Patient participation in free cataract surgery: a cross-sectional study of the low-income elderly in urban China
Objectives To explore the characteristics of the low-income elderly who underwent free cataract surgery and to determine the degree of patient satisfaction with the free cataract surgery programme in urban China.Methods A free cataract surgery management workflow was designed as a poverty relief pro...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2016-04-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/6/4/e011061.full |
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| author | Bo Qu Hui Chen Xuhua Tan Xiaohang Wu Haotian Lin Zhenzhen Liu Lixia Luo Bo Zhang Erping Long Duoru Lin Weirong Chen Yizhi Liu Haofeng Jiang Jingjing Chen Zhuoling Lin Xiaoyan Li Jinzhu Tang Yingfen Lin |
| author_facet | Bo Qu Hui Chen Xuhua Tan Xiaohang Wu Haotian Lin Zhenzhen Liu Lixia Luo Bo Zhang Erping Long Duoru Lin Weirong Chen Yizhi Liu Haofeng Jiang Jingjing Chen Zhuoling Lin Xiaoyan Li Jinzhu Tang Yingfen Lin |
| author_sort | Bo Qu |
| collection | DOAJ |
| description | Objectives To explore the characteristics of the low-income elderly who underwent free cataract surgery and to determine the degree of patient satisfaction with the free cataract surgery programme in urban China.Methods A free cataract surgery management workflow was designed as a poverty relief project in Guangzhou. In this study, participants who underwent free cataract surgery between January and August 2014 received a telephone interview based on a structured questionnaire. Data were collected on patient demographics, resources, health conditions, reasons for undergoing the free surgery and overall evaluation of the free cataract surgery programme.Results Among the 833 participants, the mean surgical age was 76.85±7.46 years (95% CI 76.34 to 77.36), and the male to female ratio was 385:448. The majority (94.31%, 746/791) of patients resided in the main urban districts. Patients underwent surgery 61.08±60.15 months (95% CI 56.17 to 66.00) after becoming aware of the cataract, although 66.83% of them reported that their daily lives were influenced by cataracts. Only 21.5% of the respondents underwent physical examinations that included regular eye screening, and only 6.30% were highly educated patients. Financial problems were the primary reason cited by patients for participating in the free surgery programme. Those patients with a monthly family income of 1000–2999¥ (US$161–482) per capita constituted the largest patient population. The free clinics in the parks and the free cataract surgery were highly rated (9.46 and 9.11 of 10 points) by the beneficiaries.Conclusions The telephone survey revealed a high level of patient satisfaction regarding the free cataract surgery programme. Most of the patients who participated in the programme resided in major urban districts and had poor health awareness and a low level of education. The information provided by this study is crucial for improving and expanding the management of free cataract surgery programmes.Trial registration number NCT02633865; Post-results. |
| format | Article |
| id | doaj-art-fac039ea49cb48cfa14fd3fa22ba72eb |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2016-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-fac039ea49cb48cfa14fd3fa22ba72eb2025-02-08T23:55:09ZengBMJ Publishing GroupBMJ Open2044-60552016-04-016410.1136/bmjopen-2016-011061Patient participation in free cataract surgery: a cross-sectional study of the low-income elderly in urban ChinaBo QuHui Chen0Xuhua TanXiaohang Wu1Haotian Lin2Zhenzhen Liu3Lixia Luo4Bo Zhang5Erping LongDuoru Lin6Weirong ChenYizhi Liu7Haofeng Jiang8Jingjing Chen9Zhuoling LinXiaoyan Li10Jinzhu TangYingfen LinDepartment of Respiration, Jinhua Municipal Central Hospital, Jinhua, ChinaZhongshan Ophthalmic Center State Key Laboratory of Ophthalmology, Sun Yat-Sen University, Guangzhou, Guangdong, China8 Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China1 State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, Guangdong, China1 State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, Guangdong, China4 Pancreatic Cancer Institute, Fudan University, Shanghai, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Vision Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, Guangdong, China1 State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, Guangdong, ChinaCollege of Clinical Medicine, Chongqing Three Gorges Medical College, Chongqing, Municipality, ChinaDepartment of Pharmacy, West China Second University Hospital/Evidence-Based Pharmacy Center, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Nephrology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, Guangdong, ChinaObjectives To explore the characteristics of the low-income elderly who underwent free cataract surgery and to determine the degree of patient satisfaction with the free cataract surgery programme in urban China.Methods A free cataract surgery management workflow was designed as a poverty relief project in Guangzhou. In this study, participants who underwent free cataract surgery between January and August 2014 received a telephone interview based on a structured questionnaire. Data were collected on patient demographics, resources, health conditions, reasons for undergoing the free surgery and overall evaluation of the free cataract surgery programme.Results Among the 833 participants, the mean surgical age was 76.85±7.46 years (95% CI 76.34 to 77.36), and the male to female ratio was 385:448. The majority (94.31%, 746/791) of patients resided in the main urban districts. Patients underwent surgery 61.08±60.15 months (95% CI 56.17 to 66.00) after becoming aware of the cataract, although 66.83% of them reported that their daily lives were influenced by cataracts. Only 21.5% of the respondents underwent physical examinations that included regular eye screening, and only 6.30% were highly educated patients. Financial problems were the primary reason cited by patients for participating in the free surgery programme. Those patients with a monthly family income of 1000–2999¥ (US$161–482) per capita constituted the largest patient population. The free clinics in the parks and the free cataract surgery were highly rated (9.46 and 9.11 of 10 points) by the beneficiaries.Conclusions The telephone survey revealed a high level of patient satisfaction regarding the free cataract surgery programme. Most of the patients who participated in the programme resided in major urban districts and had poor health awareness and a low level of education. The information provided by this study is crucial for improving and expanding the management of free cataract surgery programmes.Trial registration number NCT02633865; Post-results.https://bmjopen.bmj.com/content/6/4/e011061.full |
| spellingShingle | Bo Qu Hui Chen Xuhua Tan Xiaohang Wu Haotian Lin Zhenzhen Liu Lixia Luo Bo Zhang Erping Long Duoru Lin Weirong Chen Yizhi Liu Haofeng Jiang Jingjing Chen Zhuoling Lin Xiaoyan Li Jinzhu Tang Yingfen Lin Patient participation in free cataract surgery: a cross-sectional study of the low-income elderly in urban China BMJ Open |
| title | Patient participation in free cataract surgery: a cross-sectional study of the low-income elderly in urban China |
| title_full | Patient participation in free cataract surgery: a cross-sectional study of the low-income elderly in urban China |
| title_fullStr | Patient participation in free cataract surgery: a cross-sectional study of the low-income elderly in urban China |
| title_full_unstemmed | Patient participation in free cataract surgery: a cross-sectional study of the low-income elderly in urban China |
| title_short | Patient participation in free cataract surgery: a cross-sectional study of the low-income elderly in urban China |
| title_sort | patient participation in free cataract surgery a cross sectional study of the low income elderly in urban china |
| url | https://bmjopen.bmj.com/content/6/4/e011061.full |
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