Rogers Jaymie Tingkham, Black Joanna, Harwood Matire, Wilkinson Ben, Gordon Iris, Ramke Jacqueline
School of Optometry & Vision Science, The University of Auckland Faculty of Medical and Health Sciences, Auckland, New Zealand
School of Optometry & Vision Science, The University of Auckland Faculty of Medical and Health Sciences, Auckland, New Zealand.
BMJ Open. 2021 Sep 13;11(9):e048215. doi: 10.1136/bmjopen-2020-048215.
In Aotearoa New Zealand, Māori and Pacific people experience worse health outcomes compared with other New Zealanders. No population-based eye health survey has been conducted, and eye health services do not generate routine monitoring reports, so the extent of eye health inequality is unknown. This information is required to plan equitable eye health services. Here we outline the protocol for a scoping review to report the nature and extent of the evidence reporting vision impairment, and the use of eye health services by ethnicity in New Zealand.
An information specialist will conduct searches on MEDLINE and Embase, with no limit on publication dates or language. We will search the grey literature via websites of relevant government and service provider agencies. Reference lists of included articles will be screened. Observational studies will be included if they report the prevalence of vision impairment, or any of the main causes (cataract, uncorrected refractive error, macular degeneration, glaucoma or diabetic retinopathy) or report the use of eye health services in New Zealand among people of any age. Two authors will independently review titles, abstracts and full-text articles, and complete data extraction. Overall findings will be summarised using descriptive statistics and thematic analysis, with an emphasis on disaggregation by ethnicity where this information is available.
Ethical approval has not been sought as our review will only include published and publicly accessible data. We will publish the review in an open access peer-reviewed journal. We anticipate the findings will be useful to organisations and providers in New Zealand responsible to plan and deliver eye care services, as well as stakeholders in other countries with differential access to eye care.
The protocol has been registered with Open Science Framework (https://osf.io/yw7xb).
在新西兰的奥特亚罗瓦地区，毛利人和太平洋岛民的健康状况比其他新西兰人更差。此前尚未进行过基于人群的眼部健康调查，且眼部健康服务机构也未生成常规监测报告，因此眼部健康不平等的程度尚不清楚。而规划公平的眼部健康服务需要这些信息。在此，我们概述了一项范围综述的方案，以报告关于视力损害的证据的性质和范围，以及新西兰不同种族对眼部健康服务的使用情况。
一名信息专家将在MEDLINE和Embase数据库中进行检索，对出版日期和语言均无限制。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。将对纳入文章的参考文献列表进行筛选。如果观察性研究报告了视力损害的患病率、任何主要病因（白内障、未矫正屈光不正、黄斑变性、青光眼或糖尿病性视网膜病变），或报告了新西兰任何年龄人群对眼部健康服务的使用情况，则将其纳入。两名作者将独立审查标题、摘要和全文文章，并完成数据提取。总体研究结果将使用描述性统计和主题分析进行总结，重点是在有此类信息的情况下按种族进行分类。
由于我们的综述仅包括已发表且可公开获取的数据，因此未寻求伦理批准。我们将在开放获取的同行评审期刊上发表该综述。我们预计研究结果将对新西兰负责规划和提供眼部护理服务的组织和机构以及其他在获取眼部护理方面存在差异的国家的利益相关者有用。
该方案已在开放科学框架（https://osf.io/yw7xb）上注册。
