The Vision Detroit Project: Visual Burden, Barriers, and Access to Eye Care in an Urban Setting

Goyal, Anju; Richards, Collin; Patel, Vaama; Syeda, Sarah; Guest, John-Michael; Freedman, Ryan L.; Hall, Leo M.; Kim, Chaesik; Sirajeldin, Abdala; Rodriguez, Tannia M.; Arsenault, Samantha; Boss, Joseph; Hughes, Bret A.; Juzych, Mark S

doi:10.1080/09286586.2021.1884264

Cited by 20 publications

(31 citation statements)

References 60 publications

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“…Encouragingly, three-quarters of those who were recommended to have further evaluation at the university eye clinic successfully followed up for care [ 69 ]. Similar programs have been described in Detroit, MI [ 70 ] and Rochester, NY [ 71 ], indicating the influence that academic ophthalmology departments can have on their local communities. Aligning these efforts with other organizations that emphasize eye screening, such as Vision to Learn [ 72 ] and the Mission of Mercy [ 73 ], has further expanded the reach of our collective efforts to promote eye care delivery in our community.…”

Section: How Ophthalmologists Can Take Action To Address Social Needsmentioning

confidence: 55%

Addressing Social Determinants of Vision Health

Williams

Sahel

2022

Ophthalmol Ther

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Social determinants of health encompass the quality of an individual’s social and physical environment and its effect on health outcomes. Disparities in these social and environmental factors have a significant role in vision health disparities and inequity in eye care. In this review, we discuss how disparities in visual impairment and eye care utilization are affected by each of the five core domains of social determinants of health, namely economic stability (income, employment, and food security), education (education level and health literacy), health care access (insurance and medical costs), neighborhood environment (housing conditions, home ownership, pollution, and crime), and social context (race and racism). Moreover, we describe a framework by which ophthalmologists can take action to address social determinants of vision health. These actionable strategies are guided by recommendations from the National Academies of Sciences, Engineering, and Medicine and have five complementary components to address social needs: awareness (screening for social needs), assistance (connecting patients with social care resources), adjustment (altering clinical care in recognition of social needs), alignment (understanding social assets and collaborating with community organizations), and advocacy (promoting policies to address social needs). Addressing social determinants of health is complex but achievable through collaborative strategies. Ophthalmologists have an important leadership role in addressing eye care disparities by taking action on underlying social determinants of vision health.

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Section: How Ophthalmologists Can Take Action To Address Social Needsmentioning

confidence: 55%

Addressing Social Determinants of Vision Health

Williams

Sahel

2022

Ophthalmol Ther

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“…7 Americans living in urban cities have been found to have high levels of subjective VI. 57 In some instances, these geographic differences are associated with poverty and income levels. 47,56 Although redliningd the systematic denial of mortgages and lending bias often inflicted upon predominantly Black and poor communitiesdwas prohibited by the Fair Housing Act of 1968, its harmful effects remain, as evidenced by the persistence of disadvantaged and often segregated communities in the United States.…”

mentioning

confidence: 99%

Disparities in Vision Health and Eye Care

Elam¹,

Tseng²,

Rodriguez³

et al. 2022

Ophthalmology

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“…Eye care services in Poland are provided by less than 5000 ophthalmologists [ 21 ], so the limited number of healthcare workers may be a major barrier to eye health care. Vision care inequity is a relatively common phenomenon, observed also in high-income countries like the USA [ 37 ]. In addition to the organization of healthcare, other important factors affecting the utilization of eye healthcare include financial, logistics, and awareness barriers [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Vision care inequity is a relatively common phenomenon, observed also in high-income countries like the USA [ 37 ]. In addition to the organization of healthcare, other important factors affecting the utilization of eye healthcare include financial, logistics, and awareness barriers [ 37 ]. In this study, 30% of patients hospitalized due to eye diseases lived in rural areas.…”

Section: Discussionmentioning

confidence: 99%

A National Registry-Based Epidemiological Study to Evaluate 395 646 Patients Hospitalized Due to Eye Diseases in Poland in 2019

et al. 2023

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Background The Nationwide General Hospital Morbidity Study Registry collects demographic, health, and medical data on patients hospitalized throughout Poland, and acts as a registry for epidemiological, public health, and hospital administrative studies. This epidemiological national registry-based study aimed to evaluate the characteristics of 395 646 patients hospitalized due to eye diseases in Poland in 2019. Material/Methods This study is a retrospective nationwide registry-based analysis. Data on all patients hospitalized due to eye diseases in 2019 were obtained from the Nationwide General Hospital Morbidity Study Registry. Demographic characteristics of patients hospitalized due to eye diseases as well as the hospitalization course were analyzed using descriptive epidemiology tools. Results Disorders of the lens accounted for 68.6% of all hospital admissions, and disorders of the choroid and retina were the second most common (13.9%) cause of hospital admission due to eye diseases in 2019. Over three-quarters of hospital admissions (77.4%) lasted less than 24 h, and 86.8% were scheduled admissions. Most of the patients hospitalized due to eye diseases were females (59.9%) and over 70% lived in urban areas. There were regional differences in the hospital admissions rate per 100 000 inhabitants. According to the data presented in the registry, less than one-third of patients had comorbidities. Conclusions Hospital ophthalmological care in Poland is based mainly on planned hospitalizations lasting less than 24 h and related to ophthalmological surgery. Data on the comorbidity of ophthalmologic patients suggest that ophthalmologists do not pay enough attention to identifying and recording the patient’s health status.

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The Vision Detroit Project: Visual Burden, Barriers, and Access to Eye Care in an Urban Setting

Cited by 20 publications

References 60 publications

Addressing Social Determinants of Vision Health

Addressing Social Determinants of Vision Health

Disparities in Vision Health and Eye Care

A National Registry-Based Epidemiological Study to Evaluate 395 646 Patients Hospitalized Due to Eye Diseases in Poland in 2019

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