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在学校视力查后使用眼科临床卫生服务的障碍和促进因素:混合方法研究
Pingping Lyu1, Jiaojiao Shi1, Jingwen Hu1
1Department of Maternal, Child and Adolescent Health, School of Public Health, Fudan University, Shanghai, Shanghai, China.
BMJ paediatrics open
|April 17, 2024
概括
学校和社区的鼓励显著改善了学生在视力查后对眼科转诊的坚持. 然而,年龄较大的学生和来自高收入家庭的学生的坚持率较低,而推紧迫性不是线性预测指标.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 学校视力查确定了需要进一步眼科护理的学生.
- 了解影响服务利用的因素对于有效的眼睛健康计划至关重要.
- 进入眼科临床卫生服务的障碍和促进者需要调查.
研究的目的:
- 确定在未通过学校视力查的学生中眼科临床健康服务利用的决定因素.
- 探索影响学生群体遵守眼科推的因素.
主要方法:
- 使用安德森的行为模型进行顺序解释混合方法设计.
- 与27个利益相关者 (眼科医生,医生,公共卫生专业人员,教师) 进行了定性访谈.
- 对6215名学生进行定量问卷调查,使用多变量多项逻辑回归分析.
主要成果:
- 学校/社区的鼓励增加了对眼科转诊的坚持 (OR=1.66,1.54).
- 年龄较大的学生和来自高收入家庭的学生的遵守率较低 (OR=0.31,0.34).
- 不那么紧迫的案件有更高的坚持 (OR=1.24);财务限制不是一个障碍.
结论:
- 公共卫生服务,特别是学校/社区鼓励,是改善眼科服务利用率的关键.
- 坚持受年龄和感知到的紧迫性影响,而不仅仅是财务因素.
- 公共卫生服务的有针对性的干预措施可以增强视力障碍学生的后续护理.
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