A review of the evidence that people with learning disabilities experience eye health inequalities: What policies can better ensure an equal right to sight?
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| Title: | A review of the evidence that people with learning disabilities experience eye health inequalities: What policies can better ensure an equal right to sight? |
|---|---|
| Authors: | Donaldson, Lisa, O'Brien, Donna, Karas, Marek |
| Source: | British Journal of Learning Disabilities. Jun2024, Vol. 52 Issue 2, p302-311. 10p. |
| Subjects: | Health services accessibility, Primary health care, Health policy, Eye care, Intellectual disabilities, Systematic reviews, Eye examination, Health equity, Needs assessment, Eyeglasses |
| Geographic Terms: | United Kingdom |
| Abstract: | Background: People with a learning disability experience challenges accessing primary health care services, including eye care services. Methods: Eye care needs of people with a learning disability, and how well they are met by existing services in England, were explored. Barriers and enablers to accessing these services were investigated. This was informed by a scoping review of the literature and a historic literature library. Findings: Adults with a learning disability are 10 times more likely than other adults to have a serious sight problem and children with learning disabilities are 28 times more likely. There is good evidence of high levels of unmet eye care need special schools in England with over 4 in 10 children attending having no history of any eye care. Conclusion: The authors discuss possible systemic changes to address these inequalities in England. These include automatic entitlement to an NHS sight test annually, specialist pathways in community opticians, eye care services in special schools, and peer to peer and peer to professional promotion of services by people with lived experience. Dedicated care pathways have improved uptake of services in other areas of primary care. Research into the effectiveness of lived experience eye health advocacy is needed. Accessible summaries: People with learning disabilities are much more likely to have sight problems but much less likely to get the eye care they need.Everyone should be able to access good eye care.Not getting good eye care puts eyesight at risk and existing problems might not be discovered.We look at what helps people get better eye care and what stops people from getting it.We found that improving awareness, better staff training and good communication are important.Special eye care services for people with learning disabilities have been designed but are not available in much of the UK. Having these specialist services across nations would help more people get the eye care they need. [ABSTRACT FROM AUTHOR] |
| Copyright of British Journal of Learning Disabilities is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 176989532 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A review of the evidence that people with learning disabilities experience eye health inequalities: What policies can better ensure an equal right to sight? – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Donaldson%2C+Lisa%22">Donaldson, Lisa</searchLink><br /><searchLink fieldCode="AR" term="%22O'Brien%2C+Donna%22">O'Brien, Donna</searchLink><br /><searchLink fieldCode="AR" term="%22Karas%2C+Marek%22">Karas, Marek</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Learning+Disabilities%22">British Journal of Learning Disabilities</searchLink>. Jun2024, Vol. 52 Issue 2, p302-311. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Health+policy%22">Health policy</searchLink><br /><searchLink fieldCode="DE" term="%22Eye+care%22">Eye care</searchLink><br /><searchLink fieldCode="DE" term="%22Intellectual+disabilities%22">Intellectual disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Eye+examination%22">Eye examination</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Needs+assessment%22">Needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Eyeglasses%22">Eyeglasses</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: People with a learning disability experience challenges accessing primary health care services, including eye care services. Methods: Eye care needs of people with a learning disability, and how well they are met by existing services in England, were explored. Barriers and enablers to accessing these services were investigated. This was informed by a scoping review of the literature and a historic literature library. Findings: Adults with a learning disability are 10 times more likely than other adults to have a serious sight problem and children with learning disabilities are 28 times more likely. There is good evidence of high levels of unmet eye care need special schools in England with over 4 in 10 children attending having no history of any eye care. Conclusion: The authors discuss possible systemic changes to address these inequalities in England. These include automatic entitlement to an NHS sight test annually, specialist pathways in community opticians, eye care services in special schools, and peer to peer and peer to professional promotion of services by people with lived experience. Dedicated care pathways have improved uptake of services in other areas of primary care. Research into the effectiveness of lived experience eye health advocacy is needed. Accessible summaries: People with learning disabilities are much more likely to have sight problems but much less likely to get the eye care they need.Everyone should be able to access good eye care.Not getting good eye care puts eyesight at risk and existing problems might not be discovered.We look at what helps people get better eye care and what stops people from getting it.We found that improving awareness, better staff training and good communication are important.Special eye care services for people with learning disabilities have been designed but are not available in much of the UK. Having these specialist services across nations would help more people get the eye care they need. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of British Journal of Learning Disabilities is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/bld.12573 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 302 Subjects: – SubjectFull: Health services accessibility Type: general – SubjectFull: Primary health care Type: general – SubjectFull: Health policy Type: general – SubjectFull: Eye care Type: general – SubjectFull: Intellectual disabilities Type: general – SubjectFull: Systematic reviews Type: general – SubjectFull: Eye examination Type: general – SubjectFull: Health equity Type: general – SubjectFull: Needs assessment Type: general – SubjectFull: Eyeglasses Type: general – SubjectFull: United Kingdom Type: general Titles: – TitleFull: A review of the evidence that people with learning disabilities experience eye health inequalities: What policies can better ensure an equal right to sight? Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Donaldson, Lisa – PersonEntity: Name: NameFull: O'Brien, Donna – PersonEntity: Name: NameFull: Karas, Marek IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 13544187 Numbering: – Type: volume Value: 52 – Type: issue Value: 2 Titles: – TitleFull: British Journal of Learning Disabilities Type: main |
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