Barriers to Care Among Glaucoma Patients With a Missed Appointment and Interest in a Navigator Program.

Autor:	Wasser LM; Department of Ophthalmology, University of Pittsburgh School of Medicine.; Department of Ophthalmology, Shaare Zedek Medical Center Affiliated with the Hebrew University, Hadassah School of Medicine, Jerusalem, Israel., Bear TM; Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh.; Department of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA., Sommers M; Department of Ophthalmology, University of Pittsburgh School of Medicine., Cassidy J; Department of Ophthalmology, University of Pittsburgh School of Medicine., Muir KW; Department of Ophthalmology, Duke University Medical Center.; Durham Veterans Affairs Medical Center, Health Services Research and Development, Durham, NC., Williams AM; Department of Ophthalmology, University of Pittsburgh School of Medicine.
Jazyk:	angličtina
Zdroj:	Journal of glaucoma [J Glaucoma] 2024 Apr 01; Vol. 33 (4), pp. 297-302. Date of Electronic Publication: 2023 Oct 23.
DOI:	10.1097/IJG.0000000000002330
Abstrakt:	Prcis: Most glaucoma patients with missed appointments report barriers to care and social risk factors. One third expressed interest in engaging with a patient navigator program. Most expressed interest in rescheduling. Purpose: The purpose of this study was to identify barriers to care among glaucoma patients with missed appointments and to assess their interest in a patient navigator program. Material and Methods: A cross-sectional study involving adult glaucoma patients from an academic eye center who missed their scheduled appointment between April 18 and July 25, 2022. Participants were surveyed about reasons for missed appointments, barriers to care, social risk factors, and interest in consulting with our patient navigator program. Results: Of 172 patients with a missed glaucoma appointment, 73% (126/172) were contacted, and 40% (51/126) of those completed the survey. Participant age averaged 67±14 years, half were female (25/51, 49%), and most identified as Black (27/51, 53%) or White (21/51, 40%). Barriers to seeing a doctor including difficulty scheduling appointments (13/51, 26%), transportation (12/51, 24%), and cost or insurance barriers (8/51, 16%). Twenty-eight (55%) respondents reported at least one social risk factor. A positive association was found between having at least one risk factor and expressing interest in consulting our patient navigator (odds ratio=6.7, P =0.009). Overall, a third of respondents expressed interest in engaging with our patient navigator program (17/51, 33%). Two thirds of participants reported awareness of missed appointments (34/51, 67%), of whom 35% (12/34) reported having already rescheduled, 41% (14/34) expressed interest in rescheduling, and 24% (8/34) did not wish to return. Conclusions: Glaucoma patients with missed appointments report barriers to care and face social risk factors. Telephone outreach may help to re-engage them with care, and patients expressed interest in a patient navigator program to address social needs. Competing Interests: Disclosure: The authors declare no conflict of interest. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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