Access to low-vision rehabilitation services: barriers and enablers
Access to low-vision rehabilitation services: barriers and enablers
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DOI：
10.1111/j.1444-0938.2010.00556.x
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发表时间：
2011-03-01
影响因子：
1.9
通讯作者：
Chen, Celia S.
中科院分区：
文献类型：
--
作者：
Matti, Albert I.;Pesudovs, Konrad;Chen, Celia S.
背景：目前低视力服务的需求和接受之间的不匹配归因于各种障碍，包括不同的服务提供模式和转诊途径。本研究评估的转介途径和低视力服务提供的皇家盲人协会（RSB）在南澳。方法：所有新的转介从2008-2009财政年度的RSB进行了审查。最初，病人在转诊后一周内由分诊官员联系。最初的预约是在低视力诊所与一个多学科的团队。拒绝预约或不出席的原因进行了跟踪通过telephones.Results：有1116名患者在12个月的时间内，1082（97%）在低视力诊所进行了审查。大多数就诊者（92%）居住在距离诊所50公里以内的地方。有34名转诊患者拒绝或没有参加评估。所有未参加者也住在低视力中心50公里范围内。并发的重大健康问题（27%）和患者不觉得需要低视力康复（27%）是不获得服务的最常见原因。只有125名患者（11.6%）获得志愿者运输服务，只有24名患者（2.2%）需要口译服务。结论：出勤率显着高于其他已发表的研究。旅行距离或交通困难不是重大障碍。患者认为不需要服务或服务对他们没有帮助是主要障碍。转诊和分诊过程似乎是低视力服务吸收的主要推动力。
Background:The current mismatch between the need for and uptake of low-vision services has been attributed to various barriers including different service delivery models and referral pathways. This study evaluates the referral pathway and low-vision service provision of the Royal Society for the Blind (RSB) in South Australia.Methods:All new referrals from the 2008-2009 financial year to the RSB were reviewed. Initially, patients were contacted by a triage officer within one week of referral. Initial appointments were made in the Low Vision Clinic with a multidisciplinary team. Reasons for declining the appointment or non-attendance were tracked via telephone.Results:There were 1116 patients referred over a 12-month period and 1082 (97 per cent) were reviewed in the Low Vision Clinic. Most attendees (92 per cent) lived within 50 kilometres of the clinic. There were 34 referred patients, who declined or did not attend the assessment. All non-attendees also lived within 50 kilometres of the Low Vision Centre. Concurrent major health problems (27 per cent) and patients not feeling the need for low-vision rehabilitation (27 per cent) were the most common reasons for not accessing the service. Only 125 patients (11.6 per cent) accessed volunteer transport services and only 24 patients (2.2 per cent) needed an interpreter service.Conclusion:The attendance rate is significantly higher than in other published studies. The distance to travel or transport difficulties were not significant barriers. Patient perception that either the service was not required or would not help them was the main barrier. The referral and triage process appeared to be a major enabler of low-vision service uptake.