Research Article

Barriers to and Suggestions on Improving Utilization of Eye Care in High-Risk Individuals: Focus Group Results

Table 4

Summary of suggested changes to increase eye care utilization.

Patient-doctor interactions
 Be more courteous, patient, and understanding
 Explain things clearly and in nondoctor terms
 Follow up with patients in between visits
 Always explain the problem, treatment plan, and options; patients want to feel a part of their care
Cost/insurance
 Create more eye care clinics for low-income people
 Make eye examinations part of yearly physical for insurance purposes
 Offer in-house financing or payment plans
 Offer mail-in rebates after eye examinations
 Offer more treatment options/programs to assist with purchasing eye glasses
 Increase number of free vision screenings in underserved communities
Accessibility
 Develop satellite clinics of larger hospitals in underserved communities
 Have doctors from larger hospitals practice in already established facilities in underserved communities once or twice a week
 Provide incentives for eye care providers to practice in underserved communities
 Have mobile units for eye care
 Notify local board of supervisors of need for more eye care providers in community
 Volunteer transportation in community
Education/knowledge of eye care importance
 Monthly mailings on eye care education
 Create eye disease prevention week with daily postal mailings (modeled after fire prevention week)
 Use department of social services and churches as focal points for educational interventions
 More educational seminars in the community led by providers or students
 Create community eye care awareness groups run by members of the community
 Use various forms of media (newspaper, radio, or television) to increase eye care awareness
 Use marquees on local businesses to increase awareness
Community/social support
 Implement eye care “buddy system”
 Get family members to encourage each other about importance of eye care
 Set up community committees/organizations for eye care issues
Service at clinic
 Find better way to schedule patients to decrease waiting time
 Train all personnel to treat patients courteously
Government
 Make lawmakers and political candidates more aware of the problems with receiving eye care