INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2003, 44 (12) :5075-5081

[8] Economic impact of visual impairment and blindness in the United States [J].

Frick, Kevin D. ;

Gower, Emily W. ;

Kempen, John H. ;

Wolff, Jennifer L. .

ARCHIVES OF OPHTHALMOLOGY, 2007, 125 (04) :544-550

[9] Outcomes of a Vision Screening Program for Underserved Populations in the United States [J].

Friedman, David S. ;

Cassard, Sandra D. ;

Williams, Sherill K. ;

Baldonado, Kira ;

O'Brien, Rebecca W. ;

Gower, Emily W. .

OPHTHALMIC EPIDEMIOLOGY, 2013, 20 (04) :201-211

[10]

Garuda S R, 1998, Health Mark Q, V15, P25, DOI 10.1300/J026v15n04_02

← 1 2 3 →