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'Whatever the GP says, is what I'll do'—A qualitative study of patient perspectives in accessing primary eye care for type 2 diabetes.

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Title: 'Whatever the GP says, is what I'll do'—A qualitative study of patient perspectives in accessing primary eye care for type 2 diabetes.
Authors: Huang‐Lung, Jessie (AUTHOR), Rai, Akshay (AUTHOR), Duong, Annita (AUTHOR), Balakrishnan, Apirami (AUTHOR), Khan, Abdullah (AUTHOR), Husudo, Jeremy (AUTHOR), Gyawali, Rajendra (AUTHOR), Nazarian, Joseph (AUTHOR), Ford, Belinda (AUTHOR), Rhee, Joel (AUTHOR), Jalbert, Isabelle (AUTHOR), Keay, Lisa (AUTHOR)
Source: Ophthalmic & Physiological Optics. Jan2025, Vol. 45 Issue 1, p67-76. 10p.
Subjects: Medical personnel, Access to primary care, Type 2 diabetes, Health services accessibility, Integrated health care delivery
Abstract: Introduction: To investigate the perspectives of people accessing a general medical practitioner (GP)‐optometry model of collaborative care that was established to increase access to diabetes eye care. Methods: Qualitative study of patient barriers and facilitators to accessing primary diabetes eye care located in a metropolitan area in Australia. One‐on‐one interviews were recorded, transcribed and thematically analysed using a determinant framework on patient‐centred access to health care. Results: Twenty‐four people with type 2 diabetes, including 15 males and 9 females, who accessed the service between September 2021 and June 2022 agreed to participate. Mean (SD) age of the participants was 52 (12) years and 50% had been diagnosed with diabetes for <2 years. Facilitators to accessing diabetes eye care included a referral from a GP or GP nurse, fee‐free consultations, availability of after‐hours appointments and short waiting times. Barriers to access included perceived out‐of‐pocket costs, competing responsibilities and lack of awareness of diabetic retinopathy screening recommendations. Conclusion: Considering diabetic retinopathy may present asymptomatically, primary health practitioners (optometrists and GPs) are well positioned to raise patient awareness of the importance of routine eye examinations. In Australia, access to routine screening could be facilitated by fee‐free eye checks and personalised text message reminders implemented at a health system level. [ABSTRACT FROM AUTHOR]
Copyright of Ophthalmic & Physiological Optics 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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  Data: Introduction: To investigate the perspectives of people accessing a general medical practitioner (GP)‐optometry model of collaborative care that was established to increase access to diabetes eye care. Methods: Qualitative study of patient barriers and facilitators to accessing primary diabetes eye care located in a metropolitan area in Australia. One‐on‐one interviews were recorded, transcribed and thematically analysed using a determinant framework on patient‐centred access to health care. Results: Twenty‐four people with type 2 diabetes, including 15 males and 9 females, who accessed the service between September 2021 and June 2022 agreed to participate. Mean (SD) age of the participants was 52 (12) years and 50% had been diagnosed with diabetes for &lt;2 years. Facilitators to accessing diabetes eye care included a referral from a GP or GP nurse, fee‐free consultations, availability of after‐hours appointments and short waiting times. Barriers to access included perceived out‐of‐pocket costs, competing responsibilities and lack of awareness of diabetic retinopathy screening recommendations. Conclusion: Considering diabetic retinopathy may present asymptomatically, primary health practitioners (optometrists and GPs) are well positioned to raise patient awareness of the importance of routine eye examinations. In Australia, access to routine screening could be facilitated by fee‐free eye checks and personalised text message reminders implemented at a health system level. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Ophthalmic &amp; Physiological Optics is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;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.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1111/opo.13398
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        Text: English
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      – SubjectFull: Type 2 diabetes
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      – SubjectFull: Health services accessibility
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              Text: Jan2025
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