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Barriers to accessing low-vision care: the patient's perspective
1School of Optometry and Vision Science, University of Waterloo, Waterloo, Ont..
Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|December 10, 2013
Summary
Barriers to low-vision (LV) care access for visually impaired individuals are complex, including misconceptions, poor communication, and societal stigma. Addressing these requires better eye care professional communication and public education to improve LV rehabilitation awareness.
Area of Science:
- Ophthalmology
- Public Health
- Rehabilitation Science
Background:
- Low-vision (LV) care is crucial for individuals with vision impairment.
- Access to LV services is often hindered by various barriers.
- Understanding these barriers is essential for improving patient outcomes.
Purpose of the Study:
- To systematically review literature on barriers to low-vision care access.
- To identify these barriers from the perspective of individuals with vision impairment.
Main Methods:
- A comprehensive literature review was conducted.
- PubMed and Scopus databases were searched for relevant studies published between 1992 and 2012.
- Fourteen cross-sectional studies involving individuals with vision impairment were included.
Main Results:
- Key barriers identified include misconceptions about LV services, miscommunication from eye care professionals, lack of awareness, and logistical issues (location, transportation).
- Psychosocial factors such as the desire to appear independent, negative societal views, and family influence also play a role.
- Other contributing factors include perceived insufficient visual impairment, cost, income level, comorbidities, and education.
Conclusions:
- Access to LV rehabilitation is complex, influenced by multiple interconnected factors.
- Enhanced awareness can be achieved through improved communication by eye care professionals and public education initiatives.
- Reducing the stigma associated with LV aids and disability requires greater societal understanding.
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