A Scoping Review of Patients’ Barriers to Eye Care for Glaucoma and Keratitis.

Apr 03, 2023

Experts: Patrice M Hicks,Linda Kang,Mikhayla L Armstrong,Joseph R Pongrac,Brian C Stagg,Kate M Saylor,Paula-Anne Newman-Casey,Maria A Woodward

In this scoping review, we examine underlying causes of loss to follow-up for chronic (glaucoma) and acute (corneal ulcers) eye conditions using the Penchansky and Thomas access to care framework. We explore barriers by World Health Organization income levels and by study geographical location. We identified 6363 abstracts, with 75 articles retrieved and 16 meeting inclusion criteria. One article discussed barriers to follow-up care for people with corneal ulcers and the other 15 were for people with glaucoma. The most frequent barriers to care were affordability, awareness, and accessibility. The international studies had a greater percentage of studies report acceptability as a barrier to loss to follow-up. Countries with universal healthcare included affordability as a loss to follow-up barrier, emphasizing that cost goes beyond the ability to pay for direct treatment costs. Understanding and addressing barriers to follow-up care can aid the goal of continued care and decrease the risk of poor outcomes and vision loss.
Copyright © 2023 Elsevier Inc. All rights reserved.

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ABOUT THE EXPERTS

Patrice M Hicks,Linda Kang,Mikhayla L Armstrong,Joseph R Pongrac,Brian C Stagg,Kate M Saylor,Paula-Anne Newman-Casey,Maria A Woodward

Patrice M Hicks

Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.

Linda Kang

Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.

Mikhayla L Armstrong

University of Chicago Medical School, Chicago, Illinois, USA.

Joseph R Pongrac

Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.

Brian C Stagg

John Moran Eye Center, University of Utah, Salt Lake City, Utah, USA; Department of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA.

Kate M Saylor

Taubman Health Sciences Library, University of Michigan, Ann Arbor, Michigan.

Paula-Anne Newman-Casey

Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA.

Maria A Woodward

Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA. Electronic address: mariawoo@med.umich.edu.