“…A mismatch between the need for and uptake of low‐vision rehabilitation services has been reported in Australia 5,9–11 . It has been reported previously that many patients referred to services do not attend, therefore barrier analysis at the level of the service, the referral and the patient have been suggested to identify the changes required to improve service provision 9,10 .…”
Section: Discussionmentioning
confidence: 99%
“…5,[9][10][11] It has been reported previously that many patients referred to services do not attend, therefore barrier analysis at the level of the service, the referral and the patient have been suggested to identify the changes required to improve service provision. 9,10 In this study, a high attendance rate with a 97 per cent appointment uptake was noted. This rate is significantly higher than the finding by O'Connor and colleagues, 12 who reported the referral compliance rate was 49 per cent in a new low-vision rehabilitation service.…”
Section: Discussionmentioning
confidence: 99%
“…Despite the many benefits of low‐vision services, in Australia, fewer than one in five patients with low vision accesses such services 6 . The service uptake rate varies across the world three to 15 per cent 7–9 . There is a clear mismatch between the need and the uptake of low‐vision services.…”
mentioning
confidence: 99%
“…6 The service uptake rate varies across the world three to 15 per cent. [7][8][9] There is a clear mismatch between the need and the uptake of low-vision services. This has been attributed to a number of factors that occur at several levels.…”
Background:The current mismatch between the need for and uptake of low-vision services has been attributed to various barriers including different service delivery models and referral pathways. This study evaluates the referral pathway and low-vision service provision of the Royal Society for the Blind (RSB) in South Australia. Methods: All new referrals from the 2008-2009 financial year to the RSB were reviewed. Initially, patients were contacted by a triage officer within one week of referral. Initial appointments were made in the Low Vision Clinic with a multidisciplinary team. Reasons for declining the appointment or non-attendance were tracked via telephone. Results: There were 1116 patients referred over a 12-month period and 1082 (97 per cent) were reviewed in the Low Vision Clinic. Most attendees (92 per cent) lived within 50 kilometres of the clinic. There were 34 referred patients, who declined or did not attend the assessment. All non-attendees also lived within 50 kilometres of the Low Vision Centre. Concurrent major health problems (27 per cent) and patients not feeling the need for low-vision rehabilitation (27 per cent) were the most common reasons for not accessing the service. Only 125 patients (11.6 per cent) accessed volunteer transport services and only 24 patients (2.2 per cent) needed an interpreter service.
Conclusion:The attendance rate is significantly higher than in other published studies. The distance to travel or transport difficulties were not significant barriers. Patient perception that either the service was not required or would not help them was the main barrier. The referral and triage process appeared to be a major enabler of low-vision service uptake.
“…A mismatch between the need for and uptake of low‐vision rehabilitation services has been reported in Australia 5,9–11 . It has been reported previously that many patients referred to services do not attend, therefore barrier analysis at the level of the service, the referral and the patient have been suggested to identify the changes required to improve service provision 9,10 .…”
Section: Discussionmentioning
confidence: 99%
“…5,[9][10][11] It has been reported previously that many patients referred to services do not attend, therefore barrier analysis at the level of the service, the referral and the patient have been suggested to identify the changes required to improve service provision. 9,10 In this study, a high attendance rate with a 97 per cent appointment uptake was noted. This rate is significantly higher than the finding by O'Connor and colleagues, 12 who reported the referral compliance rate was 49 per cent in a new low-vision rehabilitation service.…”
Section: Discussionmentioning
confidence: 99%
“…Despite the many benefits of low‐vision services, in Australia, fewer than one in five patients with low vision accesses such services 6 . The service uptake rate varies across the world three to 15 per cent 7–9 . There is a clear mismatch between the need and the uptake of low‐vision services.…”
mentioning
confidence: 99%
“…6 The service uptake rate varies across the world three to 15 per cent. [7][8][9] There is a clear mismatch between the need and the uptake of low-vision services. This has been attributed to a number of factors that occur at several levels.…”
Background:The current mismatch between the need for and uptake of low-vision services has been attributed to various barriers including different service delivery models and referral pathways. This study evaluates the referral pathway and low-vision service provision of the Royal Society for the Blind (RSB) in South Australia. Methods: All new referrals from the 2008-2009 financial year to the RSB were reviewed. Initially, patients were contacted by a triage officer within one week of referral. Initial appointments were made in the Low Vision Clinic with a multidisciplinary team. Reasons for declining the appointment or non-attendance were tracked via telephone. Results: There were 1116 patients referred over a 12-month period and 1082 (97 per cent) were reviewed in the Low Vision Clinic. Most attendees (92 per cent) lived within 50 kilometres of the clinic. There were 34 referred patients, who declined or did not attend the assessment. All non-attendees also lived within 50 kilometres of the Low Vision Centre. Concurrent major health problems (27 per cent) and patients not feeling the need for low-vision rehabilitation (27 per cent) were the most common reasons for not accessing the service. Only 125 patients (11.6 per cent) accessed volunteer transport services and only 24 patients (2.2 per cent) needed an interpreter service.
Conclusion:The attendance rate is significantly higher than in other published studies. The distance to travel or transport difficulties were not significant barriers. Patient perception that either the service was not required or would not help them was the main barrier. The referral and triage process appeared to be a major enabler of low-vision service uptake.
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