A scoping review of patients' barriers to eye care for glaucoma and keratitis |
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| Affiliation: | 1. International School of Public Health and One Health, Hainan Medical University, Haikou, China;2. Hainan Eye Hospital and Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun -Yat-sen University, Haikou, China;1. Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada;2. Department of Ophthalmology, St. Michael''s Hospital/Unity Health, Toronto, Ontario, Canada;3. Kensington Vision and Research Centre, Toronto, Ontario, Canada;4. Newcastle Eye Centre, Royal Victoria Infirmary, Newcastle-Upon-Tyne, United Kingdom;5. Translational and Clinical Research Institute, Newcastle University, Newcastle-Upon-Tyne, United Kingdom;6. Cytokine and Imaging Laboratory, University of Toronto/Kensington Health Ophthalmology Biobank, Toronto, Ontario, Canada;1. Department of Ophthalmology, University Medical Center Utrecht, Utrecht, the Netherlands;2. Department of Ophthalmology, Amsterdam University Medical Centers, Amsterdam, the Netherlands;3. Department of Human Genetics, Section Ophthalmogenetics, Amsterdam University Medical Centers, Amsterdam, the Netherlands;4. Queen Emma Center of Precision Medicine, Amsterdam University Medical Centers, Amsterdam, the Netherlands;5. Department of Ophthalmology, Leiden University Medical Center, Leiden, the Netherlands;6. Diagnostic Center for Complex Visual Disorders, Zeist, the Netherlands;1. Department Of Ophthalmology, University of Alabama at Birmingham, Birmingham, AL, USA;2. Department Of Ophthalmology, Wills Eye Hospital, USA |
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| Abstract: | In this scoping review, we examine underlying causes of loss to follow-up for chronic (glaucoma) and acute (corneal ulcers) eye conditions using the Penchansky and Thomas access to care framework. We explore barriers by World Health Organization income levels and by studying geographical location. We identified 6,363 abstracts, with 75 articles retrieved and 16 meeting inclusion criteria. One article discussed barriers to follow-up care for people with corneal ulcers, and the other 15 were for people with glaucoma. The most frequent barriers to care were affordability, awareness, and accessibility. The international studies had a greater percentage of studies report acceptability as a barrier to loss to follow-up. Countries with universal healthcare included affordability as a loss to follow-up barrier, emphasizing that cost goes beyond the ability to pay for direct treatment costs. Understanding and addressing barriers to follow-up care can aid the goal of continued care and decrease the risk of poor outcomes and vision loss. |
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| Keywords: | Loss to follow-up Barriers to care Corneal ulcers Glaucoma Scoping review |
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