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一个查策略,以减轻视力障碍,通过参与成年人谁使用眼科护理服务的不足

Eric Sherman¹, Leslie M Niziol¹, Patrice M Hicks¹

¹Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor.

JAMA ophthalmology

|August 22, 2024

概括

在初级保健机构的免费眼病查计划有效地参与了高风险的成年人,这些成年人以前没有充分使用眼科护理. 这一举措对改善眼睛健康检测和治疗,减少视力丧失有希望.

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:

眼睛护理服务的不足使用导致眼睛疾病的诊断和治疗不足.
识别眼科护理获取障碍对于开发有效干预措施至关重要.

研究的目的:

确定眼科护理服务使用不足的原因.
为了评估一项新的,免费的眼病查计划是否涉及高风险的成年人,这些成年人没有充分使用眼睛护理.

主要方法:

来自密歇根州查和干预青光眼和眼睛健康通过远程医疗 (MI-SIGHT) 计划的成年人的基于人口的横截面研究.
参与者来自低收入社区的初级保健诊所.
数据包括全面的眼病查和关于健康和眼睛护理使用情况的调查.

主要成果:

在1171名参与者中,许多人是黑人或非裔美国人 (54%),收入低 (70%),受教育程度有限 (43%).
眼部疾病的高风险因素包括年龄 (≥65岁),糖尿病和眼部疾病的家族史.
不进行眼科检查的原因包括缺乏保险 (28%),没有感知到需要 (22%),以及成本 (16%).
在不充分使用眼睛护理的人群中,显著的百分比为青光眼 (21%),白内障 (20%) 和糖尿病视网膜病变 (6%) 呈阳性查.

结论:

集成到初级保健中的免费眼病查计划可以成功地吸引面临眼病高风险的服务不足人群.
这种方法有可能改善早期检测和治疗,从而减少可预防的视力丧失.

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