International Centre for Eye Health, London School of Hygiene and Tropical Medicine Faculty of Infectious and Tropical Diseases, London, UK
School of Optometry and Vision Science, Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand.
BMJ Open. 2019 Jul 29;9(7):e029214. doi: 10.1136/bmjopen-2019-029214.
Globally, there are an estimated 370 million Indigenous people across 90 countries. Indigenous people experience worse health compared with non-Indigenous people, including higher rates of avoidable visual impairment. Countries such as Australia and Canada have service delivery models aimed at improving access to eye care for Indigenous people. We will conduct a scoping review to identify and summarise these service delivery models to improve access to eye care for Indigenous people in high-income countries.
An information specialist will conduct searches on MEDLINE, Embase and Global Health. All databases will be searched from their inception date with no language limits used. We will search the grey literature via websites of relevant government and service provider agencies. Field experts will be contacted to identify additional articles, and reference lists of relevant articles will be searched. All quantitative and qualitative study designs will be eligible if they describe a model of eye care service delivery aimed at Indigenous populations. Two reviewers will independently screen titles, abstracts and full-text articles; and complete data extraction. For each service delivery model, we will extract data on the context, inputs, outputs, Indigenous engagement and enabling health system functions. Where models were evaluated, we will extract details. We will summarise findings using descriptive statistics and thematic analysis.
Ethical approval is not required, as our review will include published and publicly accessible data. This review is part of a project to improve access to eye care services for Māori in Aotearoa New Zealand. The findings will be useful to policymakers, health service managers and clinicians responsible for eye care services in New Zealand, and other high-income countries with Indigenous populations. We will publish our findings in a peer-reviewed journal and develop an accessible summary of results for website posting and stakeholder meetings.
在全球范围内，估计有 90 个国家的 3.7 亿原住民。与非原住民相比，原住民的健康状况更差，包括更高的可避免视力损害率。澳大利亚和加拿大等国家制定了服务提供模式，旨在改善原住民获得眼保健服务的机会。我们将进行范围综述，以确定和总结这些服务提供模式，以改善高收入国家原住民获得眼保健服务的机会。
一名信息专家将在 MEDLINE、Embase 和 Global Health 上进行搜索。所有数据库都将从其创建日期开始搜索，不使用任何语言限制。我们将通过相关政府和服务提供商机构的网站搜索灰色文献。将联系领域专家以确定其他文章，并搜索相关文章的参考文献列表。如果描述了旨在针对原住民人口的眼保健服务提供模式，则所有定量和定性研究设计都将符合资格。两名评审员将独立筛选标题、摘要和全文文章；并完成数据提取。对于每种服务提供模式，我们将提取有关背景、投入、产出、原住民参与和增强卫生系统功能的数据。对于已评估的模式，我们将提取详细信息。我们将使用描述性统计和主题分析来总结发现。
不需要伦理批准，因为我们的综述将包括已发表和公开可获取的数据。本综述是改善新西兰毛利人眼保健服务机会项目的一部分。研究结果将对负责新西兰和其他有原住民人口的高收入国家眼保健服务的政策制定者、卫生服务管理人员和临床医生有用。我们将在同行评议的期刊上发表研究结果，并为网站发布和利益相关者会议编写易于理解的结果摘要。
