Interventions to promote access to eyecare for non-dominant ethnic groups in high-income countries: a scoping review
| Autor: | Lisa M Hamm, Corina Grey, Jennifer R Evans, Helen Burn, Matire Harwood, Roshini Peiris-John, Joanna Black, Jacqueline Ramke, Matthew J. Burton, Aryati Yashadhana |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Medicine (General) Ethnic group Psychological intervention review Infectious and parasitic diseases RC109-216 03 medical and health sciences 0302 clinical medicine R5-920 Global health Ethnicity Medicine Humans 030212 general & internal medicine 10. No inequality Original Research Health Services Needs and Demand Descriptive statistics business.industry Health Policy Public health Developed Countries Public Health Environmental and Occupational Health Health services research Attendance eye diseases health services research 3. Good health Family medicine 030221 ophthalmology & optometry Income Thematic analysis public Health business Delivery of Health Care |
| Zdroj: | BMJ Global Health, Vol 6, Iss 9 (2021) BMJ Global Health |
| ISSN: | 2059-7908 |
| Popis: | PurposePeople who are distinct from the dominant ethnic group within a country can experience a variety of barriers to accessing eyecare services. We conducted a scoping review to map published interventions aimed at improving access to eyecare for non-Indigenous, non-dominant ethnic groups residing in high-income countries.MethodsWe searched MEDLINE, Embase and Global Health for studies that described an intervention to promote access to eyecare for the target population. Two authors independently screened titles and abstracts followed by review of the full text of potentially relevant sources. For included studies, data extraction was carried out independently by two authors. Findings were summarised using a combination of descriptive statistics and thematic analysis.ResultsWe screened 5220 titles/abstracts, of which 82 reports describing 67 studies met the inclusion criteria. Most studies were conducted in the USA (90%), attempted to improve access for Black (48%) or Latinx (28%) communities at-risk for diabetic retinopathy (42%) and glaucoma (18%). Only 30% included the target population in the design of the intervention; those that did tended to be larger, collaborative initiatives, which addressed both patient and provider components of access. Forty-eight studies (72%) evaluated whether an intervention changed an outcome measure. Among these, attendance at a follow-up eye examination after screening was the most common (n=20/48, 42%), and directly supporting patients to overcome barriers to attendance was reported as the most effective approach. Building relationships between patients and providers, running coordinated, longitudinal initiatives and supporting reduction of root causes for inequity (education and economic) were key themes highlighted for success.ConclusionAlthough research evaluating interventions for non-dominant, non-Indigenous ethnic groups exist, key gaps remain. In particular, the paucity of relevant studies outside the USA needs to be addressed, and target communities need to be involved in the design and implementation of interventions more frequently. |
| Databáze: | OpenAIRE |
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