一项针对青光眼和角膜炎患者眼科护理障碍的范围综述。
A scoping review of patients' barriers to eye care for glaucoma and keratitis.
机构信息
Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI, USA.
University of Chicago Medical School, Chicago, IL, USA.
出版信息
Surv Ophthalmol. 2023 Jul-Aug;68(4):567-577. doi: 10.1016/j.survophthal.2023.03.005. Epub 2023 Apr 1.
In this scoping review, we examine underlying causes of loss to follow-up for chronic (glaucoma) and acute (corneal ulcers) eye conditions using the Penchansky and Thomas access to care framework. We explore barriers by World Health Organization income levels and by studying geographical location. We identified 6,363 abstracts, with 75 articles retrieved and 16 meeting inclusion criteria. One article discussed barriers to follow-up care for people with corneal ulcers, and the other 15 were for people with glaucoma. The most frequent barriers to care were affordability, awareness, and accessibility. The international studies had a greater percentage of studies report acceptability as a barrier to loss to follow-up. Countries with universal healthcare included affordability as a loss to follow-up barrier, emphasizing that cost goes beyond the ability to pay for direct treatment costs. Understanding and addressing barriers to follow-up care can aid the goal of continued care and decrease the risk of poor outcomes and vision loss.
在本次范围综述中，我们使用彭钱斯和托马斯的就医通道框架，研究了慢性（青光眼）和急性（角膜溃疡）眼部疾病失访的根本原因。我们通过世界卫生组织收入水平和地理位置研究来探讨障碍。我们确定了 6363 篇摘要，检索到 75 篇文章，其中 16 篇符合纳入标准。有一篇文章讨论了角膜溃疡患者随访护理的障碍，另外 15 篇是针对青光眼患者的。最常见的护理障碍是负担能力、意识和可及性。国际研究中有更大比例的研究报告将可接受性作为失访的障碍。有全民医疗保健的国家将负担能力作为失访的障碍，这强调了成本不仅仅是支付直接治疗费用的能力。了解和解决随访护理的障碍可以帮助实现持续护理的目标，并降低不良结果和视力丧失的风险。
Zotero 插件