不同的眼科模型 照顾无家可归的人
Caroline Campbell1, Anindya Samanta2,3, Catherine Reppa2
1School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.
Medicina (Kaunas, Lithuania)
|December 31, 2025
概括
为无家可归者 (PEH) 提供眼科护理需要定制方法. 综合多种策略的混合模型最能改善对视觉服务的访问,并为这一群体纠正折射误差 (RE).
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:
- 无家可归 (PEH) 的人面临着高视力障碍的负担,主要是由于未经纠正的折射误差 (RE).
- 显著的障碍阻碍了PEH获得眼科护理的机会,对有效的服务交付模式的理解有限.
- 本综述解决了对北美PEH现有的眼科护理模式进行分类和评估的需要.
研究的目的:
- 分类和评估目前在北美无家可归者 (PEH) 眼科护理的模式.
- 为了确定不同护理模式的优点和局限性,为这个服务不足的人群提供护理.
主要方法:
- 在2013年至2023年期间进行了文献搜索,重点是北美PEH的眼科干预.
- 将符合条件的研究分为不同的眼科护理模式.
- 审查和分析每个模型的可访问性,连续性和资源密度.
主要成果:
- 确定了四种模式:基于办公室,基于避难所,基于移动/临时和基于街道医学.
- 现场纠正折射误差 (RE),特别是眼镜,改善视力,但转诊到第三级护理的完成率很低.
- 强调在同一地点诊断和治疗RE的模型显示了更高的服务交付率.
结论:
- 对于无家可归者 (PEH) 来说,没有单一的眼睛护理模式是普遍优越的.
- 综合多种模型的混合方法,根据社区需求和基础设施量身定制,是扩大访问的最有效方法.
- 需要进一步研究转介途径,长期结果和减少视力差异的政策策略.
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