September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Barriers For Uptake Of Referral Services From Secondary Care to Tertiary Care And Its Associated Risk factors in L V Prasad Eye Institute Eye Health Pyramid
Author Affiliations & Notes
  • Rohit Chandramohan Khanna
    Allen Foster Research Centre for Community Eye Health, Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye care, LV Prasad Eye Institute, Hyderabad, Telangana, India
    Brien Holden Eye Research Centre, L V Prasad Eye Institute, Hyderabad, Telangana, India
  • Kim Sujeong
    School of Medicine and Dentistry, University of Rochester, Rochester, New York, United States
  • Pyda Giridhar
    Allen Foster Research Centre for Community Eye Health, Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye care, LV Prasad Eye Institute, Hyderabad, Telangana, India
    Brien Holden Eye Research Centre, L V Prasad Eye Institute, Hyderabad, Telangana, India
  • Asha Latha Mettla
    Allen Foster Research Centre for Community Eye Health, Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye care, LV Prasad Eye Institute, Hyderabad, Telangana, India
    Brien Holden Eye Research Centre, L V Prasad Eye Institute, Hyderabad, Telangana, India
  • Gullapalli N Rao
    Allen Foster Research Centre for Community Eye Health, Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye care, LV Prasad Eye Institute, Hyderabad, Telangana, India
    Brien Holden Eye Research Centre, L V Prasad Eye Institute, Hyderabad, Telangana, India
  • Footnotes
    Commercial Relationships   Rohit Khanna, None; Kim Sujeong, None; Pyda Giridhar, None; Asha Latha Mettla, None; Gullapalli Rao, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 1552. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to Subscribers Only
      Sign In or Create an Account ×
    • Get Citation

      Rohit Chandramohan Khanna, Kim Sujeong, Pyda Giridhar, Asha Latha Mettla, Gullapalli N Rao; Barriers For Uptake Of Referral Services From Secondary Care to Tertiary Care And Its Associated Risk factors in L V Prasad Eye Institute Eye Health Pyramid. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1552.

      Download citation file:


      © 2017 Association for Research in Vision and Ophthalmology.

      ×
  • Supplements
Abstract

Purpose : To evaluate the barriers for uptake of referral services and it’s associated risk factors in L V Prasad Eye Institute (LVPEI) Eye Health Pyramid.

Methods : The Eye Health pyramid of LVPEI has a network of Centre of Excellence (CoE), tertiary centres (TCs), rural Secondary Centres (SCs) and attached Vision Centres (VCs) that provide high quality eye care across the pyramid. There is clear delineation and demarcation of function and referral system at each level of care. However, there are issues with uptake of referral services between two levels of care. Hence, this study was designed to look at the barriers of uptake of referral services from SC to TC. All those patients seen between June 2011 to December 2012 in a SC in Khammam District in Indian State of Telangana and referred to TC in Hyderabad (in the state of Telangana) / Vijayawada (in the state of Andhra Pradesh) were reviewed. Those who attended a TC after referral were labelled as ‘Compliant’ and those who failed to attend, were labelled as ‘Non-compliant’. Both group were interviewed with a standard designed questionnaire.

Results : During this time period, 611 referred patients were contacted and interviewed. Of these, 418 (68.4%) were compliant, 193 (31.6%) were non-compliant. The mean age of all interviewed patients was 48.4 ± 17.9 years and 365 (59.7%) were males. Mean age of non-compliant patients was less than compliant patients (45.2 years vs 49.9 years; p=0.002). Non-compliant patients also had less mean number of visits to the SC than the compliant patients (1.5 versus 2.2 visits; p=<0.001). They also deferred by the subspecialty they were referred (p=0.02) and marital status (p=0.007). In multivariable analysis, risk factor for non-compliance include age less than 45 years (OR 1.6; 95% CI 1.00, 2.5), being blind (OR 2.0; 95% CI 1.0, 3.9), referred to oculoplastic services (OR 3.2; 95% CI 1.1, 9.7), married (OR 2.3; 95% CI 1.2, 4.4), unmarried (OR 3.3; 95% CI 1.4, 8.2) and being earning member of family (OR 3.2, 95% CI 1.7, 5.9). The major barriers for the uptake of services were ‘cannot afford treatment cost’ (29.5%) and ‘able to see adequately’ (19.7%).

Conclusions : This study demonstrates the risk factors for uptake of referral services. Hence focusing on these target groups along with adequate counseling prior to referral may be beneficial for uptake of services.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×