Cargando…

Accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system

BACKGROUND: To assess the utilization of and satisfaction with ophthalmic healthcare provided by integrated delivery system (IDS) since 2000 and vision-related quality of life (VRQoL) for residents of an offshore island of Taiwan. METHODS: Facilitators interviewed residents (age ≥ 50 years) with the...

Descripción completa

Detalles Bibliográficos
Autores principales: Chen, Li-Ju, Chang, Yun-Jau, Shieh, Chun-Fu, Yu, Jy-Haw, Yang, Ming-Chin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4944472/
https://www.ncbi.nlm.nih.gov/pubmed/27412399
http://dx.doi.org/10.1186/s12913-016-1501-8
_version_ 1782442770637520896
author Chen, Li-Ju
Chang, Yun-Jau
Shieh, Chun-Fu
Yu, Jy-Haw
Yang, Ming-Chin
author_facet Chen, Li-Ju
Chang, Yun-Jau
Shieh, Chun-Fu
Yu, Jy-Haw
Yang, Ming-Chin
author_sort Chen, Li-Ju
collection PubMed
description BACKGROUND: To assess the utilization of and satisfaction with ophthalmic healthcare provided by integrated delivery system (IDS) since 2000 and vision-related quality of life (VRQoL) for residents of an offshore island of Taiwan. METHODS: Facilitators interviewed residents (age ≥ 50 years) with the 25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) for VRQoL and a questionnaire on clinical information, ophthalmic care utilization and satisfaction. RESULTS: A total of 841 participants (response rate 93.4 %, 841/900) completed the questionnaire survey. Mean age was 63.7 (±10. 7) years. The common eye diseases were cataract (44.7 %), dry eye (15.5 %), and glaucoma (8.7 %). Among the participants, 61.0 % sought ophthalmic care under the IDS in the past year and 17.6 % experienced unmet ophthalmic needs in the past 6 months. Satisfaction with ophthalmic care under the IDS was 88.1 %. Determinants of dissatisfaction under the IDS were distance to healthcare facility and VRQoL. Predictors of VRQoL included age, residential area, marital status, occupation, comorbid condition, commercial insurance, household income, cataracts and glaucoma. CONCLUSIONS: The implementation of IDS improves accessibility of ophthalmic care for residents of an offshore island. Geographic proximity to avail healthcare facility and VRQoL affect satisfaction with the IDS.
format Online
Article
Text
id pubmed-4944472
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-49444722016-07-15 Accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system Chen, Li-Ju Chang, Yun-Jau Shieh, Chun-Fu Yu, Jy-Haw Yang, Ming-Chin BMC Health Serv Res Research Article BACKGROUND: To assess the utilization of and satisfaction with ophthalmic healthcare provided by integrated delivery system (IDS) since 2000 and vision-related quality of life (VRQoL) for residents of an offshore island of Taiwan. METHODS: Facilitators interviewed residents (age ≥ 50 years) with the 25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) for VRQoL and a questionnaire on clinical information, ophthalmic care utilization and satisfaction. RESULTS: A total of 841 participants (response rate 93.4 %, 841/900) completed the questionnaire survey. Mean age was 63.7 (±10. 7) years. The common eye diseases were cataract (44.7 %), dry eye (15.5 %), and glaucoma (8.7 %). Among the participants, 61.0 % sought ophthalmic care under the IDS in the past year and 17.6 % experienced unmet ophthalmic needs in the past 6 months. Satisfaction with ophthalmic care under the IDS was 88.1 %. Determinants of dissatisfaction under the IDS were distance to healthcare facility and VRQoL. Predictors of VRQoL included age, residential area, marital status, occupation, comorbid condition, commercial insurance, household income, cataracts and glaucoma. CONCLUSIONS: The implementation of IDS improves accessibility of ophthalmic care for residents of an offshore island. Geographic proximity to avail healthcare facility and VRQoL affect satisfaction with the IDS. BioMed Central 2016-07-13 /pmc/articles/PMC4944472/ /pubmed/27412399 http://dx.doi.org/10.1186/s12913-016-1501-8 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Chen, Li-Ju
Chang, Yun-Jau
Shieh, Chun-Fu
Yu, Jy-Haw
Yang, Ming-Chin
Accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system
title Accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system
title_full Accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system
title_fullStr Accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system
title_full_unstemmed Accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system
title_short Accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system
title_sort accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4944472/
https://www.ncbi.nlm.nih.gov/pubmed/27412399
http://dx.doi.org/10.1186/s12913-016-1501-8
work_keys_str_mv AT chenliju accessibilityofophthalmichealthcareforresidentsofanoffshoreislandanexampleofintegrateddeliverysystem
AT changyunjau accessibilityofophthalmichealthcareforresidentsofanoffshoreislandanexampleofintegrateddeliverysystem
AT shiehchunfu accessibilityofophthalmichealthcareforresidentsofanoffshoreislandanexampleofintegrateddeliverysystem
AT yujyhaw accessibilityofophthalmichealthcareforresidentsofanoffshoreislandanexampleofintegrateddeliverysystem
AT yangmingchin accessibilityofophthalmichealthcareforresidentsofanoffshoreislandanexampleofintegrateddeliverysystem