Primary eye health services for older adults as a component of universal health coverage: a scoping review of evidence from high income countries

卷:35

Review

关键词: IMPAIRED VISUAL-ACUITY;    LOW-VISION SERVICE;    DIABETIC-RETINOPATHY;    REFINEMENT SCHEME;    SCREENING-PROGRAM;    SHARED CARE;    GLAUCOMA;    DELIVERY;    ACCESS;   

DOI  :  10.1016/j.lanwpc.2022.100560

来源: SCIE

【 摘 要 】

In pursuit of Universal Health Coverage (UHC) for eye health, countries must strengthen services for older adults, who experience the highest prevalence of eye conditions. This scoping review narratively summarised (i) primary eye health services for older adults in eleven high-income countries/territories (from government websites), and (ii) the evidence that eye health services reduced vision impairment and/or provided UHC (access, quality, equity, or financial protection) (from a systematic literature search). We identified 76 services, commonly comprehensive eye examinations refractive error correction. Of 102 included publications reporting UHC outcomes, there was no evi-dence to support vision screening in the absence of follow-up care. Included studies tended to report the UHC dimensions of access (n=70), equity (n=47), and/or quality (n=39), and rarely reported financial protection (n=5). Insufficient access for population subgroups was common; several examples of horizontal and vertical integration of eye health services within the health system were described. Funding This work was funded by Blind Low Vision New Zealand for Eye Health Aotearoa.Copyright & COPY; 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)