Noncompliance with Vision Care Guidelines in Latinos with Type 2 Diabetes Mellitus

Paz, Sylvia H.; Varma, Rohit; Klein, Ronald; Wu, Joanne; Azen, Stanley P.

doi:10.1016/j.ophtha.2006.04.018

Cited by 141 publications

(125 citation statements)

References 19 publications

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“…Both these findings suggest that individuals with low educational attainment are more reliant on their primary care physicians for care, whereas those with high educational attainment may be more likely to be referred to specialists in general, either because of patient requests or physician recommendations. The finding of lower adherence with ophthalmological examinations among those with low educational attainment is consistent with previous literature [11,12].…”

Section: Discussionsupporting

confidence: 92%

“…Goudswaard et al [9] observed a modest relationship between education and glycemic control, while Schillinger et al [10] did not find such a relationship. Paz et al [11] and Witkin et al [12] found that people with lower educational attainment were less likely to comply with vision care guidelines. Gucciardi et al [19] found that education level did not influence attendance at diabetes education programs.…”

Section: Discussionmentioning

confidence: 99%

“…Individuals with low educational attainment may be at particularly high risk, since educational attainment is inversely related to diabetes prevalence [7]. Several previous studies have examined the relationship between education level and quality of diabetes care [8][9][10][11][12][13][14], but most were too small and their samples too selective to draw generalizable conclusions. Therefore, we sought to examine the association between educational attainment and utilization of the health care system and self care behavior in a randomly selected sample of patients with diabetes, in a population with equal access to physician and hospital care.…”

Section: Introductionmentioning

confidence: 99%

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Educational Attainment is Associated with Health Care Utilization and Self-Care Behavior by Individuals with Diabetes

Alguwaihes¹,

Shah²

2009

TODIAJ

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Abstract:The aim of this study was to examine the association between educational attainment and utilization of the health care system and self-care behavior by individuals with diabetes. The Barriers to Diabetes Care Survey asked individuals with diabetes about their care. The questionnaire was completed using computer-assisted telephone interviewing techniques. Participants were found by random digit dialing across Ontario, Canada (eligible n = 1,031). We dichotomized educational attainment at high school. We examined the relationship of educational attainment with measures of health care system utilization and of self-care behavior. We adjusted for age, sex, income, health insurance status, and diabetes type, duration and treatment regimen. Individuals with high educational attainment were more likely to have had an ophthalmologic examination during the previous year (odds ratio 1.37, 95% confidence interval 1.04-1.82), and were more likely to report having a specialist (OR 2.08, 95% CI 1.31-3.31) or other paramedical professional (OR 1.91, 95% CI 1.19-3.07) as their most responsible provider of care, rather than a family doctor. Smoking (OR 0.64, 95% CI 0.45-0.90) and blood sugar monitoring (OR 0.70, 95% CI 0.50-0.98) were associated with low educational attainment, while following a meal plan was associated with high educational attainment (OR 1.39, 95% CI 1.07-1.80). Since appropriate utilization of the health care system and self-care behavior are essential for diabetes management, our findings suggest that people with low educational attainment are independently at risk for worse diabetes care. Health care providers should ensure that their communications, teaching materials and instructions are suitable for these higher-risk patients.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Educational Attainment is Associated with Health Care Utilization and Self-Care Behavior by Individuals with Diabetes

Alguwaihes¹,

Shah²

2009

TODIAJ

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“…9,10 In addition, people with known eye disease or with risk factors for disease fail to seek recommended care. 11 As current technology evolves to permit widespread implementation of systems to evaluate and diagnose ocular disease, telemedicine holds promise to diagnose and manage a variety of eye conditions. With the rapid rise of e-health and remote care systems, we sought to gauge current practice patterns and willingness to adopt telemedicine in ophthalmology among eye care providers at a large tertiary-care medical center.…”

mentioning

confidence: 99%

Eye Care Providers' Attitudes Towards Tele-ophthalmology

Woodward

Ple-plakon

Blachley

et al. 2015

Telemedicine and e-Health

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“…With early detection, DR can be treated with modalities that have been proven to decrease the risk of severe vision loss by more than 90% [5] and because of these benefits some professional organizations such as the American Diabetes Association and the American Academy of Ophthalmology have established guidelines for DR screening. However, less than 50% of diabetic patients in the USA meet these recommendations [6,7,8]. …”

Section: Introductionmentioning

confidence: 99%

Screening for Diabetic Retinopathy in the Central Region of Portugal. Added Value of Automated ‘Disease/No Disease' Grading

Ribeiro

Oliveira²,

Neves

et al. 2014

Ophthalmologica

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Purpose: To describe the procedures of a nonmydriatic diabetic retinopathy (DR) screening program in the Central Region of Portugal and the added value of the introduction of an automated disease/no disease analysis. Methods: The images from the DR screening program are analyzed in a central reading center using first an automated disease/no disease analysis followed by human grading of the disease cases. The grading scale used is as follows: R0 - no retinopathy, RL - nonproliferative DR, M - maculopathy, RP - proliferative DR and NC - not classifiable. Results: Since the introduction of automated analysis in July 2011, a total of 89,626 eyes (45,148 patients) were screened with the following distribution: R0 - 71.5%, RL - 22.7%, M - 2.2%, RP - 0.1% and NC - 3.5%. The implemented automated system showed the potential for human grading burden reduction of 48.42%. Conclusions: Screening for DR using automated analysis allied to a simplified grading scale identifies DR vision-threatening complications well while decreasing human burden.

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Noncompliance with Vision Care Guidelines in Latinos with Type 2 Diabetes Mellitus

Cited by 141 publications

References 19 publications

Educational Attainment is Associated with Health Care Utilization and Self-Care Behavior by Individuals with Diabetes

Educational Attainment is Associated with Health Care Utilization and Self-Care Behavior by Individuals with Diabetes

Eye Care Providers' Attitudes Towards Tele-ophthalmology

Screening for Diabetic Retinopathy in the Central Region of Portugal. Added Value of Automated ‘Disease/No Disease' Grading

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