Gower Emily W, Silverman Emily, Cassard Sandra D, Williams Sherill K, Baldonado Kira, Friedman David S
J Health Care Poor Underserved. 2013 Aug;24(3):1042-52. doi: 10.1353/hpu.2013.0134.
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.
通过视力筛查确定需要进行眼科检查的高风险、未参保/参保不足人群中有一半没有就诊。对那些参加了视力筛查并被转诊进行检查但未就诊的患者进行了联系，询问他们是否有兴趣在距离诊所三个街区范围内的场外中心接受免费的全面眼科检查。同意的患者被问及未参加原预约的原因以及怎样能更方便就诊。错过预约的主要原因包括忘记（34%）、缺乏交通工具（36%）和日程冲突（26%）。近四分之一（24%）的人表示负担不起交通费用。研究结果表明交通是获得眼科护理服务的关键障碍。在这种情况下，通过解决就诊障碍可以改善当前的眼科护理服务。应研究替代服务模式，以确定更好地覆盖服务不足目标人群的方法。
