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

TitleBarriers in older adults’ decision-making process to use routine eye examinations in Hong Kong
Authors
KeywordsHealthcare-seeking behaviour
primary eye care
routine eye examination
Issue Date9-Aug-2023
PublisherTaylor and Francis Group
Citation
Clinical and Experimental Optometry, 2023, p. 1-7 How to Cite?
Abstract

Clinical relevance: The decision to have a routine eye examination involves individual- and service-level judgement. A deeper understanding of patient access barriers and expectations could facilitate the design of better-aligned service models in optometric practice, improving the utilisation rate of an important facet of primary healthcare services. Background: Routine eye examinations achieve several health objectives, including mitigation of sight-threatening risk factors. However, there are barriers to service uptake. Through the qualitative approach, a deeper understanding of these barriers can be realised and enhanced strategies designed to improve the uptake of the routine eye examination. A qualitative study was conducted to identify the factors influencing the decision-making process of older adults to use the routine eye examination service. Methods: This study was guided by the grounded theory approach. Participants were purposively recruited from six community elderly centres. 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: Difficulty in prioritising and including the routine eye examination in the existing health service utilisation was the central theme associated with its lower use. Four sub-themes were identified to explain this phenomenon: (1) previous health care service utilisation as a reference for judging primary eye care; (2) low perceived primary eye care service needs; (3) low perceived self-efficacy on routine eye care utilisation; (4) service expectations. Conclusion: Multiple modifiable factors influence decision-making by older adults, suggesting that their routine eye care seeking behaviour might be altered through behaviour change intervention. The context in which services are delivered requires further study, with a focus on exploring the factors influencing service experience and its subsequent impact on regular eye care seeking behaviour.


Persistent Identifierhttp://hdl.handle.net/10722/337339
ISSN
2023 Impact Factor: 1.7
2023 SCImago Journal Rankings: 0.653
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLau, Wing Yan-
dc.contributor.authorLiao, Qiuyan-
dc.contributor.authorLian, Jinxiao-
dc.contributor.authorYap, Maurice -
dc.date.accessioned2024-03-11T10:20:06Z-
dc.date.available2024-03-11T10:20:06Z-
dc.date.issued2023-08-09-
dc.identifier.citationClinical and Experimental Optometry, 2023, p. 1-7-
dc.identifier.issn0816-4622-
dc.identifier.urihttp://hdl.handle.net/10722/337339-
dc.description.abstract<p> <span>Clinical relevance: The decision to have a routine eye examination involves individual- and service-level judgement. A deeper understanding of patient access barriers and expectations could facilitate the design of better-aligned service models in optometric practice, improving the utilisation rate of an important facet of primary healthcare services. Background: Routine eye examinations achieve several health objectives, including mitigation of sight-threatening risk factors. However, there are barriers to service uptake. Through the qualitative approach, a deeper understanding of these barriers can be realised and enhanced strategies designed to improve the uptake of the routine eye examination. A qualitative study was conducted to identify the factors influencing the decision-making process of older adults to use the routine eye examination service. Methods: This study was guided by the grounded theory approach. Participants were purposively recruited from six community elderly centres. 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: Difficulty in prioritising and including the routine eye examination in the existing health service utilisation was the central theme associated with its lower use. Four sub-themes were identified to explain this phenomenon: (1) previous health care service utilisation as a reference for judging primary eye care; (2) low perceived primary eye care service needs; (3) low perceived self-efficacy on routine eye care utilisation; (4) service expectations. Conclusion: Multiple modifiable factors influence decision-making by older adults, suggesting that their routine eye care seeking behaviour might be altered through behaviour change intervention. The context in which services are delivered requires further study, with a focus on exploring the factors influencing service experience and its subsequent impact on regular eye care seeking behaviour.</span> <br></p>-
dc.languageeng-
dc.publisherTaylor and Francis Group-
dc.relation.ispartofClinical and Experimental Optometry-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectHealthcare-seeking behaviour-
dc.subjectprimary eye care-
dc.subjectroutine eye examination-
dc.titleBarriers in older adults’ decision-making process to use routine eye examinations in Hong Kong-
dc.typeArticle-
dc.identifier.doi10.1080/08164622.2023.2237971-
dc.identifier.scopuseid_2-s2.0-85167604707-
dc.identifier.spage1-
dc.identifier.epage7-
dc.identifier.eissn1444-0938-
dc.identifier.isiWOS:001044084500001-
dc.identifier.issnl0816-4622-

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