Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2016

Open Access 01-12-2016 | Research article

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

Authors: Li-Ju Chen, Yun-Jau Chang, Chun-Fu Shieh, Jy-Haw Yu, Ming-Chin Yang

Published in: BMC Health Services Research | Issue 1/2016

Login to get access

Abstract

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.
Literature
1.
Hwang W, Chang J, Laclair M, Paz H. Effects of integrated delivery system on cost and quality. Am J Manag Care. 2013;19(5):e175–84.PubMed
2.
Tsai WC, Kung PT, Yaung CL, Li YH, Lin SC. Accessibility and satisfaction with healthcare by rural area residents. Taiwan J Public Health. 2006;25(5):394–404.
3.
Saliba AJ. Impact of rurality on optical health: review of the literature and relevant Australian Bureau of Statistics data. Rural Remote Health. 2008;8(4):1056.PubMed
4.
Schoenberg NE, Coward RT. Residential differences in attitudes about barriers to using community-based services among older adults. J Rural Health. 1998;14(4):295–304.CrossRefPubMed
5.
Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36(1):1–10.CrossRefPubMed
6.
Andersen RM, McCutcheon A, Aday LA, Chiu GY, Bell R. Exploring dimensions of access to medical care. Health Serv Res. 1983;18(1):49–74.PubMedPubMedCentral
7.
Aday LA, Andersen RM. Equity of access to medical care: a conceptual and empirical overview. Med Care. 1981;19(12):4–27.CrossRef
8.
9.
10.
Hsiao CH, Ho CH, Liao CH, Wang HY, Wang JJ, Wu CC. Wound dehiscence as a cataract surgery-associated postoperative complication in patients previously treated with alpha-1 blocker tamsulosin—a population-based study in Taiwan. Am J Ophthalmol. 2014;158(6):1215–20. e1.CrossRefPubMed
11.
Tan HF, Tseng HF, Chang CK, Lin W, Hsiao SH. Accessibility assessment of the Health Care Improvement Program in rural Taiwan. J Rural Health. 2005;21(4):372–7.CrossRefPubMed
12.
Wen CP, Tsai SP, Chung WS. A 10-year experience with universal health insurance in Taiwan: measuring changes in health and health disparity. Ann Intern Med. 2008;148(4):258–67.CrossRefPubMed
13.
Keng SH, Sheu SJ. The effect of national health insurance on mortality and the SES-health gradient: evidence from the elderly in Taiwan. Health Econ. 2013;22(1):52–72.CrossRefPubMed
14.
Chen L, Yip W, Chang MC, Lin HS, Lee SD, Chiu YL, et al. The effects of Taiwan’s National Health Insurance on access and health status of the elderly. Health Econ. 2007;16(3):223–42.CrossRefPubMed
15.
Lu JF, Hsiao WC. Does universal health insurance make health care unaffordable? Lessons from Taiwan. Health Aff (Millwood). 2003;22(3):77–88.CrossRef
16.
17.
Chen MK, Chen HH. Increased cancer mortality in Taiwanese inter-island migrants. Geospat Health. 2013;7(2):251–63.CrossRefPubMed
18.
Ahmad K, Zwi AB, Tarantola DJ, Chaudhry TA. Self-perceived barriers to eye care in a hard-to-reach population: the Karachi Marine Fishing Communities Eye and General Health Survey. Invest Ophthalmol Vis Sci. 2015;56(2):1023–32.CrossRefPubMed
19.
Suzukamo Y, Oshika T, Yuzawa M, Tokuda Y, Tomidokoro A, Oki K, et al. Psychometric properties of the 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25), Japanese version. Health Qual Life Outcomes. 2005;3:65.CrossRefPubMedPubMedCentral
20.
Nassiri N, Mehravaran S, Nouri-Mahdavi K, Coleman AL. National Eye Institute Visual Function Questionnaire: usefulness in glaucoma. Optom Vis Sci. 2013;90(8):745–53.CrossRefPubMed
21.
Orr P, Rentz AM, Margolis MK, Revicki DA, Dolan CM, Colman S, et al. Validation of the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25) in age-related macular degeneration. Invest Ophthalmol Vis Sci. 2011;52(6):3354–9.CrossRefPubMed
22.
Lin JC, Chie WC. Psychometric validation of the Taiwan Chinese version of the 25-item National Eye Institute Visual Functioning Questionnaire. J Eval Clin Pract. 2009;16(3):619–26.PubMed
23.
