Division of Ophthalmology Informatics and Data Science, Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, La Jolla, California, USA.
Division of Biomedical Informatics, Department of Medicine, University of California San Diego, La Jolla, California, USA.
Clin Exp Ophthalmol. 2024 Apr;52(3):276-293. doi: 10.1111/ceo.14367. Epub 2024 Feb 22.
Social determinants of health and barriers to care can significantly impact patients' access to glaucoma care and treatment, resulting in disparities within disease presentation, progression, management, and treatment outcomes. The widespread adoption of electronic health record systems has allowed researchers and clinicians to further explore these relationships, identifying factors such as race, ethnicity, and socioeconomic status to be risk factors for more severe disease and lower treatment adherence. These disparities highlight potential targets for interventions to combat these disparities and improve overall patient outcomes. This article provides a summary of the available data on health disparities within glaucoma disease presentation, progression, management, treatment, and outcomes and discusses interventions to improve care delivery and outcomes among patients with glaucoma.
健康的社会决定因素和获得医疗服务的障碍会显著影响患者接受青光眼护理和治疗的机会,导致疾病表现、进展、管理和治疗结果方面存在差异。电子健康记录系统的广泛采用使研究人员和临床医生能够进一步探讨这些关系,确定种族、民族和社会经济地位等因素是疾病更严重和治疗依从性更低的风险因素。这些差异突出了潜在的干预目标,以解决这些差异并改善整体患者结局。本文总结了青光眼疾病表现、进展、管理、治疗和结局方面存在的健康差异的现有数据,并讨论了改善青光眼患者护理提供和结局的干预措施。