Back to Search
Start Over
Providing Prescheduled Appointments as a Strategy for Improving Follow-Up Compliance After Community-Based Glaucoma Screening: Results from an Urban Underserved Population.
- Source :
- Journal of Community Health; Feb2015, Vol. 40 Issue 1, p27-33, 7p, 1 Diagram, 2 Charts
- Publication Year :
- 2015
-
Abstract
- To determine if receiving a prescheduled appointment is associated with an increased likelihood of complying with follow-up eye care among individuals identified as at risk for glaucoma during community-based glaucoma screening in an urban underserved population. This study sampled 362 individuals aged ≥30 years without known glaucoma from low-income, predominantly black/Hispanic neighborhoods in New Haven, Connecticut presenting to one of twelve community-based glaucoma screening events from May 2010 to October 2012. A quasi-experimental design systematically assigned 63 individuals identified as at risk for glaucoma into either intervention or control group with a 1:2 ratio. Individuals in the control group ( n = 41) received counseling on glaucoma and a recommendation for obtaining a follow-up appointment at the eye department of a local community health center, which offers affordable health services with income-adjusted fee discounts to uninsured, low-income patients. Those in the intervention group ( n = 22) received the same counseling and a prescheduled appointment at the community health center. The overall rate of follow-up compliance within 3 months of screening was 30 % (41 % in the intervention group; 24 % in the control group). Multivariate logistic regression analysis adjusting for sex, age, ethnicity, health insurance status, car access, living situation, and smoking status found that follow-up compliance was significantly associated with intervention (adjusted odds ratio 4.8; 95 % confidence interval 1.1-20.9). Providing prescheduled appointments can improve follow-up compliance after community-based glaucoma screening. This finding may be potentially applicable to community-based health screening for other preventable diseases. [ABSTRACT FROM AUTHOR]
- Subjects :
- GLAUCOMA diagnosis
CONFIDENCE intervals
RESEARCH methodology
MEDICAL appointments
METROPOLITAN areas
PATIENT compliance
PROBABILITY theory
QUESTIONNAIRES
RESEARCH funding
SELF-evaluation
STATISTICS
SURVEYS
VISION testing
DATA analysis
MULTIPLE regression analysis
MEDICALLY underserved persons
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 00945145
- Volume :
- 40
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journal of Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 100490631
- Full Text :
- https://doi.org/10.1007/s10900-014-9890-2