What do patients with diabetes and providers think of an innovative Australian model of remote diabetic retinopathy screening? A qualitative study
| Autor: | Lisa Crossland, Sarah Larkins, Nicola M. Glasson |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Service delivery framework Attitude of Health Personnel Health Personnel education Health informatics Health Services Accessibility Health administration 03 medical and health sciences Young Adult 0302 clinical medicine Nursing Health care medicine Humans Mass Screening 030212 general & internal medicine Qualitative Research Aged Aged 80 and over Diabetic Retinopathy business.industry Delivery of Health Care Integrated Health Policy Public health Australia Middle Aged Patient Acceptance of Health Care Outreach Early Diagnosis Rural and remote 030221 ophthalmology & optometry Screening Female Rural Health Services Thematic analysis Qualitative study business Qualitative research Program Evaluation Research Article |
| Zdroj: | BMC Health Services Research |
| ISSN: | 1472-6963 |
| Popis: | Background Diabetic retinopathy (DR) is the commonest cause of preventable blindness in working age populations, but up to 98% of visual loss secondary to DR can be prevented with early detection and treatment. In 2012, an innovative outreach DR screening model was implemented in remote communities in a state of Australia. The aim of this study was to explore the acceptability of this unique DR screening model to patients, health professionals and other key stakeholders. Methods This descriptive qualitative study used semi-structured interviews with patients opportunistically recruited whilst attending DR screening, and purposefully selected health care professionals either working within or impacted by the programme. Interviews were audiotaped, transcribed and analysed using NVIVO. An iterative process of thematic analysis was used following the principles of grounded theory. Results Interviews were conducted with fourteen patients with diabetes living in three remote communities and nine health professionals or key stakeholders. Nine key themes emerged during interviews with health professionals, key stakeholders and patients: i) improved patient access to DR screening; ii) efficiency, financial implications and sustainability; iii) quality and safety; iv) multi-disciplinary diabetes care; v) training and education; vi) operational elements of service delivery; vii) communication, information sharing and linkages; viii) coordination and integration of the service and ix) suggested improvements to service delivery. Conclusions The Remote Outreach DR Screening Service is highly acceptable to patients and health professionals. Challenges have primarily been encountered in communication and coordination of the service and further development in these areas could improve the programme’s impact and sustainability in remote communities. The service is applicable to other remote communities nationally and potentially internationally. Electronic supplementary material The online version of this article (doi:10.1186/s12913-017-2045-2) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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