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van Eijk KN, Blom JW, Gussekloo J, et al. Diabetic retinopathy screening in patients with diabetes mellitus in primary care: Incentives and barriers to screening attendance. Diabetes Res Clin Pract. 2011;96(1):10-6doi: 10.1016/j.diabres.2011.11.003.
van Eijk, K. N., Blom, J. W., Gussekloo, J., Polak, B. C., & Groeneveld, Y. (2012). Diabetic retinopathy screening in patients with diabetes mellitus in primary care: Incentives and barriers to screening attendance. Diabetes research and clinical practice, 96(1), 10-6. https://doi.org/10.1016/j.diabres.2011.11.003
van Eijk, K N D, et al. "Diabetic retinopathy screening in patients with diabetes mellitus in primary care: Incentives and barriers to screening attendance." Diabetes research and clinical practice vol. 96,1 (2012): 10-6. doi: https://doi.org/10.1016/j.diabres.2011.11.003
van Eijk KN, Blom JW, Gussekloo J, Polak BC, Groeneveld Y. Diabetic retinopathy screening in patients with diabetes mellitus in primary care: Incentives and barriers to screening attendance. Diabetes Res Clin Pract. 2012 Apr;96(1):10-6. doi: 10.1016/j.diabres.2011.11.003. Epub 2011 Dec 03. PMID: 22137363.
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Diabetes Res Clin Pract. 2012 Apr;96(1):10-6. doi: 10.1016/j.diabres.2011.11.003. Epub 2011 Dec 03.

Diabetic retinopathy screening in patients with diabetes mellitus in primary care: Incentives and barriers to screening attendance.

Diabetes research and clinical practice

K N D van Eijk, J W Blom, J Gussekloo, B C P Polak, Y Groeneveld

Affiliations

  1. Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.

PMID: 22137363 DOI: 10.1016/j.diabres.2011.11.003

Abstract

AIM: Although diabetic retinopathy (DR) screening is a basic component of diabetes care, uptake of screening programs is less than optimal. Because attendance rates and reasons for non-attendance in an unselected diabetes population are unknown, this study examines incentives and barriers to attend DR-screening.

METHOD: Four focus groups provided patient-related themes concerning individual decision-making regarding attendance at DR-screening. A questionnaire measuring attendance rates and the influence of several factors was sent to 3236 diabetes patients (>18 years) in 20 Dutch general practices, of which 2363 (73%) responded.

RESULTS: In the past 3 years, 81% of the patients had attended DR-screening. Patients not attending had lower levels of education, a more recent diagnosis of diabetes, and less frequently used insulin. There was no difference in DM types 1 and 2 patients regarding attendance. Patients attending more often visited health-care providers. Patients reported 'knowledge of detrimental effects of DR on visual acuity', 'sense of duty' and 'fear of impaired vision' as main incentives. The main barrier was the absence of a recommendation by the health-care provider.

CONCLUSION: Knowledge about detrimental effects of DR on visual acuity and recommendation by health-care providers are important, possibly modifiable, factors in the attendance to DR screening.

Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

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