Evidence map›Paper›PMID 33520809›Full record

ArticleJournal of diabetes and metabolic disorders2020

Diabetic retinopathy screening barriers among Palestinian primary health care patients: a qualitative study.

Tasneem Yahya, Zaher Nazzal, Abdul-Rahman Abdul-Hadi, Souad Belkebir, Mohammad Hamarshih, Alaa Fuqaha, Therese Zink

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Article in Journal of diabetes and metabolic disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Tasneem YahyaFaculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Zaher NazzalDepartment of Family and Community Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Box 7, 707, Nablus, Palestine.ORCID 0000-0002-2655-6109
Abdul-Rahman Abdul-HadiFaculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Souad BelkebirDepartment of Family and Community Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Box 7, 707, Nablus, Palestine.
Mohammad HamarshihPalestine Diabetes Institute, Al-Bireh, West-Bank Palestine.
Alaa FuqahaFaculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Therese ZinkDepartment of Family Medicine & School of Public Health, Brown University, Providence, RI USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDiabetic Retinopathy (DR) screening among Palestinian diabetic patients is limited. To improve the care of our patients, we explored the barriers to DR screening with a qualitative study.

methodsThree focus groups were conducted in the northern West Bank. Patients noncompliant with DR screening were recruited from Primary Health Care clinics. Questions were adapted from similar published studies. Informed consent was obtained and group discussions were audio recorded, transcribed, and analyzed for themes by three researchers.

resultsMost patients reported financial barriers including the costs of the exam and additional treatments, and transportation to the referral clinic. System related issues were the difficulty of getting appointments and long wait times due to inadequate numbers of ophthalmologists or screening facilities, and physicians failing to recommend screening. Personal concerns related to patients having other priorities, fears about the results, and the negative experiences of family members. Finally, cultural aspects included the stigma of wearing glasses and not doing a test for a condition without symptoms.

conclusionsBarriers to completing retinopathy screening are multidimensional with financial, personal, educational, health system, and cultural factors. These should be taken into consideration by policy makers in order to increase the uptake and quality of service.

Indexed as

BarriersDiabetic retinopathy screeningPrimary health care

Identifiers

PMID33520809
PMCPMC7843686

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