Key factors determining success of primary eye care through vision centres in rural India: Patients′ perspectives

Indian Journal of Ophthalmology

关键词: Diabetes-related blindness;    diabetic retinopathy;    key informant;    rapid assessment of avoidable blindness;    retinopathy of prematurity;    tele-ophthalmology;    Blindness;    disability;    equity;    health economics;    health policy;    health and development;    social exclusion;    Community eye health;    prevention of blindness;    ophthalmogical residency;    VISION 2020;    Visual impairment;    blindness;    inequality;    social class;    income;    educational status;    gender and ethnic groups;    Advocacy;    effective service delivery;    enabling environment;    stakeholders;    resources;    Avoidable blindness and visual impairment;    impact;    scaling up;    VISION 2020;    Global blindness;    prevalence;    visual impairment;    visual acuity;    Comprehensive eye care;    eye care model;    pyramidal model;    Comprehensive eye care;    optometrist;    optometry regulation;    eye health;    India;    Economics;    blindness;    visual impairment;    market;    government;    cost;    Millennium development goals;    eye health;    Vision 2020 the Right to Sight;    Blindness;    eye care services;    planning rapid assessment methods;    visual impairment;    Avoidable blindness;    cataract surgical rate;    corneal blindness;    eye care services;    Compliance;    diabetic retinopathy;    services;    Human resource development;    service delivery;    social entrepreneurship;    uncorrected refractive error;    Blindness;    cataract extraction;    cataract;    coverage;    data aggregation;    population;    prevalence;    visual impairment;    Case detection;    comprehensive eye examination;    developing countries;    glaucoma;    integrated approach;    training requirements;    Child health policy;    childhood blindness;    social determinants of eye health;    Access;    Asia-pacific;    coverage;    funding;    low vision;    policy;    Funding;    vision research priorities;    peer review;    research;    Cataract surgery;    clinical outcome;    patient-reported outcome;    quality improvement;    quality;    Global eye health;    health interventions;    health systems;    systems thinking;    Avoidable blindness;    global cost;    health investment;    primary and secondary health;    visual impairment;    Trauma;    pediatric cataract;    visual outcome;    Determinants;    patient satisfaction;    primary eye care;    vision centers;   

DOI  :  10.4103/0301-4738.100558

来源: DOAJ

【 摘 要 】

Aim : This paper intends to discuss the patients′ perspective on the determinants of primary eye care services from vision centers (VC) in rural India. Materials and Methods : A retrospective study design and interview method was used on 127 randomly selected patients who accessed the 4 VCs in 2007. Factor analyses and linear regression models were used to predict the associations with patient satisfaction. Results : The three factors derived from factor analyses were: (1)-vision technician (VT), (2)-location of VC, and (3)-access to VC; explaining 60% of the variance in total patients′ satisfaction with VC. The first model (R2 : 0.61; F 1,124=144.36, P <0.001), indicated that respondents who had ′difficulty to travel to the place of VC′ and those who can afford to pay had less satisfaction with VT services. The second model (R2 =0.18; F 1,124=29.5, P <0.001) explained that respondents′ difficulty to identify the building of VC had decreased patients′ satisfaction and the third model (R2 =0.36; F 1,124=45.6, P <0.001) indicated that those who had to travel<5 km to the VC and had 0.38 units of increased satisfaction level with the services of VC. Conclusion : A good VT can enhance patient satisfaction. However, patient expectations are not only confined to the provider but also other factors such as ability to pay and convenient transportation that helps patients reach the location of the VC with ease.

【 授权许可】

Unknown