Lin JC, Yang MC. Correlation of visual function with health-related quality of life in glaucoma patients. J Eval Clin Pract. 2009;16(1):134–40.CrossRefPubMed
24.
Mangione CM, Lee PP, Gutierrez PR, Spritzer K, Berry S, Hays RD. Development of the 25-item National Eye Institute Visual Function Questionnaire. Arch Ophthalmol. 2001;119(7):1050–8.CrossRefPubMed
25.
26.
Juhnke C, Muhlbacher AC. Patient-centredness in integrated healthcare delivery systems—needs, expectations and priorities for organised healthcare systems. Int J Integr Care. 2013;13, e051.CrossRefPubMedPubMedCentral
27.
Senarath U, Fernando DN, Rodrigo I. Factors determining client satisfaction with hospital-based perinatal care in Sri Lanka. Trop Med Int Health. 2006;11(9):1442–51.CrossRefPubMed
28.
Abtahi AM, Presson AP, Zhang C, Saltzman CL, Tyser AR. Association between orthopaedic outpatient satisfaction and non-modifiable patient factors. J Bone Joint Surg Am. 2015;97(13):1041–8.CrossRefPubMedPubMedCentral
29.
Jang Y, Kim G, Chiriboga DA. Health, healthcare utilization, and satisfaction with service: barriers and facilitators for older Korean Americans. J Am Geriatr Soc. 2005;53(9):1613–7.CrossRefPubMed
30.
Paul P, Hakobyan M, Valtonen H. The association between self-perceived health status and satisfaction with healthcare services: evidence from Armenia. BMC Health Serv Res. 2016;16:67.CrossRefPubMedPubMedCentral
31.
Schaumberg DA, Christen WG, Glynn RJ, Buring JE. Demographic predictors of eye care utilization among women. Med Care. 2000;38(6):638–46.CrossRefPubMed
32.
Hong CJ, Trope GE, Buys YM, Robinson BE, Jin YP. Does government assistance improve utilization of eye care services by low-income individuals? Can J Ophthalmol. 2014;49(4):320–5.CrossRefPubMed
33.
Vela C, Samson E, Zunzunegui MV, Haddad S, Aubin MJ, Freeman EE. Eye care utilization by older adults in low, middle, and high income countries. BMC Ophthalmol. 2012;12:5.CrossRefPubMedPubMedCentral
34.
Xu K, Trope GE, Buncic R, Jin YP. Utilization of eye care providers by Canadian adolescents: evidence from the Canadian Community Health Survey. Can J Ophthalmol. 2012;47(3):211–6.CrossRefPubMed
35.
Foster A, Resnikoff S. The impact of Vision 2020 on global blindness. Eye (Lond). 2005;19(10):1133–5.CrossRef
36.
Shih YH, Chang HY, Lu MI, Hurng BS. Time trend of prevalence of self-reported cataract and its association with prolonged sitting in Taiwan from 2001 and 2013. BMC Ophthalmol. 2014;14:128.CrossRefPubMedPubMedCentral
37.
38.
He M, Foster PJ, Ge J, Huang W, Zheng Y, Friedman DS, et al. Prevalence and clinical characteristics of glaucoma in adult Chinese: a population-based study in Liwan District, Guangzhou. Invest Ophthalmol Vis Sci. 2006;47(7):2782–8.CrossRefPubMed
Metadata
Title
Accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system
Authors
Li-Ju Chen
Yun-Jau Chang
Chun-Fu Shieh
Jy-Haw Yu
Ming-Chin Yang
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2016
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-016-1501-8

Other articles of this Issue 1/2016

BMC Health Services Research 1/2016 Go to the issue

Research article

Which aspects of health care are most valued by people living with HIV in high-income countries? A systematic review

Research article

Barriers and facilitators related to implementation of regulated midwifery in Manitoba: a case study

Research article

Efficacy of high dose Vitamin D supplementation in improving serum 25(OH)D among migrant and non migrant population: a retrospective study

Research article

A mother’s choice: a qualitative study of mothers’ health seeking behaviour for their children with acute diarrhoea

Research article

The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study

Research article

Public health facility resource availability and provider adherence to first antenatal guidelines in a low resource setting in Accra, Ghana