目的虽然社区眼科筛查计划的目的是减少医疗保健差距,这些计划的有效性受到参与者后续依从性的限制.本综述的目的是调查可能促进或阻碍参与者在社区眼部筛查后参加后续眼科检查的因素,并确定提高随访率的干预措施。方法文献综述,PubMed,WebofScience,Embase,Proquest/全球健康图书馆,搜索和GoogleScholar数据库,以确定2000年1月至2023年5月之间发表的社区眼部筛查研究。对这些文章的数据进行了分析,以确定美国社区眼部筛查后随访依从性的障碍和促进因素,并研究用于提高随访率的策略。只包括已出版的手稿。我们排除了学校筛查和临床筛查的研究。结果共纳入28篇文献。随访率从12.5%到89%不等。十九篇文章审查了促进者和后续行动的障碍。18篇非干预性文章和7篇(见表1和表2,分别)文章描述了经过测试以提高筛查后随访率的干预措施。干预措施包括预先安排的任命,交通援助,患者教育,耐心的导航员结论几种干预措施有望提高社区眼科筛查的随访依从性。但需要更多的证据.未来的研究应集中在孤立干预措施的随机试验,以提高弱势群体的随访依从性。尽管考虑到伦理方面的考虑和有记录的筛查后缺乏随访,但这可能是有限的。
Objective Although the purpose of community eye screening programs is to reduce health care disparities, the effectiveness of these programs is limited by the follow-up adherence of their participants. The aim of this review is to investigate factors that may promote or hinder participants from attending follow-up ophthalmological exams after community eye
screenings and identify interventions to increase follow-up rates. Methods For literature review, PubMed, Web of Science, Embase, Proquest/Global Health Library, and Google Scholar databases were searched to identify studies of community eye
screenings published between January 2000 and May 2023. Data from these articles were analyzed to identify barriers and facilitators of follow-up adherence after community eye
screenings in the United States and to examine strategies used to increase follow-up rates. Only published manuscripts were included. We excluded studies of school
screenings and clinic-based
screenings. Results A total of 28 articles were included. Follow-up rates ranged from 12.5 to 89%. Nineteen articles reviewed facilitators and barriers to follow-up. Eighteen articles were non interventional and seven (see Table 1 and 2 , respectively) articles described interventions that were tested to improve follow-up rates after screening. Interventions included prescheduled appointments, transportation assistance, patient education, and patient navigators. Conclusion Several interventions are promising to increase follow-up adherence in community eye
screenings, but more evidence is needed. Future research should focus on randomized trials of isolated interventions to improve follow-up adherence of disadvantaged populations, although this may be limited given ethical considerations and documented lack of follow-up after screening.