Boudville Andrea I, Anjou Mitchell D, Taylor Hugh R
Indigenous Eye Health Unit, The Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
Aust J Rural Health. 2013 Apr;21(2):121-7. doi: 10.1111/ajr.12014.
This paper aims to assess the barriers and solutions to the delivery of eye care in primary care settings and solutions to improve the use of comprehensive eye care among Indigenous Australians.
DESIGN, SETTING, PARTICIPANTS: Qualitative, mixed method study participants include Aboriginal community members, and health and eye care providers in urban, rural and remote settings.
Present evidence for health care providers to better understand and address some of the barriers that limit access to eye care in primary care settings.
Patient perspectives on barriers to accessing eye care and reasons they choose to seek care or not are presented. Health system barriers identified by health and eye care providers are also presented. Additionally, key enablers for improving access to eye care through primary care services are identified.
Primary health care services have an important role in Indigenous eye health. There is a critical role for primary care in the coordination of the patient journey and cooperating with other services to improve access to comprehensive eye care. Through improved provision of primary eye care, monitoring of Indigenous eye health indicators and supporting patients to access eye care, it is possible to close the gap for vision.
本文旨在评估初级保健机构中提供眼科护理的障碍及解决方案，以及提高澳大利亚原住民对全面眼科护理利用率的解决方案。
设计、地点、参与者：定性混合方法研究，参与者包括城市、农村和偏远地区的原住民社区成员以及健康和眼科护理提供者。
为医疗保健提供者提供证据，以便更好地理解和解决一些限制在初级保健机构获得眼科护理的障碍。
呈现了患者对获得眼科护理障碍的看法以及他们选择寻求护理或不寻求护理的原因。还呈现了健康和眼科护理提供者确定的卫生系统障碍。此外，确定了通过初级保健服务改善获得眼科护理机会的关键推动因素。
初级卫生保健服务在原住民眼部健康中发挥着重要作用。初级保健在协调患者就医过程以及与其他服务合作以改善获得全面眼科护理的机会方面起着关键作用。通过改善初级眼科护理的提供、监测原住民眼部健康指标以及支持患者获得眼科护理，有可能缩小视力差距。
