Access Barriers to Eye Care Utilization among People with Physical Disability in Hong Kong

Chan, Rufina; Yap, Maurice

doi:10.1016/j.proenv.2016.09.008

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…The sampling techniques which focused on community elderly centres may neglect other groups within the older adult population, such as those with physical disabilities [30]. The ndings obtained may not fully explain the utilization behaviour of these groups, though similar barriers were found such as nancial and knowledge barriers.…”

Section: Limitationsmentioning

confidence: 90%

Prioritising and fitting preventive vision care into existing health service utilization among older adults: a qualitative study

Lau

Liao

Lian

et al. 2022

Preprint

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Background Visual decline is inevitable in older adults. Utilizing preventive vision care can mitigate major risk factors, yet the uptake rate remains suboptimal globally. Barriers to seek preventive eye care were identified in the literature. However, the understanding of these barriers was limited by the quantitative approach, hindering the opportunity to suggest specific strategies to improve service uptake. This qualitative aimed to identify the factors influencing the decision-making process of older adults to use preventive vision care. Methods This was a qualitative study guided by the grounded theory approach. Purposive sampling was used to recruit the subjects. Semi-structured interviews were conducted with 25 community-dwelling adults aged 65 years or above in Hong Kong. Data were transcribed and constant comparison techniques were used for data analysis. Results The core theme revealed a decision-making process of being difficult in “prioritising and fitting preventive vision care into the existing health service utilization” for older people when deciding the utilization of preventive vision care. Five sub-themes were identified to explain the low preventive vision care utilization. Specifically, in absence of past preventive vision care utilization experience, most rely on other “previous health service utilization” to guide their judgment. “Low perceived preventive vision care needs” were due to perceived low disruption of symptoms in daily practices and lack of social cues. “Low perceived self-efficacy of service utilization” was due to limited information on service availability, limited social support, limited health literacy, and financial concerns. Unfulfilled “service expectation” also lowered their motivation to use preventive vision care. Discussion This study found that multiple factors influenced the decision-making process and reduced the motivation of subjects to use preventive vision care. Future interventions could exploit the benefit of social influences on the identified factors so that preventive vision care can smoothly fit into the ongoing healthcare use. Adopting a longitudinal qualitative perspective would enrich understanding the reasons for not using preventive vision care.

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Section: Limitationsmentioning

confidence: 90%

Prioritising and fitting preventive vision care into existing health service utilization among older adults: a qualitative study

Lau

Liao

Lian

et al. 2022

Preprint

Self Cite

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Barriers in older adults’ decision-making process to use routine eye examinations in Hong Kong

Lau,

Liao,

Lian

et al. 2023

Clinical and Experimental Optometry

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This study was approved by the Hong Kong Polytechnic University's Human Subjects Ethics Committee (ref no: HSEARS20210422005). The report of the method section follows the Consolidate Criteria for Reporting Qualitative Research (COREQ) checklist. 26 Research team and reflexivityThe interviews were all conducted by WYL, a female research postgraduate student. WYL was trained to conduct qualitative research by QL, who is an experienced qualitative researcher. The discussion of coding results was done with a research team with experts in psychology, behavioural sciences, health services research and vision care (QL, JL and MY).At the time of the interview, the participants were informed about the topic of this interview as there was no need to conceal the study objective from them. The participants were informed to share with the interviewer about their experiences, thoughts and opinions about the use of eye examination.

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Medical, dental, and optical care utilization among community-living people with spinal cord injury in the United States

Murphy

Bryce

Coker

et al. 2022

The Journal of Spinal Cord Medicine

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Access Barriers to Eye Care Utilization among People with Physical Disability in Hong Kong

Cited by 3 publications

References 8 publications

Prioritising and fitting preventive vision care into existing health service utilization among older adults: a qualitative study

Prioritising and fitting preventive vision care into existing health service utilization among older adults: a qualitative study

Barriers in older adults’ decision-making process to use routine eye examinations in Hong Kong

Medical, dental, and optical care utilization among community-living people with spinal cord injury in the United States

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