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Elam AR, Lee PP. Barriers to and Suggestions on Improving Utilization of Eye Care in High-Risk Individuals: Focus Group Results. Int Sch Res Notices. 2014;2014:527831doi: 10.1155/2014/527831.
Elam, A. R., & Lee, P. P. (2014). Barriers to and Suggestions on Improving Utilization of Eye Care in High-Risk Individuals: Focus Group Results. International scholarly research notices, 2014527831. https://doi.org/10.1155/2014/527831
Elam, Angela R, and Lee, Paul P. "Barriers to and Suggestions on Improving Utilization of Eye Care in High-Risk Individuals: Focus Group Results." International scholarly research notices vol. 2014 (2014): 527831. doi: https://doi.org/10.1155/2014/527831
Elam AR, Lee PP. Barriers to and Suggestions on Improving Utilization of Eye Care in High-Risk Individuals: Focus Group Results. Int Sch Res Notices. 2014 Oct 15;2014:527831. doi: 10.1155/2014/527831. eCollection 2014. PMID: 27379302; PMCID: PMC4897391.
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Int Sch Res Notices. 2014 Oct 15;2014:527831. doi: 10.1155/2014/527831. eCollection 2014.

Barriers to and Suggestions on Improving Utilization of Eye Care in High-Risk Individuals: Focus Group Results.

International scholarly research notices

Angela R Elam, Paul P Lee

Affiliations

  1. Duke University Eye Center, Duke University School of Medicine, Durham, NC 27710, USA; Department of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, Ann Arbor, MI 48105, USA.

PMID: 27379302 PMCID: PMC4897391 DOI: 10.1155/2014/527831

Abstract

Purpose. To understand barriers facing high-risk individuals and to solicit the suggestions of these individuals, especially nonusers, on how to change the eye care delivery system to better meet their needs. Methods. Four focus groups were conducted. All discussion was audiotaped and transcribed. Content analysis was performed by the authors and with the assistance of qualitative software, NUD(*)IST Vivo. Results. The most frequently cited barriers include (1) cost, (2) trust, (3) communication, (4) clinic accessibility (transportation/distance), and (5) doctor-patient relationship. In underutilizers, trust was the most identified barrier to care. Suggestions on increasing educational opportunities/awareness of eye care and addressing cost and insurance issues as a means of improving trust and communications were most frequently offered, including using the Department of Social Services as a focal point for eye care education and assessment. Discussion. Trust is a major barrier to eye care, especially among underutilizers of disadvantaged populations. Increasing trust and eye care education at the community and individual levels is essential to increasing eye care utilization.

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